A patient begins using timolol Timoptic to treat primary ...

[bclement10]

A patient begins using timolol Timoptic to treat primary open-angle glaucoma (POAG). The nurse gives a dose and notes that the patient develops shortness of breath. The nurse assesses the patient and auscultates wheezes in both lungs.
 
  The nurse will ask this patient about a history of which condition? a. Asthma
  b. Atrioventricular heart block
  c. Pulmonary hypertension
  d. Sinus bradycardia

Question 2

A premenopausal woman has ER-positive breast cancer, and her prescriber has ordered tamoxifen Nolvadex. She asks the nurse if anastrozole Arimidex would work better for her. What will the nurse tell her?
 
  a. Anastrozole is more likely to cause hot flushes than tamoxifen.
  b. Anastrozole is more likely to promote endometrial carcinoma.
  c. Cancer recurrence is higher with anastro-zole.
  d. Until she is postmenopausal, anastrozole will not be effective.

[janeli]

Answer to Question 1

A
Timolol is a beta blocker and can precipitate bronchoconstriction when absorbed systemically. Patients with asthma will develop shortness of breath and wheezing. These symptoms are not associated with AV block, pulmonary hypertension, or sinus bradycardia.

Answer to Question 2

D
Anastrozole is used to treat ER-positive breast cancer in postmenopausal women. Because it does not block estrogen production in the ovaries, it is not effective in premenopausal women. It may cause hot flushes but is less likely to do so than tamoxifen. It is devoid of all estrogenic activity and does not promote endometrial cancer

[bclement10]

Excellent

[rleezy04]

TYSM