A client had pharmacogenetic testing (PGx) two years ago, but the prescriber has ordered another test prior to starting the client on tamoxifen. How should the nurse explain the need for this second test?
1. "Your first test was not normal."
2. "The testing you had last time must have been inconclusive."
3. "Your last test was not specific for tamoxifen."
4. "Your last test shows you have wild-type genes."
3
Rationale 1: The word "normal" does not accurately describe these test results.
Rationale 2: There is no indication that the testing was inconclusive.
Rationale 3: Different types of PGx testing are done. Not all report results are useful for specific drugs.
Rationale 4: Wild-type genes are those that have not been altered, but this statement sounds as if they are a variant. The nurse should explain the term.
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The patient in her first trimester of pregnancy is experiencing nausea. To promote self-care, the nurse should help the pregnant patient understand that the nausea might be relieved by:
1. Eating spicy foods. 2. Not eating until two hours after rising. 3. Eating small, frequent meals. 4. Avoiding carbonated beverages.
A patient's plan of care includes the goal of increasing mobility this shift. As the patient is ambulating to the bathroom at the beginning of the shift, the patient suffers a fall. Which initial action will the nurse take next to revise the plan of care?
a. Consult physical therapy. b. Establish a new plan of care. c. Set new priorities for the patient. d. Assess the patient.
The normal respiratory rate is determined by age.
Answer the following statement true (T) or false (F)
A male patient who was recently diagnosed with hypertension reports not taking the prescribed antihypertensive medication because of how it made him feel. What should the nurse respond to this patient?
A. "Many male patients experience side effects of this drug, which include altered libido and impotence. This is common. Tell me how you felt when you took the drug." B. "You shouldn't stop taking the drug without first talking to the doctor!" C. "I'm going to give you some information about this medication for you to take home and read. At your next visit, I'll have the doctor talk to you about it." D. Write a note in the patient's record but say nothing to the patient.