A patient with metastatic cancer has had several fractures secondary to bone metastases. The provider orders denosumab [Xgeva]. What will the nurse teach this patient?
a. Denosumab may delay healing of these fractures.
b. Denosumab should be given subcuta-neously every 12 months.
c. Denosumab will improve hypocalcemia.
d. Unlike bisphosphonates, denosumab does not increase osteonecrosis of the jaw (ONJ).
A
Because denosumab suppresses bone turnover, fracture healing may be delayed. Denosumab is given every 6 months. Denosumab can exacerbate hypocalcemia. Denosumab can increase the incidence of ONJ.
You might also like to view...
A patient tells the nurse, "I am an atheist. I do not believe in God." What would be an appropriate response by the nurse?
A) "Well, I believe in God and you should too." B) "I respect what you choose to believe in." C) "How can you deny the existence of God?" D) "What makes you think you are an atheist?"
The nurse is caring for a patient with heart failure. What should the nurse expect when assessing this patient?
A. S2 heard the loudest and followed by S1 B. S1, S2, and flat neck veins C. S3 and distended neck veins D. S4 and flat neck veins
The polycythemia present in infants and children can best be explained as the body's response to:
1. Infection. 2. Oxygen need. 3. Bleeding. 4. Hypoglycemia.
When admitting a patient who has just arrived on the unit with a severe headache, what should the nurse do first?
a. Complete only basic demographic data before addressing the patient's pain. b. Medicate the patient for the headache before doing the health history and examination. c. Take the initial vital signs and then address the headache before completing the health history. d. Inform the patient that the headache will be treated as soon as the health history is completed.