The nurse is providing teaching to a patient being started on ...

[formula1]

The nurse is providing teaching to a patient being started on raloxifene (Evista). The nurse includes information on the potential risk for which problems? (Select all that apply.)
 
  a. Estrogen receptorpositive breast cancer
  b. Deep vein thrombosis (DVT)
  c. Hip fractures
  d. Pulmonary embolus
  e. Cardiovascular disease

Question 2

An adult female says, I don't need contraceptives, because my cycles are as regular as clockwork. I know when I should abstain from intercourse, because I do not want to get preg-nant. Select the nurse's best response.
 
  a. You are fortunate that your cycles are so regular. Most women are unable to rely on this approach to contraception.
  b. You are still at risk for getting a sexually transmitted disease. Let's discuss con-traceptive options that will prevent disease.
  c. Many factors can change the menstrual cycle. You're fortunate to have regular cycles, but an additional method of contraception should be used to prevent pregnancy.
  d. You have described the rhythm method of contraception. Women have used that method successfully for thousands of years.

[bd5255]

Answer to Question 1

B, D
Raloxifene may increase the risk of DVT and pulmonary embolus.
Raloxifene does not increase the risk of estrogen receptorpositive breast cancer. It actually blocks the effects of estrogen in the breast tissue and thus has a protective effect.
Raloxifene does not increase the risk of hip fractures.
According to preliminary research data, raloxifene reduced the risk of cardiovascular events by 40 in women at high risk for such events.

Answer to Question 2

C
The nurse should advise the patient that she still needs additional methods of contraception to prevent pregnancy.
The cycle method is not always effective as a form of birth control.

[formula1]

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[bd5255]

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