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.
To learn more about tamoxifen and hot flashes here,
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Answer:
The correct option is : a. The phrenic nerve from the cervical plexus
Explanation:
The diaphragm is a thin skeletal muscle which separates the thoracic cavity and the abdominal cavity.
The phrenic nerve is a nerve present in the thoracic region, that passes down between the heart and the lung and reaches the diaphragm.
The phrenic nerve innervates the diaphragm from the C3–C5 of cervical plexus.
Explanation:
signing to see a patient within a facility
Answer: Make changes in the home
Explanation:
Based on the information given, the best next step is to make changes in the home. This is still a mild elevation which occurs typically from level 10 to 20.
In this case, treating with chelation isn't needed. The assistance of public health and the education for the parents are important in this case. The family should also move out of the lead-contaminated apartment as this isn't good for the child.
Answer:
Explanation:
1. Because of the symptoms, it could be anything that’s kidney related.
Most common symptoms: reduced amount of urine, swelling in legs, ankles, shortness of breath, fatigue, nausea, pain, seizures...
Most common causes: kidney stones, kidney infection, shingles, bladder infection, spinal arthritis...
2. What I wrote in the first paragraph are some of the possible diagnoses.
3. Blood test, urine test, imaging tests...