Author Question: A client prescribed tamoxifen (Nolvadex) for breast cancer treatment asks the nurse how the ... (Read 88 times)

mpobi80 · **on:** Jun 25, 2018

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.

Question 2

The nurse instructs a client recovering from a mastectomy on ways to prevent lymphedema. Which client statement indicates that teaching has been successful?

A) I should do the exercises on my affected arm every day.
B) I have to take no special precautions.
C) I should avoid cleansing my skin with soap.
D) Eating fresh fruits and vegetables will prevent my arm from swelling.

nguyenhoanhat · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

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.

Answer to Question 2

Answer: A
Range-of-motion exercises in the affected arm helps develop collateral drainage and prevent the development of lymphedema. The client should be instructed to protect the affected limb by not permitting blood pressure measurement and avoiding tight jewelry and clothing on the limb. There is no reason for the client to avoid cleansing the skin of the affected arm with soap. Consuming fresh fruits and vegetables will not prevent the development of lymphedema.