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

Author Question: A patient with metastatic cancer has had several fractures secondary to bone metastases. The ... (Read 86 times)

casperchen82

  • Hero Member
  • *****
  • Posts: 540
A patient with metastatic cancer has had several fractures secondary to bone metastases. The provider orders denosumab (Xgeva). What will the nurse teach this patient?
 
  a. Denosumab may delay healing of these fractures.
  b. Denosumab should be given subcutaneously every 12 months.
  c. Denosumab will improve hypocalcemia.
  d. Unlike bisphosphonates, denosumab does not increase osteonecrosis of the jaw (ONJ).

Question 2

A postmenopausal patient is at high risk for developing osteoporosis. The patient's prescriber orders raloxifene (Evista), and the nurse provides teaching about this drug. Which statement by the patient indicates understanding of the teaching?
 
  a. I may experience breast tenderness while taking this drug.
  b. I may experience fewer hot flashes while taking this drug.
  c. I should discontinue this drug several weeks before any surgery.
  d. I should walk as much as possible during long airline flights.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

adammoses97

  • Sr. Member
  • ****
  • Posts: 337
Answer to Question 1

ANS: A
Because denosumab suppresses bone turnover, fracture healing may be delayed. Denosumab is given every 6 months. Denosumab can exacerbate hypocalcemia. Denosumab can increase the incidence of ONJ.

Answer to Question 2

ANS: D
Like estrogen, raloxifene increases the risk of deep vein thrombosis. Patients taking this drug should be cautioned to take walks on long flights or whenever they must sit for long periods. The drug does not increase breast tenderness or decrease hot flashes. There is no need to discontinue this drug before surgery.





 

Did you know?

Asthma occurs in one in 11 children and in one in 12 adults. African Americans and Latinos have a higher risk for developing asthma than other groups.

Did you know?

If all the neurons in the human body were lined up, they would stretch more than 600 miles.

Did you know?

More than one-third of adult Americans are obese. Diseases that kill the largest number of people annually, such as heart disease, cancer, diabetes, stroke, and hypertension, can be attributed to diet.

Did you know?

Children with strabismus (crossed eyes) can be treated. They are not able to outgrow this condition on their own, but with help, it can be more easily corrected at a younger age. It is important for infants to have eye examinations as early as possible in their development and then another at age 2 years.

Did you know?

Sildenafil (Viagra®) has two actions that may be of consequence in patients with heart disease. It can lower the blood pressure, and it can interact with nitrates. It should never be used in patients who are taking nitrates.

For a complete list of videos, visit our video library