A client with breast cancer is started on chemotherapy. Her daughter is started on the same drug prophylactically. The daughter is considered high risk for developing breast cancer. Which medication does the nurse anticipate has been prescribed to both the client and her daughter?

1. Anastrozole (Arimidex)
2. Medroxyprogesterone (Provera)
3. Goserelin (Zoladex)
4. Tamoxifen (Nolvadex)


4

Rationale 1: Anastrozole (Arimidex) is given for advanced breast cancer.
Rationale 2: Medroxyprogesterone (Provera) is given for uterine and renal cancer.
Rationale 3: Goserelin (Zoladex) is used for prostate and breast cancer.
Rationale 4: Tamoxifen (Nolvadex), the drug of choice for treating breast cancer, is a hormone blocker that blocks estrogen receptors in cancer cells, and is effective against breast tumors that require estrogen for their growth. This drug is unique in that it is given to both clients with breast cancer and high-risk clients.

Global Rationale: Tamoxifen (Nolvadex), the drug of choice for treating breast cancer, is a hormone blocker that blocks estrogen receptors in cancer cells, and is effective against breast tumors that require estrogen for their growth. This drug is unique in that it is given to both clients with breast cancer and high-risk clients. Anastrozole (Arimidex) is given for advanced breast cancer. Medroxyprogesterone (Provera) is given for uterine and renal cancer. Goserelin (Zoladex) is used for prostate and breast cancer.

Nursing

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A patient is admitted to the critical care unit with a subdural hematoma. The GCS is used to assess his level of consciousness. In assessing the patient's best motor response, the movement that receives the lowest score is

a. decerebrate posturing. c. withdrawing from pain. b. localizing pain. d. decorticate posturing.

Nursing

A percussion sound that is loud in intensity, moderate to long in duration, low in pitch, and hollow in quality is resonance. Which of the following is an example of where this is heard in the body?

a. gastric air bubble b. healthy lung tissue c. over organs (liver) d. over muscle

Nursing

A patient whose cancer has been staged at T4 N2 M2 has been assigned for care. What is the best interpretation of this staging information in planning care for this patient?

1. The primary tumor has shrunken, although some lymph nodes remain involved. Teach the patient that this is good news. 2. The primary tumor has now responded to a combination of chemotherapy and radiation. The patient should now receive much less analgesic medication. 3. The primary tumor is quite large and has extended to lymph glands and distant areas. Gentle touch and therapeutic listening will be especially helpful. 4. After the series of radiation treatments, the distant metastases are still present. Prepare the patient to accept only the cure of the primary tumor.

Nursing

The nurse is caring for an older adult client with sensorineural hearing loss. Which assessment finding does the nurse correlate with the client's health history?

a. History of frequent ear infections b. Swims frequently c. Worked in a sawmill for the last 20 years d. Had a tumor removed from his left ear-drum last year

Nursing