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

Author Question: A client is starting hormonal therapy with tamoxifen (Nolvadex) to lower the risk for breast cancer. ... (Read 115 times)

nevelica

  • Hero Member
  • *****
  • Posts: 563
on: Jun 25, 2018
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
Reply #1 on: Jun 25, 2018
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
YES! Correct, THANKS for helping me on my review

Jossy

  • Member
  • Posts: 336
Reply 3 on: Yesterday
:D TYSM

« previous next »
 

Did you know?

Of the estimated 2 million heroin users in the United States, 600,000–800,000 are considered hardcore addicts. Heroin addiction is considered to be one of the hardest addictions to recover from.

Did you know?

The people with the highest levels of LDL are Mexican American males and non-Hispanic black females.

Did you know?

Though Candida and Aspergillus species are the most common fungal pathogens causing invasive fungal disease in the immunocompromised, infections due to previously uncommon hyaline and dematiaceous filamentous fungi are occurring more often today. Rare fungal infections, once accurately diagnosed, may require surgical debridement, immunotherapy, and newer antifungals used singly or in combination with older antifungals, on a case-by-case basis.

Did you know?

More than 2,500 barbiturates have been synthesized. At the height of their popularity, about 50 were marketed for human use.

Did you know?

Famous people who died from poisoning or drug overdose include, Adolf Hitler, Socrates, Juan Ponce de Leon, Marilyn Monroe, Judy Garland, and John Belushi.

Breast Palpation Methods, Concentric Circles Breast Palpation Methods, Concentric Circles
The respiratory system. (a) Sagittal section of the head and neck, revealing the organs of the upper The respiratory system. (a) Sagittal section of the head and neck, revealing the organs of the upper
Virtual reality exposure therapy Virtual reality exposure therapy
Stand in a doorway and hook your fingertips on both sides about chest level or lower. Stand in a doorway and hook your fingertips on both sides about chest level or lower.
Hormonal control over male and female reproductive hormones. Hormonal control over male and female reproductive hormones.
Higher-Level Thinking Skills Used in Massage Therapy Higher-Level Thinking Skills Used in Massage Therapy
Video: The Hypothalamus: The Body's Thermostat (Human Thermostat)

For a complete list of videos, visit our video library