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 B
Explanation
A. Thromboembolic events: This is not a black box warning for ciprofloxacin.
B. This drug has a black box warning for causing tendon rupture: Ciprofloxacin, a fluoroquinolone, has a black box warning for the risk of tendonitis and tendon rupture, especially in older adults or those on corticosteroids.
C. Endometrial cancers: Ciprofloxacin is not associated with cancer.
D. Breast cancer: There is no link between ciprofloxacin and breast cancer.
Correct Answer is A
Explanation
A. This medication should be taken with a straw to avoid discoloration of the teeth: Liquid forms of iron supplements can stain teeth, so using a straw helps prevent this discoloration.
B. This medication is to be taken at night to prevent constipation from occurring: Iron supplements are better absorbed on an empty stomach or with vitamin C (during the day), not specifically at night. Constipation can still occur regardless of timing.
C. This medication should be taken with antacids to prevent gastrointestinal distress: Antacids interfere with iron absorption and should be avoided.
D. This medication is to be taken with milk to enhance absorption: Milk contains calcium, which can reduce iron absorption. Iron supplements should not be taken with dairy products.