A 43-year-old woman with a strong family history of breast cancer considers tamoxifen (Nolvadex) for cancer prevention. Which assessment finding is a possible contraindication?
a. History of deep vein thrombosis (DVT)
b. Prior hysterectomy
c. History of osteoporosis
d. Hyperlipidemia
A
The patient's age and DVT history place her at risk for thrombosis. Tamoxifen would not be in-dicated for this patient.
A prior hysterectomy is not a contraindication to tamoxifen.
Osteoporosis is not a contraindication to tamoxifen.
Hyperlipidemia is not a contraindication to tamoxifen.
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The pharmacology instructor is talking to the nursing students about potassium-sparing diuretics and how they can lead to hyperkalemia, indicated by what assessment finding?
A) Urine output of 1,500 mL/24 hours B) Blood pressure of 98/60 C) Potassium level of 5.9 mEq/L D) Calcium level of 11.4 mg/dL
A client refuses a p.o. medication and provides the nurse with a reason for refusing the medication. What should the nurse's action be?
a. Inform the client they cannot refuse a medication. b. Report it to the nurse manager. c. Administer the medication by an injectable route. d. Document the refusal and inform the prescriber.
Which of the following statements best describes how the population of the United States is changing?
a. Growth will occur because of a decrease in the death rate. b. Growth will occur because of ongoing immigration. c. Growth will occur because of an increase in the birth rate. d. Growth will occur because of lengthening of the normal life span.
The nurse is helping the client to regain the sensation of voiding by allowing the bladder to refill, which causes the bladder muscles to stretch and signal the brain
Which is the correct sequence for bladder training with closed urinary drainage? 1 . Open the clamp and allow the bladder to drain by gravity into the drainage bag. Repeat the procedure. 2 . Explain the procedure and position the client in the supine position. 3 . Record the procedure on the client's electronic medical record, including urinary output. Clamp the catheter tubing for 1 to 2 hours. 4 . Put on disposable gloves and clamp the catheter tubing for 1 to 2 hours. A) 1, 3, 2, 4 B) 2, 4, 1, 3 C) 3, 1, 4, 2 D) 4, 2, 3, 1