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

Author Question: A patient with metastatic cancer has had several fractures secondary to bone metastases. The ... (Read 87 times)

casperchen82

  • Hero Member
  • *****
  • Posts: 540
on: Jul 23, 2018
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
Reply #1 on: Jul 23, 2018
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.


casperchen82

  • Hero Member
  • *****
  • Posts: 540
Reply #2 on: Jul 23, 2018
TY


adammoses97

  • Sr. Member
  • ****
  • Posts: 337
Reply #3 on: Jul 23, 2018
You're welcome


« previous next »
 

Did you know?

Giardia is one of the most common intestinal parasites worldwide, and infects up to 20% of the world population, mostly in poorer countries with inadequate sanitation. Infections are most common in children, though chronic Giardia is more common in adults.

Did you know?

A good example of polar molecules can be understood when trying to make a cake. If water and oil are required, they will not mix together. If you put them into a measuring cup, the oil will rise to the top while the water remains on the bottom.

Did you know?

Asthma cases in Americans are about 75% higher today than they were in 1980.

Did you know?

Pink eye is a term that refers to conjunctivitis, which is inflammation of the thin, clear membrane (conjunctiva) over the white part of the eye (sclera). It may be triggered by a virus, bacteria, or foreign body in the eye. Antibiotic eye drops alleviate bacterial conjunctivitis, and antihistamine allergy pills or eye drops help control allergic conjunctivitis symptoms.

Did you know?

There can actually be a 25-hour time difference between certain locations in the world. The International Date Line passes between the islands of Samoa and American Samoa. It is not a straight line, but "zig-zags" around various island chains. Therefore, Samoa and nearby islands have one date, while American Samoa and nearby islands are one day behind. Daylight saving time is used in some islands, but not in others—further shifting the hours out of sync with natural time.

The nurse needs to inform the patient with impaired vision when a touch is to occur and ask permissi The nurse needs to inform the patient with impaired vision when a touch is to occur and ask permissi
Invasion and metastasis by cancer cells Invasion and metastasis by cancer cells
Patient's forearm supported in bed Patient's forearm supported in bed
Although males tend to be larger than females, the two overlap significantly in size. The size of a Although males tend to be larger than females, the two overlap significantly in size. The size of a
Vapocoolant spray application while passively stretching the paracervical muscles. Take care to prot Vapocoolant spray application while passively stretching the paracervical muscles. Take care to prot
A physical therapist exercising the patient’s leg in a physical therapy department. A physical therapist exercising the patient’s leg in a physical therapy department.
Video: Protein digestion - stomach & small intestine

For a complete list of videos, visit our video library