Author Question: The nurse is teaching a client about tamoxifen therapy in the treatment of breast cancer. The nurse ... (Read 51 times)

stevenposner · **on:** Jul 23, 2018

The nurse is teaching a client about tamoxifen therapy in the treatment of breast cancer. The nurse tells the client that the total length of endocrine therapy is ______ years.

Standard Text: Record your answer rounding to the nearest whole number.
Fill in the blank with the appropriate word.

Question 2

The nurse knows that client education on drug interactions with doxorubicin has been successful when the client states:

1. I can take acetaminophen if I get a fever.
2. I can take my Celebrex for my arthritis.
3. I can take ibuprofen for my back pain.
4. I can take an aspirin for a headache.

fromAlphatoOmega22 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 5

Rationale: The American Society of Clinical Oncology (ASCO) recommends aromatase inhibitor therapy with exemestane (Aromasin) as an option for all postmenopausal women with ER-positive breast cancer. Aromatase inhibitors can be started as primary therapy, or instituted after the completion of 2 to 3 years of tamoxifen therapy. For most patients, the total length of endocrine therapy (tamoxifen plus aromatase inhibitor) is 5 years.

Global Rationale: The American Society of Clinical Oncology (ASCO) recommends aromatase inhibitor therapy with exemestane (Aromasin) as an option for all postmenopausal women with ER-positive breast cancer. Aromatase inhibitors can be started as primary therapy, or instituted after the completion of 2 to 3 years of tamoxifen therapy. For most patients, the total length of endocrine therapy (tamoxifen plus aromatase inhibitor) is 5 years.

Answer to Question 2

Correct Answer: 1
Rationale 1: Acetaminophen is appropriate to take, as it doesn't increase the risk of bleeding.
Rationale 2: Celebrex can cause bleeding when taken with doxorubicin due to its adverse effect of thrombocytopenia.
Rationale 3: Ibuprofen can cause bleeding when taken with doxorubicin due to its adverse effect of thrombocytopenia.
Rationale 4: Aspirin can cause bleeding when taken with doxorubicin due to its adverse effect of thrombocytopenia.
Global Rationale: Severe myelosuppression may occur with doxorubicin so medication that may increase bleeding (such as Celebrex, ibuprofen, and aspirin) should be avoided.