A client with osteoporosis is prescribed a selective estrogen receptor modifier (SERM) as treatment. The nurse would identify which drug as belonging to this class?
A) Alendronate (Fosamax)
B) Calcium gluconate
C) Tamoxifen (Nolvadex)
D) Raloxifene (Evista)
D
Feedback:
An example of a selective estrogen receptor modifier (SERM) is raloxifene (Evista). Alendronate is a biphosphonate; calcium gluconate is an oral calcium preparation; tamoxifen is an antiestrogen agent.
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Which of these statements about the application of moist heat is TRUE?
a. It is the preferred treatment for open wounds. b. It provides more immediate relief from pain or spasm than dry heat. c. It increases overall body temperature. d. It is effective only when adequate vasculature is present.
A type I diabetic patient comes to the clinic for a follow-up appointment. The patient is taking NPH insulin, 30 units every day. A nurse notes that the patient is also taking metoprolol (Lopressor)
What education should the nurse provide to the patient? a. "You need to increase your insulin to allow for the agonist effects of metoprolol." b. "Metoprolol may potentiate the effects of the insulin, so the dose should be reduced." c. "Metoprolol has no effects on diabetes mellitus or on your insulin requirements." d. "Metoprolol may mask signs of hypoglycemia so you need to monitor your blood glucose closely."
The treatment of brain tumors in children consists of which therapies (Select all that apply)?
a. Surgery b. Bone marrow transplantation c. Chemotherapy d. Stem cell transplantation e. Radiation f. Myelography
A patient comes to an outpatient clinic because of premenstrual syndrome (PMS) symptoms. What advice from the nurse may help her reduce her symptoms?
a. "There is no treatment for PMS other than rest and fluids." b. "Ask the physician about a mild antianxiety agent." c. "Avoidance of alcohol and caffeine may help reduce your discomfort." d. "Avoid strenuous exercise for several days before and after your period."