Author Question: The nurse is discussing the use of tamoxifen with a client who has a family history of breast ... (Read 60 times)

Alygatorr01285 · **on:** Jul 23, 2018

The nurse is discussing the use of tamoxifen with a client who has a family history of breast cancer. The nurse states that a unique approved use for tamoxifen is:

1. treatment for advanced lung cancer.
2. for prophylaxis of breast cancer.
3. treatment for estrogen receptornegative cancers.
4. for the cure of advanced breast cancer.

Question 2

The nurse is teaching a client about anthracyclines. Which medications will the nurse include in the teaching session?

Standard Text: Select all that apply.
1. Doxorubicin
2. Daunorubicin
3. Epirubicin
4. Bleomycin
5. Dactinomycin

cloud · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2
Rationale 1: It is not approved for lung cancer treatment.
Rationale 2: It is approved for prophylaxis of breast cancer, for high-risk clients who are at risk of developing the disease.
Rationale 3: It is only useful in estrogen receptorpositive cancers; it has no effect on ERnegative breast cancers.
Rationale 4: It is only used for palliative care in advanced breast cancers.
Global Rationale: It is approved for prophylaxis of breast cancer, for high-risk clients who are at risk of developing the disease. It is not approved for lung cancer treatment and is used palliatively in advanced breast cancers. It is only useful in estrogen receptor positive cancers.

Answer to Question 2

Correct Answer: 1,2,3
Rationale 1: The anthracyclines include doxorubicin.
Rationale 2: The anthracyclines include daunorubicin.
Rationale 3: The anthracyclines include epirubicin.
Rationale 4: The anthracyclines do not include bleomycin.
Rationale 5: The anthracyclines do not include dactinomycin.
Global Rationale: Doxorubicin, daunorubicin, and epirubicin are anthracylines. Bleomycin and dactinomycin nonanthracyclines.