The action the nurse should include in the client's plan of care who is receiving tamoxifen (nolvadex) for the treatment of breast cancer is to help the client cope with hot flashes
Tamoxifen, a selective estrogen receptor modulator, is a form of hormonal therapy (SERM). The medication binds to breast cancer cells' hormone receptors (specific proteins). Once the drug is within the cells, it prevents cancer from getting access to the hormones it needs to proliferate and develop.
Tamoxifen prevents estrogen from binding to the receptor, which prevents the cancer cell from receiving signals from estrogen that would otherwise cause it to grow and reproduce. Hot flashes, exhaustion, an elevated risk of blood clots, and endometrial cancer are some of the side effects that this drug may cause.
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Answer:
Yes, the blood pressure and heart rate return to normal after 5 minutes of physical exercise as, ANS will detect the decreasing level of oxygen and activate parasympathetic system to normalize the heart rate. The increasing of heart rate does not cause the blood pressure to increase at the same rate. After 5 minutes it return to normal as when you exercise heart rate speed up so that is why more blood reach in the muscles so it cause high heart rate and blood pressure for some minutes.
Expression can be influenced by factors that are not genetic.
<h3>What are non-genetic factors?</h3>
Factors that are not part of a person's genetic make-up are referred to as non-genetic factors. These elements include aspects of the surrounding environment as well as aspects of an organism's lifestyle that contribute to its makeup.
It has been demonstrated in a number of studies that the formation of some features is influenced by both hereditary and non-genetic variables.
In the situation described above, both of the monozygotic twins have diabetes, but the lifestyle choices made by one of them causes the condition to manifest itself seventy percent of the time. It's possible that the person is drinking more alcohol and eating more sugar.
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<u>Solution - Answer (a): The current maximum output would depend on slowest operations and that is B. Optometrist conducting eye exam (25min per patient) Hence total time available for task(B)= 10 hours * 60 min - (2 minute for first patient to greet + frame selection 20 min + glasses made 60 min + final fitting 5 min) = 600 -87 = 513 minutes. Hence, maximum capacity = 513/25 = 20.52 ~ 20 patients Answer (b): Since, the slowest process is B. Optometrist conducting eye test, if a person were to be added it must be there. The added capacity at no other place would increase total capacity of the patients processed in a day. Answer (c): In the mentioned model, the process of D and E, totaling to 65 minutes would be eliminated. And hence, in day...</u>
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Given what we know, we can confirm that the client will exhibit signs of weight gain in specific areas as well as skin changes.
<h3>What is Cushing syndrome?</h3>
This is a pathology that has been linked to the adrenal cortex. It includes the unregulated release of glucocorticoids. These hormones are responsible for the regulation of blood-sugar levels in the body, therefore, this syndrome tends to cause weight gain around the face and neck, as well as discoloration around <u>hands, feet, legs, or abdomen. </u>
Therefore, we can confirm that the client will exhibit signs of weight gain in specific areas as well as skin changes.
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