The nurse is caring for a patient on an oncology unit who has been receiving androgen therapy for palliation for breast cancer. Which co-morbid condition in this patient would most concern the nurse?
a. Diabetes
b. Heart failure (HF)
c. Osteoporosis
d. Anemia
B
Heart failure would most concern the nurse, because edema can result from androgen-induced retention of salt and water. This complication is a concern for patients with HF and others at risk for water retention.
Androgen therapy is not contraindicated with either diabetes or osteoporosis.
Androgen therapy actually may be used to treat anemia.
You might also like to view...
What is the master gland of the endocrine system?
a. Thyroid b. Parathyroid c. Pancreas d. Pituitary
Which intervention promotes a more normal V/Q match for a client receiving mechanical ventilation?
A. Administering the prescribed muscle-paralyzing agents B. Positioning the client so that the healthier lung is dependent to the more diseased lung C. Ensuring that the pilot balloon on the endotracheal tube cuff is inflated to its maximal pressure D. Auscultating the lungs bilaterally every 4 hours for the presence of crackles, wheezes, and other abnormal breath sounds
The client is receiving intra-articular injections of a corticosteroid. The client tells the nurse she feels so much better that she is now able to resume usual gardening activities. The best response by the nurse is:
a. "That's great, corticosteroid injections usually do not work that well." b. "Corticosteroid injections reduce inflammation but do not cure; therefore, you must be careful not to put too much stress on the joints and cause further damage." c. "Corticosteroid injections heal the affected joints; that's why you are pain-free." d. "Corticosteroid injections prevent further injury to the joints."
Patients treated with peritoneal dialysis have lower energy needs than those treated with hemodialysis because
a. hemodialysis increases metabolic rate. b. peritoneal dialysis suppresses metabolic rate. c. dextrose is absorbed from the peritoneal dialysate. d. patients treated with peritoneal dialysis are less active.