A client being treated for breast cancer is prescribed tamoxifen. What should the nurse instruct the client about this medication's mechanism of action?
Standard Text: Select all that apply.
1. This medication is an antihormone.
2. This medication blocks the action of estrogen.
3. This medication replaces a hormone in the body.
4. This medication will shrink the breast tumor.
5. This medication will cause the breast cancer to become more aggressive.
Correct Answer: 1,2
Rationale 1: Tamoxifen is an antihormone because it blocks the action of estrogen in estrogen-receptor-dependent breast cancers.
Rationale 2: Tamoxifen is an antihormone because it blocks the action of estrogen in estrogen-receptor-dependent breast cancers.
Rationale 3: Tamoxifen is not a hormone replacement medication.
Rationale 4: Tamoxifen will not shrink the breast tumor.
Rationale 5: Tamoxifen will not cause the breast cancer to become more aggressive.
Global Rationale: Tamoxifen is an antihormone because it blocks the action of estrogen in estrogen-receptor-dependent breast cancers. It is not a hormone replacement medication, is not given to shrink the existing tumor, and will not cause breast cancer to become more aggressive.
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A nursing care plan of an older adult with HIV/AIDS would not include
a. The need to give care slowly and gently b. The need to use universal precautions c. The necessity of adequate hydration and nutrition d. That HIV/AIDS is a chronic disease
The clinic nurse is caring for a patient whose grandmother and sister have both had breast cancer. She requested a screening test to determine her risk of developing breast cancer and it has come back positive
The patient asks you what she can do to help prevent breast cancer from occurring. What would be your best response? A) "Research has shown that eating a healthy diet can provide all the protection you need against breast cancer." B) "Research has shown that taking the drug tamoxifen can reduce your chance of breast cancer." C) "Research has shown that exercising at least 30 minutes every day can reduce your chance of breast cancer." D) "Research has shown that there is little you can do to reduce your risk of breast cancer if you have a genetic predisposition."
Which interventions should the nurse include in the home care instructions for the parents of a child who has a cast applied to the left forearm? Select all that apply
a. Keep small toys away from the cast. b. Use a padded ruler to scratch the skin under the cast if it itches. c. Daily assess the cast for unusual odors. d. Elevate the extremity on pillows for the first 24 to 48 hours. e. Numbness and tingling in the extremity is expected.
The nurse assesses the client's abdomen. Rank the techniques beginning with the first technique the nurse uses to assess the client's abdomen
1. Palpation 2. Inspection 3. Percussion 4. Auscultation