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

Author Question: A client is starting hormonal therapy with tamoxifen (Nolvadex) to lower the risk for breast cancer. ... (Read 98 times)

nevelica

  • Hero Member
  • *****
  • Posts: 563
A client is starting hormonal therapy with tamoxifen (Nolvadex) to lower the risk for breast cancer. What information needs to be explained by the nurse regarding the action of this drug?
 
  a. It blocks the release of luteinizing hormone.
  b. It interferes with cancer cell division.
  c. It selectively blocks estrogen in the breast.
  d. It inhibits DNA synthesis in rapidly dividing cells.

Question 2

During dressing changes, the nurse assesses a client who has had breast reconstruction. Which finding would cause the nurse to take immediate action?
 
  a. Slightly reddened incisional area
  b. Blood pressure of 128/75 mm Hg
  c. Temperature of 99  F (37.2  C)
  d. Dusky color of the flap



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

amit

  • Sr. Member
  • ****
  • Posts: 364
Answer to Question 1

ANS: C
Tamoxifen (Nolvadex) reduces the estrogen available to breast tumors to stop or prevent growth. This drug does not block the release of luteinizing hormone to prevent the ovaries from producing estrogen; leuprolide (Lupron) does this. Chemotherapy agents such as ixabepilone (Ixempra) interfere with cancer cell division, and doxorubicin (Adriamycin) inhibits DNA synthesis in susceptible cells.

Answer to Question 2

ANS: D
A dusky color of the breast flap could indicate poor tissue perfusion and a decreased capillary refill. The nurse should notify the surgeon to preserve the tissue. It is normal to have a slightly reddened incision as the skin heals. The blood pressure is within normal limits and the temperature is slightly elevated but should be monitored.




nevelica

  • Member
  • Posts: 563
Reply 2 on: Jun 25, 2018
Wow, this really help


kjohnson

  • Member
  • Posts: 330
Reply 3 on: Yesterday
Excellent

 

Did you know?

If you use artificial sweeteners, such as cyclamates, your eyes may be more sensitive to light. Other factors that will make your eyes more sensitive to light include use of antibiotics, oral contraceptives, hypertension medications, diuretics, and antidiabetic medications.

Did you know?

The human body produces and destroys 15 million blood cells every second.

Did you know?

Automated pill dispensing systems have alarms to alert patients when the correct dosing time has arrived. Most systems work with many varieties of medications, so patients who are taking a variety of drugs can still be in control of their dose regimen.

Did you know?

Parkinson's disease is both chronic and progressive. This means that it persists over a long period of time and that its symptoms grow worse over time.

Did you know?

The B-complex vitamins and vitamin C are not stored in the body and must be replaced each day.

For a complete list of videos, visit our video library