This topic contains a solution. Click here to go to the answer

Author Question: A patient with metastatic cancer has had several fractures secondary to bone metastases. The ... (Read 45 times)

casperchen82

  • Hero Member
  • *****
  • Posts: 540
A patient with metastatic cancer has had several fractures secondary to bone metastases. The provider orders denosumab (Xgeva). What will the nurse teach this patient?
 
  a. Denosumab may delay healing of these fractures.
  b. Denosumab should be given subcutaneously every 12 months.
  c. Denosumab will improve hypocalcemia.
  d. Unlike bisphosphonates, denosumab does not increase osteonecrosis of the jaw (ONJ).

Question 2

A postmenopausal patient is at high risk for developing osteoporosis. The patient's prescriber orders raloxifene (Evista), and the nurse provides teaching about this drug. Which statement by the patient indicates understanding of the teaching?
 
  a. I may experience breast tenderness while taking this drug.
  b. I may experience fewer hot flashes while taking this drug.
  c. I should discontinue this drug several weeks before any surgery.
  d. I should walk as much as possible during long airline flights.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

adammoses97

  • Sr. Member
  • ****
  • Posts: 337
Answer to Question 1

ANS: A
Because denosumab suppresses bone turnover, fracture healing may be delayed. Denosumab is given every 6 months. Denosumab can exacerbate hypocalcemia. Denosumab can increase the incidence of ONJ.

Answer to Question 2

ANS: D
Like estrogen, raloxifene increases the risk of deep vein thrombosis. Patients taking this drug should be cautioned to take walks on long flights or whenever they must sit for long periods. The drug does not increase breast tenderness or decrease hot flashes. There is no need to discontinue this drug before surgery.





 

Did you know?

The first war in which wide-scale use of anesthetics occurred was the Civil War, and 80% of all wounds were in the extremities.

Did you know?

Atropine, along with scopolamine and hyoscyamine, is found in the Datura stramonium plant, which gives hallucinogenic effects and is also known as locoweed.

Did you know?

Warfarin was developed as a consequence of the study of a strange bleeding disorder that suddenly occurred in cattle on the northern prairies of the United States in the early 1900s.

Did you know?

Giardia is one of the most common intestinal parasites worldwide, and infects up to 20% of the world population, mostly in poorer countries with inadequate sanitation. Infections are most common in children, though chronic Giardia is more common in adults.

Did you know?

Bacteria have flourished on the earth for over three billion years. They were the first life forms on the planet.

For a complete list of videos, visit our video library