A client prescribed tamoxifen (Nolvadex) for breast cancer treatment asks the nurse how the medication works. What is the best response by the nurse?

A) "Tamoxifen works by inhibiting the cellular mitosis of breast cancer."
B) "Tamoxifen works by blocking estrogen receptors on breast tissue."
C) "Tamoxifen works by binding to the DNA of breast cancer cells."
D) "Tamoxifen works by inhibiting the metabolism of breast cancer cells."


Answer: B

Breast cancer is dependent on estrogen for growth. Tamoxifen (Nolvadex) acts by blocking estrogen receptors; the tumor is deprived of estrogen. Tamoxifen does not inhibit the metabolism of breast cancer cells. Tamoxifen does not inhibit the cellular mitosis of breast cancer. Tamoxifen does not bind to the DNA of breast cancer cells.

Nursing

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A patient who takes aspirin for rheumatoid arthritis is admitted to the hospital complaining of headache and ringing in the ears. The plasma salicylate level is 300 mcg/mL, and the urine pH is 6.0 . What will the nurse do?

a. Increase the aspirin dose to treat the pa-tient's headache. b. Notify the provider of possible renal tox-icity. c. Prepare to provide respiratory support, because the patient shows signs of over-dose. d. Withhold the aspirin until the patient's symptoms have subsided.

Nursing

Hospital policy states that a registered nurse must cosign all charts that licensed practical nurses complete. What is the effect of this policy on the registered nurse?

1. It places the RN in the position of endorsing and authenticating the entries made in the charts cosigned. 2. It gives legal proof that the RN was in the hospital. 3. It makes the RN personally liable for any subsequent harm that befalls the patient. 4. It has no legal effect on the RN.

Nursing

The nurse knows that when clients become severely mentally ill, they have trouble coping and keeping up with family roles and responsibilities

When family members assume these roles for the client, this is considered Stage 3 of family recovery and consists of: A) Acceptance and coping. B) Recognition and acceptance. C) Personal and political advocacy. D) Coping and competence.

Nursing

The nurse is caring for a client diagnosed with borderline personality disorder. The nurse has instructed the client about using the communication triad

The nurse determines that the client has understood this technique when he states which of the following? A) "I should start by stating my feelings as an 'I' statement." B) "Maybe I should start by describing the situation that has me upset." C) "I should first tell the other person what I'd like to be different about the situation." D) "I should begin by telling the other person what has triggered my emotion."

Nursing