The client who has just been diagnosed with breast cancer asks why her treatment plan does not include the new drug, Herceptin, that she has read about. What is the nurse's best re-sponse?
A. "Your immune system is too weak to tolerate Herceptin."
B. "This drug is experimental and too dangerous for you to take before trying other therapies."
C. "Your breast cancer does not have the protein that this drug works on, so you would not benefit from this therapy."
D. "You are young and can better tolerate the standard therapies for breast cancer that have been proven effective but have strong side effects."
C
Herceptin is an antibody directed against a specific protein that some breast cancers make. When Herceptin binds to this protein, cancer cell growth is inhibited and the cell dies. Only about 5% of all breast cancers have the protein that Herceptin binds. If the cancer does not overexpress that protein, Herceptin will not have any therapeutic effect.
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The nurse finds a patient with Ménière's disease crying and saying, "I don't understand why this is happening to me." Which of these outcomes is most appropriate for the nurse to recommend for the patient's plan of care?
a. Maintain fluid volume. b. Prevent injury. c. Prevent ear infection. d. Decrease anxiety.
The implementation team is discussing the test environment. What should be kept in mind when planning this environment?
A) The findings of the system test always indicate how well the system will perform in the live environment. B) The test environment is not exactly the same as the live environment because the live environment is much larger and more complex. C) The test environment is unnecessary with the progress made in technology. D) The test environment is done for training purposes.
A patient is prescribed to take insulin glargine once per day and regular insulin four times per day. The first dose of regular insulin occurs at the same time of the day as the insulin Glargine dose
Which technique do you use to administer these two drugs? a. Drawing up and injecting the insulin glargine first, then drawing up and injecting the dose of regular insulin. b. Drawing up and injecting the insulin glargine first, waiting 1 hour, then drawing up and injecting the dose of regular insulin. c. First drawing up the dose of regular insulin, then drawing up the dose of insulin glargine in the same syringe, followed by injecting the two insulins together. d. First drawing up the dose of insulin glargine, then drawing up the dose of regular insulin in the same syringe, followed by injecting the two insulins together.
Which assessment finding indicates that a patient's heart failure (HF) is worsening?
1. An increase in O2 saturation to greater than 90% 2. A decrease in heart rate to 66 bpm 3. The onset of atrial fibrillation 4. Louder S1 and S2 heart sounds