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)
Correct Answer: 4
Rationale 1: Anastrozole (Arimidex) is incorrect because anastrozole (Arimidex) is given for advanced breast cancer.
Rationale 2: Medroxyprogesterone (Provera) is incorrect because medroxyprogesterone (Provera) is given for uterine and renal cancer.
Rationale 3: Goserelin (Zoladex) is incorrect because 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 incorrect because anastrozole (Arimidex) is given for advanced breast cancer. Medroxyprogesterone (Provera) is incorrect because medroxyprogesterone (Provera) is given for uterine and renal cancer. Goserelin (Zoladex) is incorrect because goserelin (Zoladex) is used for prostate and breast cancer.
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