A patient has been prescribed adjuvant tamoxifen therapy. What ...

[storky111]

A patient has been prescribed adjuvant tamoxifen therapy. What common side effect might she experience?
 
  a. Nausea, hot flashes, and vaginal bleeding
  b. Vomiting, weight loss, and hair loss
  c. Nausea, vomiting, and diarrhea
  d. Hot flashes, weight gain, and headaches

Question 2

A 25-year-old single woman comes to the gynecologist's office for a follow-up visit related to her abnormal Papanicolaou (Pap) smear. The test revealed that the patient has human papillomavirus (HPV).
 
  The client asks, What is that? Can you get rid of it? Your best response is:
  a. It's just a little lump on your cervix. We can freeze it off.
  b. HPV stands for human papillomavirus.' It is a sexually transmitted infection (STI) that may lead to cervical cancer.
  c. HPV is a type of early human immunodeficiency virus (HIV). You will die from this.
  d. You probably caught this from your current boyfriend. He should get tested for this.

[shaquita]

Answer to Question 1

ANS: A
Common side effects of tamoxifen therapy include hot flashes, nausea, vomiting, vaginal bleeding, menstrual irregularities, and rash. Weight loss, hair loss, diarrhea, weight gain, and headaches are not common side effects of tamoxifen.

Answer to Question 2

ANS: B
It is important to inform the patient about STIs and the risks involved with HPV. The health care team has a duty to provide proper information to the patient, including information related to STIs. HPV and HIV are both viruses that can be transmitted sexually, but they are not the same virus. The onset of HPV can be insidious. Often STIs go unnoticed. Abnormal bleeding frequently is the initial symptom. The client may have had HPV before her current boyfriend. You cannot make any deductions from this limited information.