This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient with metastatic cancer has had several fractures secondary to bone metastases. The ... (Read 88 times)

casperchen82

  • Hero Member
  • *****
  • Posts: 540
on: Jul 23, 2018
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
Reply #1 on: Jul 23, 2018
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.


casperchen82

  • Hero Member
  • *****
  • Posts: 540
Reply #2 on: Jul 23, 2018
TY


adammoses97

  • Sr. Member
  • ****
  • Posts: 337
Reply #3 on: Jul 23, 2018
You're welcome


« previous next »
 

Did you know?

Only one in 10 cancer deaths is caused by the primary tumor. The vast majority of cancer mortality is caused by cells breaking away from the main tumor and metastasizing to other parts of the body, such as the brain, bones, or liver.

Did you know?

Coca-Cola originally used coca leaves and caffeine from the African kola nut. It was advertised as a therapeutic agent and "pickerupper." Eventually, its formulation was changed, and the coca leaves were removed because of the effects of regulation on cocaine-related products.

Did you know?

In 2010, opiate painkllers, such as morphine, OxyContin®, and Vicodin®, were tied to almost 60% of drug overdose deaths.

Did you know?

Multiple sclerosis is a condition wherein the body's nervous system is weakened by an autoimmune reaction that attacks the myelin sheaths of neurons.

Did you know?

The average older adult in the United States takes five prescription drugs per day. Half of these drugs contain a sedative. Alcohol should therefore be avoided by most senior citizens because of the dangerous interactions between alcohol and sedatives.

Building competency in patient centered care Building competency in patient centered care
Although males tend to be larger than females, the two overlap significantly in size. The size of a Although males tend to be larger than females, the two overlap significantly in size. The size of a
Medical assistant interviewing a patient. Medical assistant interviewing a patient.
A therapist assisting an amputee patient to regain mobility and strength after amputation. A therapist assisting an amputee patient to regain mobility and strength after amputation.
Secondary response begins more rapidly after exposure to antigen, produces more antibodies, and ... Secondary response begins more rapidly after exposure to antigen, produces more antibodies, and ...
Video: Introduction to Eating Disorders

For a complete list of videos, visit our video library