The nurse is caring for a patient following a modified radical mastectomy for breast tumor that has been determined to be ER+ and has been placed on a protocol of tamoxifen
The patient then asks the nurse, "Do you think I should take this medication?" Which of the fol-lowing statements is the most appropriate? 1. "Tamoxifen will probably not be effective because your tumor was ER+."
2. "If I were you, I would do what the physician recommends."
3. "I think that you should take tamoxifen, because the tumor was ER+."
4. "Tamoxifen is an option to consider, because your tumor was ER+."
4
For tumors that are ER+, the drug tamoxifen citrate may be prescribed, because such drugs interfere with estrogen production. ER+ tumors need estrogen to grow.
PTS: 1 DIF: Cognitive Level: Synthesis
REF: 1042, Drug Therapy table OBJ: 4
TOP: Drugs Used in Treatment for Breast Cancer
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
You might also like to view...
A perinatal nurse receives reports from the nurse aide on four patients who all gave birth within the last 4 hours. Which patient should the nurse assess first?
A. Blood loss of 850 mL during cesarean birth B. Exhausted mother wanting only to rest after childbirth C. Pulse consistently ranges from 82 to 90 beats/minute D. Systolic blood pressure change from 132 to 110 mm Hg
Which of the following best explains the action of the lactational amenorrhea method (LAM) of fertility control?
A) LAM causes suppression of the ovulation process. B) LAM prevents introduction of sperm into vagina. C) LAM prevents fertilization between the egg and sperm. D) LAM thickens the cervical mucus and blocks sperm.
A couple with three children are having difficulty with their oldest son. The son is having trouble at school, including absenteeism. The mother states that her oldest son often stays home to help her because she is often ill
The father works long hours and is frequently not home until very late at night. Which triangle is the focus of the nurse-therapist's concern at this time? a. mother, father, and oldest son b. father, mother, and her illness c. mother, son, and the school d. mother, father, and the school
How should the nurse interpret a pregnant client's lecithin/sphingomyelin (L/S) ratio finding of 2:1 on amniotic fluid?
1. Fetal lungs are mature. 2. Fetal lungs are still immature. 3. The fetus has a congenital anomaly. 4. The fetus is small for gestational age.