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

Author Question: A nurse provides teaching to a patient who has had a hysterectomy and is about to begin hormone ... (Read 25 times)

maychende

  • Hero Member
  • *****
  • Posts: 556
on: Jul 23, 2018
A nurse provides teaching to a patient who has had a hysterectomy and is about to begin hormone therapy to manage menopausal symptoms. Which statement by the patient indicates understanding of the teaching?
 
  a. Because I am not at risk for uterine can-cer, I can take hormones indefinitely.
  b. I can take estrogen to reduce my risk of cardiovascular disease.
  c. I should take the lowest effective dose for the shortest time needed.
  d. I will need a progestin/estrogen combi-nation since I have had a hysterectomy.

Question 2

A patient is being treated for chemotherapy-induced nausea and vomiting (CINV) with ondansetron Zofran and dexamethasone.
 
  The patient reports getting relief during and imme-diately after chemotherapy but has significant nausea and vomiting several days after each che-motherapy treatment. What will the nurse do? a. Contact the provider to discuss increasing the dose of ondansetron.
  b. Suggest giving prolonged doses of dex-amethasone.
  c. Suggest adding aprepitant Emend to the medication regimen.
  d. Tell the patient to ask the provider about changing the ondansetron to aprepitant.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

missalyssa26

  • Sr. Member
  • ****
  • Posts: 327
Reply #1 on: Jul 23, 2018
Answer to Question 1

C
For patients who have undergone hysterectomy, progestin is unnecessary; estrogen-only prepara-tions still carry increased risk of breast cancer and should be taken in the lowest effective dose for the shortest time possible. Even though uterine cancer is no longer a possibility, breast cancer is still a risk. Studies have shown no protection against coronary heart disease but increased risk of stroke and breast cancer with estrogens.

Answer to Question 2

C
The current regimen of choice for patients taking highly emetogenic drugs consists of three agents: aprepitant plus dexamethasone plus a 5-HT3 antagonist, such as ondansetron. Aprepitant has a prolonged duration of action and can prevent delayed CINV as well as acute CINV. In-creasing the dose of ondansetron will not help treat the delayed CINV. Glucocorticoids should be given intermittently and for short periods to avoid side effects. Changing the ondansetron to aprepitant is not recommended.


maychende

  • Member
  • Posts: 556
Reply 2 on: Jul 23, 2018
Gracias!

scikid

  • Member
  • Posts: 300
Reply 3 on: Yesterday
Great answer, keep it coming :)

« previous next »
 

Did you know?

Walt Disney helped combat malaria by making an animated film in 1943 called The Winged Scourge. This short film starred the seven dwarfs and taught children that mosquitos transmit malaria, which is a very bad disease. It advocated the killing of mosquitos to stop the disease.

Did you know?

The human body's pharmacokinetics are quite varied. Our hair holds onto drugs longer than our urine, blood, or saliva. For example, alcohol can be detected in the hair for up to 90 days after it was consumed. The same is true for marijuana, cocaine, ecstasy, heroin, methamphetamine, and nicotine.

Did you know?

An identified risk factor for osteoporosis is the intake of excessive amounts of vitamin A. Dietary intake of approximately double the recommended daily amount of vitamin A, by women, has been shown to reduce bone mineral density and increase the chances for hip fractures compared with women who consumed the recommended daily amount (or less) of vitamin A.

Did you know?

The use of salicylates dates back 2,500 years to Hippocrates’s recommendation of willow bark (from which a salicylate is derived) as an aid to the pains of childbirth. However, overdosage of salicylates can harm body fluids, electrolytes, the CNS, the GI tract, the ears, the lungs, the blood, the liver, and the kidneys and cause coma or death.

Did you know?

Essential fatty acids have been shown to be effective against ulcers, asthma, dental cavities, and skin disorders such as acne.

The nurse assists the patient in reflecting on his feelings The nurse assists the patient in reflecting on his feelings
Coronary artery bypass graft (CABG). The grafts are often obtained from the patient’s saphenous vein Coronary artery bypass graft (CABG). The grafts are often obtained from the patient’s saphenous vein
Electrocardiography. (a) Electrodes are placed on the patient’s chest to record the electrical event Electrocardiography. (a) Electrodes are placed on the patient’s chest to record the electrical event
Stained section of cerebral cortex from autopsy of a patient with Creutzfeldt-Jakob disease Stained section of cerebral cortex from autopsy of a patient with Creutzfeldt-Jakob disease
Stereotaxic Surgery on a Human Patient Stereotaxic Surgery on a Human Patient
The medical assistant escorts the patient into the examination room. The medical assistant escorts the patient into the examination room.
Video: Inflammation

For a complete list of videos, visit our video library