A woman diagnosed with breast cancer is to receive trastuzumab. Which of the following would the nurse incorporate into the explanation about how this drug works?
A) It blocks the effect of the HER-2/neu protein inhibiting the growth of cancer cells.
B) The drug blocks the conversion of androgens to estrogens
C) It interferes with hormone receptors that allow estrogen to enter a cell
D) The drug ultimately attacks areas where micrometastasis has occurred.
A
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While caring for a patient who is complaining of abdominal pain, the nurse determines that the top priority is to manage the patient's pain with medication. This step in the nursing process is called
1. Planning. 2. Diagnosis. 3. Assessment. 4. Implementation.
The client who is recovering from hepatitis A infection asks the nurse whether he should take the hepatitis A vaccine to avoid contracting this disease again. What is the nurse's best re-sponse?
A. "Yes, because now you are more susceptible to this infection." B. "Yes, because hepatitis A is widespread and considered to be a sexual transmitted disease." C. "No, your liver and immune system are too impaired at this time to respond ap-propriately to a vaccination for hepatitis." D. "No, this infection has done the same thing a vaccination would and your immune system now makes antibodies against hepatitis A."
Which of the following statements by a client indicates the client is at risk for undernutrition? (Select all that apply.)
1. "I have been so sad and lonely since my wife died.". 2. "I've been taking chemotherapy for lung cancer.". 3. "Each day, I take two doses of multivitamins instead of one.". 4. "My dentures don't fit well anymore.". 5. "I feel like there are sometimes I cannot stop eating.".
The parents of a newborn have just been told their infant has tetralogy of Fallot. The parents do not seem to understand the explanation given by the physician. What statement by the nurse is best?
1. "With this defect, not enough of the blood circulates through the lungs, leading to a lack of oxygen in the baby's body." 2. "The baby's aorta has a narrowing in a section near the heart that makes the left side of the heart work harder." 3. "The blood vessels that attach to the ventricles of the heart are positioned on the wrong sides of the heart." 4. "Your baby's heart doesn't circulate blood well because the left ventricle is smaller and thinner than normal."