A woman who is being treated with radiotherapy for breast cancer asks her primary care nurse practitioner (NP) about using dietary supplements to improve her chance of recovery. The NP should tell her that:

a. vitamin E is not harmful but has not been shown to change outcomes.
b. no supplements have been shown to alter outcomes or response to therapy.
c. folic acid and other B vitamins may improve ability to tolerate chemotherapy.
d. vitamin C, taken at least 6 days per week, may lower her risk of cancer recurrence.


D
Women with early-stage breast cancer who took supplements of vitamin C or vitamin E at least 6 days per week had a lower risk of cancer recurrence with vitamin C but no differences with vitamin E. B vitamins are not listed as effective.

Nursing

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A family member is seeking advice about an older parent who seems to worry unnecessarily about everything. The family member states, "Should I seek psychiatric help for my mother?" Which is an appropriate nursing response?

1. "My mother also worries unnecessarily. I think it is part of the aging process." 2. "Anxiety is considered abnormal when it is out of proportion to the stimulus causing it and when it impairs functioning." 3. "From what you have told me, you should get her to a psychiatrist as soon as possible." 4. "Anxiety is a complex phenomenon and is effectively treated only with psychotropic medications."

Nursing

Which of the following outcomes do day treatment and day hospital programs facilitate?

A) Provision of social services to elderly patients B) Early discharge from hospitals and nursing homes C) Transition of the terminally ill to hospice care D) Access of gerontological nurses to the elderly population

Nursing

A nursing instructor is evaluating the students' understanding of topical anti-infectives. The instructor determines that the group understands the information when they pair which drug with the infection treated correctly? Select all that apply

A) Erythromycin (Erygel) - acne vulgaris B) Ketoconazole (Nizoral) - episodes of HSV C) Ciclopirox (Loprox) - tinea pedis D) Acyclovir (Zovirax) - episodes of HSV E) Bacitracin (Baci-Rx) - tinea corporis

Nursing

Your 35-year-old female patient complains of feeling palpitations on occasion. The clinician should recognize that palpitations are often a sign of:

A. Anemia B. Anxiety C. Hyperthyroidism D. All of the above

Nursing