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

Author Question: A patient who has breast cancer tells the nurse that a cousin who had breast cancer received ... (Read 72 times)

evelyn o bentley

  • Hero Member
  • *****
  • Posts: 564
on: Jul 23, 2018
A patient who has breast cancer tells the nurse that a cousin who had breast cancer received trastuzamab (Herceptin) and wonders why this drug is not given to her. The nurse will explain that her cancer cells do not have
 
  a. significant HER2 receptors.
  b. epidermal growth factor receptor-tyrosine kinase.
  c. the BRCA1 suppressor gene.
  d. VGEF proteins.

Question 2

The nurse is caring for a patient who is receiving vincristine (Oncovin), a plant alkaloid chemotherapeutic agent, to treat non-Hodgkin's lymphoma. The nurse observes that the patient has difficulty walking.
 
  What action will the nurse take?
  a. Ask about numbness or tingling in the fingers and toes.
  b. Assess heart rate and blood pressure to evaluate for orthostatic hypotension.
  c. Assess the temperature to evaluate for infection.
  d. Request an order for a complete blood count and electrolytes.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

kishoreddi

  • Sr. Member
  • ****
  • Posts: 329
    • Your online Help in Biology and chemistry
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: A
Trastuzamab acts by binding to the HER2 protein on the surface of cancer cells that overexpress this receptor. If patients do not have this overexpression, this targeted therapy will not work. Gefitinib is used when EGFR-TK are present. Bevacizumab is used when VGEF proteins are present.

Answer to Question 2

ANS: A
Peripheral neuropathy can occur with this drug and is manifested by difficulty walking and numbness and tingling in the fingers and toes. Orthostatic hypotension is not a side effect. Infection is always a concern, and regular evaluation of complete blood count and electrolytes is performed but not related to signs of peripheral neuropathy.


evelyn o bentley

  • Member
  • Posts: 564
Reply 2 on: Jul 23, 2018
Excellent

fatboyy09

  • Member
  • Posts: 358
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

« previous next »
 

Did you know?

People often find it difficult to accept the idea that bacteria can be beneficial and improve health. Lactic acid bacteria are good, and when eaten, these bacteria improve health and increase longevity. These bacteria included in foods such as yogurt.

Did you know?

Elderly adults are at greatest risk of stroke and myocardial infarction and have the most to gain from prophylaxis. Patients ages 60 to 80 years with blood pressures above 160/90 mm Hg should benefit from antihypertensive treatment.

Did you know?

The liver is the only organ that has the ability to regenerate itself after certain types of damage. As much as 25% of the liver can be removed, and it will still regenerate back to its original shape and size. However, the liver cannot regenerate after severe damage caused by alcohol.

Did you know?

All adults should have their cholesterol levels checked once every 5 years. During 2009–2010, 69.4% of Americans age 20 and older reported having their cholesterol checked within the last five years.

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.

Photograph of an occupational therapist assisting a patient with learning independence in activities Photograph of an occupational therapist assisting a patient with learning independence in activities
The breast, cutaway view showing both internal and external features. The breast, cutaway view showing both internal and external features.
Patient teaching: female genetalia and reproductive tract assessment Patient teaching: female genetalia and reproductive tract assessment
Positioning the Patient in the Supine Position Positioning the Patient in the Supine Position
Promoting Adherence in the Older Adult Patient Promoting Adherence in the Older Adult Patient
A patient is talking to the nurse about her husband’s abuse and attempt to strangle her. She ... A patient is talking to the nurse about her husband’s abuse and attempt to strangle her. She ...
Video: Introduction to Heart Attacks

For a complete list of videos, visit our video library