A patient is to receive hormone therapy as adjunct treatment for advanced breast cancer. The nurse should anticipate that the primary care provider will choose which oral medication for this patient?
1. trastuzumab (Herceptin)
2. bevacizumab (Avastin)
3. goserelin (Zoladex)
4. fulvestrant (Faslodex)
Correct Answer: 2
Bevacizumab (Avastin) is an oral drug that targets the HER2 protein. Trastuzumab (Herceptin) is an IV immunotherapy drug that stops the growth of breast tumors. The gonadotropin-releasing hormone agonist (GnRH-a) goserelin (Zoladex) is used to treat endometrial cancer. Fulvestrant (Faslodex) eliminates estrogen receptors and is given by injection once a month.
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When a community health nurse applies the principle of targeting all who might benefit from her or his practice, which of the following would the nurse include?
A) Ensuring that people live in conditions conducive to health B) Promoting a higher level of wellness and preventing health problems C) Examining policies to judge whether they are acceptable and meet clients' needs D) Ensuring that the community is using its limited resources to achieve the greatest health
The nurse is caring for a victim of rape. Which interventions should the nurse include in the client's plan of care? Select all that apply
A) Notifying an attorney for the client B) Supporting the victim during the examination C) Identifying the individual who committed the rape D) Treating acute injuries E) Providing referrals for follow-up care
Control over the dynamic biological process of puberty is primarily the responsibility of the:
a. adrenal glands. b. anterior pituitary. c. hypothalamus. d. gonads.
The nurse practitioner is discussing lifestyle changes with a patient diagnosed with gastroesophageal reflux. What are the nonpharmacological management interventions that should be included?
A. Weight reduction and rest 30 minutes after each meal in the supine position B. Elevation of head of the bed 4-6 inches on blocks and weight reduction C. Encouraged to wear restrictive clothing to add support for diaphragmatic breathing D. Using oral mints to relieve gastric distress