A 50-year-old woman who is postmenopausal is taking an aromatase inhibitor as part of a breast cancer treatment regimen. She calls her primary care NP to report that she has had hot flashes and increased vaginal discharge but no bleeding
The NP should: a. schedule her for a gynecologic examination.
b. recommend that she use a barrier method of contraception.
c. tell her to stop taking the medication and call her oncologist.
d. reassure her that these are normal side effects of the medication.
A
Any abnormal vaginal discharge should be reported immediately and should be evaluated with a gynecologic examination to rule out carcinoma. She is not showing signs of ovulation, so contraception is not necessary. She should not stop taking the medication unless the gynecologic examination is positive. These are common side effects but are not always normal.
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The incidence of diabetes mellitus differs among different ethnic groups. Among Native Americans, it is
a. 1 in 10 b. 1 in 20 c. 1 in 50 d. 1 in 5
The outcomes concept that emphasizes the multidisciplinary process of providing health care is known as outcomes:
a. maintenance. b. management. c. measurement. d. monitoring.
The insulin that has a slower onset but longer duration is _______ insulin
Fill in the blank(s) with correct word
Children are taught the values of their culture through observation and feedback, relative to their own behavior. In teaching a class on cultural competence, the nurse should be aware that which factor(s) may be culturally determined?
(Select all that apply.) a. Degree of competition b. Racial variation c. Determination of status d. Social roles e. Geographic boundaries