The client receives estrogen for prostate cancer. He asks the nurse why he is receiving a female hormone. What is the best response by the nurse?
1. "It shrinks your cancer by making the cells die at a faster rate."
2. "It eliminates the testosterone that feeds your cancer."
3. "It suppresses secretion of the androgens that make your cancer grow."
4. "It keeps nutrients from getting to, and feeding, your cancer."
3
Rationale 1: Administration of estrogens will suppress androgen secretion, not kill the cells faster.
Rationale 2: Administration of estrogens will suppress androgen secretion but will not eliminate testosterone.
Rationale 3: Prostate cancer is usually dependent on androgens for growth; administration of estrogens will suppress androgen secretion.
Rationale 4: Administration of estrogens will suppress androgen secretion, not prevent nutrients from getting to, or feeding, the cancer.
Global Rationale: Prostate cancer is usually dependent on androgens for growth; administration of estrogens will suppress androgen secretion. Administration of estrogens does not kill the cells faster, eliminate testosterone, or prevent nutrients from getting to, or feeding, the cancer.
You might also like to view...
A nurse is teaching a client who is prescribed sumatriptan about the possible adverse reactions associated with the drug. The nurse determines that the teaching was successful when the client identifies which of the following as most common? Select all th
A) Flushing B) Bradycardia C) Dry mouth D) Impaired vision E) Fatigue
A patient with mononeuropathy has come to the clinic for a check-up. What comorbidity might this patient have?
A) Diabetes mellitus B) Multiple sclerosis C) Muscular dystrophy D) Myesthenia gravis
Which is not a common step in a practice-based evidence study?
a. Assemble a multidisciplinary project team b. Measure patient severity c. Obtain patient consent d. Collect data
Which clinical manifestation would alert the nurse to the possibility of metastatic disease in a client with oral cancer?
A. Thickening of the buccal mucosa B. The presence of fixed cervical lymph nodes C. Red or white patches appearing on the tongue D. The presence of a sore on the lip that fails to heal