The nurse is administering an estrogen blocker to a client diagnosed with advanced breast cancer. Which of the following side effects will the nurse caution the client regarding?
Tendon rupture
Phlebitis
Increase risk of lymphomas
Thromboembolic events
The Correct Answer is D
A. Tendon rupture: Tendon rupture is not a side effect associated with estrogen blockers.
B. Phlebitis: While thromboembolic events are a risk, phlebitis (inflammation of a vein) is not a typical concern.
C. Increased risk of lymphomas: Estrogen blockers are not known to increase the risk of lymphomas.
D. Thromboembolic events: Estrogen blockers, such as tamoxifen, are associated with an increased risk of thromboembolic events (e.g., deep vein thrombosis, pulmonary embolism).
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Correct Answer is D
Explanation
A. Regular sun exposure is needed to maximize drug efficacy: This is incorrect; in fact, doxycycline can cause photosensitivity, and sun exposure should be minimized.
B. Avoid water while taking this medication: Water should be taken with doxycycline to help prevent esophageal irritation.
C. Take this medication with antacids to relieve gastrointestinal symptoms: Antacids can also interfere with doxycycline absorption, so they should be avoided.
D. Avoid dairy products when taking this medication: Dairy products can bind to doxycycline and reduce its absorption in the gastrointestinal tract, which decreases its effectiveness. The client should avoid dairy when taking the medication.
Correct Answer is ["A","C","D","E"]
Explanation
A. This medication should not be taken if you are lactating: Doxycycline is contraindicated in breastfeeding women as it can affect bone and teeth development in nursing infants.
B. This medication can cause hyperglycemia: Doxycycline is not known to cause hyperglycemia. This side effect is more common with certain steroids and antidiabetic drugs.
C. This medication may cause photosensitivity - Doxycycline can cause photosensitivity, making the skin more sensitive to sunlight and increasing the risk of sunburn.
D. This medication should not be taken with antacids: Doxycycline should not be taken with antacids or supplements containing calcium, magnesium, or aluminum as they can interfere with its absorption.
E. This medication may cause discoloration of the teeth: Doxycycline can cause permanent discoloration of the teeth if used during tooth development, which is why it is generally not recommended for children under 8 years or during pregnancy.