A client is starting hormonal therapy with tamoxifen (Nolvadex) to lower the risk for breast cancer. What information needs to be explained by the nurse regarding the action of this drug?
a. It blocks the release of luteinizing hormone.
b. It interferes with cancer cell division.
c. It selectively blocks estrogen in the breast.
d. It inhibits DNA synthesis in rapidly dividing cells.
ANS: C
Tamoxifen (Nolvadex) reduces the estrogen available to breast tumors to stop or prevent growth. This drug does not block the release of luteinizing hormone to prevent the ovaries from producing estrogen; leuprolide (Lupron) does this. Chemotherapy agents such as ixabepilone (Ixempra) interfere with cancer cell division, and doxorubicin (Adriamycin) inhibits DNA synthesis in susceptible cells.
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When assessing the laboratory values of a child with nephrosis, the nurse anticipates which result(s)? (Select all that apply.)
a. High levels of protein in the urine b. High serum lipid levels c. Low serum protein levels d. Low hemoglobin e. High white blood cell count
Which of the following is an example of an ordinal measurement?
A) Gender (male or female) B) Milligrams of a medication dosage C) Levels of education (associate's degree, bachelor's degree, master's degree) D) Score on the HESI preadmission or first year examination for nursing
The nursing student is preparing to provide client care during a clinical experience. Which of the following is a responsibility of the student?
a. Find a current staff nurse to be a mentor b. Observe the nursing staff provide care c. Participate only in those skills that one has been identified as being competent to perform d. Avoid asking the clinical instructor too many questions
Virtual Learning Environments (VLEs) are used more in the classroom as a learning tool for student nurses. Which should the instructor keep in mind when preparing to use the VLE with a new group of students?
A) Allowing learners to practice new skills without fear of harm to themselves or others B) Difficulty navigating in a classroom setting C) Difficulty creating measurable objectives for its use D) Intimidating to contemporary student nurses