A 44-year-old patient with breast cancer is prescribed Tamoxifen by the surgeon. She is complaining about hot flashes. Which of the following responses by the clinician would be most appropriate?
a. "You must be having menopause."
b. "The hot flashes are a result of the antiestrogenic effects of Tamoxifen."
c. "Tamoxifen will impact your temperature regulation center."
d. "The drug destroys your ovaries."
ANS: B
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During the taking of the health history of a 78-year-old man, his wife states that he occasionally has problems with short-term memory loss and confusion: "He can't even remember how to button his shirt." When assessing his sensory system, which action by the nurse is most appropriate?
a. The nurse would not test the sensory system as part of the examination because the results would not be valid. b. The nurse would perform the tests, knowing that mental status does not affect sensory ability. c. The nurse would proceed with an explanation of each test, making certain that the wife understands. d. Before testing, the nurse would assess the patient's mental status and ability to follow directions.
When a cardiac defect causes mixing of arterial and venous blood in the right side of the heart, the nurse might expect to find:
a. Cyanosis. b. Signs of pulmonary congestion. c. Increased oxygenation of the tissues. d. Diuresis.
The client discards voided urine during a 24-hour urine collection. Which should the nurse implement?
1. Instruct the client to call for help to void any urine. 2. Consult with the laboratory for further instructions. 3. Discard all urine and begin another 24-hour collection. 4. State on the laboratory requisition that one specimen is missing.
Which of the following are areas that are generally restricted within a hospital to reduce the introduction of pathogens? Select all that apply
1. Cardiology unit 2. Radiology unit 3. Neonatal unit 4. Intensive care unit 5. Surgical suite