Author Question: The nurse is teaching a 50-year-old male patient who is taking estrogens as treatment of prostate ... (Read 108 times)

sheilaspns · **on:** Jun 25, 2018

The nurse is teaching a 50-year-old male patient who is taking estrogens as treatment of prostate cancer. The nurse should educate the patient about which expected side effect?

a. Blurred vision
b. Gynecomastia
c. Enlarged gonads
d. Acne

Question 2

The nurse is caring for a patient with cancer who is receiving vincristine. Which precaution is most important for the nurse to take?

a. Prevent the patient from getting chilled.
b. Administer a stool softener as ordered.
c. Offer the patient a soft toothbrush.
d. Feed the patient a snack during the infusion.

ju · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

B
Men taking estrogen experience a redistribution of fat and develop enlarged breasts (gynecomastia). Estrogen should not result in blurred vision, enlarged gonads, or acne.

Answer to Question 2

B
Certain antineoplastic drugs, such as vincristine, vinblastine, and paclitaxel, cause constipation. Increasing fluids (as allowed), adding fiber to the diet, administering stool softeners and fiber laxatives, exercise, and monitoring vigilantly for the beginning signs of constipation are the usual measures taken. Suppositories or enemas may be necessary. Preventing chills does provide comfort but does not work to actively prevent constipation. Offering a soft tooth brush is an appropriate intervention for mediations that increase bleeding risk. Feeding the patient a snack during the infusion may exacerbate constipation.