The nurse is discussing the use of tamoxifen with a client who has a family history of breast cancer. The nurse states that a unique approved use for tamoxifen is:
1. treatment for advanced lung cancer.
2. for prophylaxis of breast cancer.
3. treatment for estrogen receptor–negative cancers.
4. for the cure of advanced breast cancer.
Correct Answer: 2
Rationale 1: It is not approved for lung cancer treatment.
Rationale 2: It is approved for prophylaxis of breast cancer, for high-risk clients who are at risk of developing the disease.
Rationale 3: It is only useful in estrogen receptor–positive cancers; it has no effect on ER–negative breast cancers.
Rationale 4: It is only used for palliative care in advanced breast cancers.
Global Rationale: It is approved for prophylaxis of breast cancer, for high-risk clients who are at risk of developing the disease. It is not approved for lung cancer treatment and is used palliatively in advanced breast cancers. It is only useful in estrogen receptor positive cancers.
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The mother of a 2-year-old child becomes very anxious when the child has a temper tantrum in the medical office. The appropriate nursing response to the mother would be to say:
1. "What do you usually do or say during a temper tantrum?" 2. "Let's ignore this behavior. It will stop sooner." 3. "Pick up and cuddle your child now, please." 4. "This is definitely a temper tantrum. I know exactly what you are feeling right now."
A patient who has HIV infection will begin treatment with efavirenz. The nurse expects this agent to be given in the combination product Atripla in order to
a. avoid development of psychiatric comorbidities. b. prevent dizziness, sedation, and nightmares. c. reduce viral resistance. d. prevent severe rash and hepatotoxicity.
The belief that people born into a particular cultural group are inferior in one or more ways is known as:
1. Prejudice 2. Cultural imposition 3. Racism 4. Stereotyping
A nurse working a rape telephone hotline should focus communication to:
a. arrange long-term patient counseling. b. provide callers with a sympathetic listener. c. explain immediate steps that a victim of rape should take. d. obtain information to relay to the local police.