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.
The general survey includes assessing every patient for signs of distress.
Breast Cancer
Bone
Patient teaching - eye assessment
An open chamber MRI may be more comfortable for the patient, but images may not be as distinct.
Various Types of Skull Fractures