RN VATI Pharmacology 2019 (Questions and Answers Rated A+)

RN VATI Pharmacology 2019 (Questions and Answers Rated A+) Raloxifene can lower the risk for breast cancer in postmenopausal clients who have a high risk for developing estrogen-receptive types of breast cancer. The medication also reduces the risk for and can treat postmenopausal osteoporosis. Raloxifene is a selective estrogen receptor modulator. In clients who are postmenopausal, it can reduce the risk for and treat osteoporosis and protect against breast cancer. Hot flashes are an adverse effect of raloxifene. Raloxifene reduces the occurrence of fractures related to osteoporosis and reduces the cholesterol level in clients who are postmenopausal. Raloxifene can cause several significant cardiovascular and respiratory adverse effects, such as thromboembolism, stroke, peripheral edema, pneumonia, and the development of pulmonary emboli. Clients should not take this medication prior to periods of prolonged immobilization, such as surgery. A history of thromboembolic events is a contraindication for taking this medication. A nurse is caring for a client who is receiving heparin by continuous IV infusion for treatment of venous thrombosis. Which of the following laboratory values should the nurse monitor for in order to titrate the heparin dose? a. platelet function assay b. aPTT c. INR d. Amylase aPTT The nurse should monitor the aPTT of a client who is receiving heparin by continuous IV infusion. When beginning heparin therapy, the nurse should monitor the aPTT every 4 to 6 hr. Once the client has achieved the desired range, the nurse should monitor the aPTT daily. The nurse should monitor the platelet function assay of a client who has a bleeding disorder. This test evaluates platelet function and ability to cause hemostasis; however, heparin does not affect it.The nurse should monitor a client's INR to evaluate the effects of warfarin therapy. The nurse should ensure the collection of the client's blood specimen prior to administering the daily warfarin dose. The nurse should review the amylase levels of a client who has pancreatitis. Amylase is a pancreatic enzyme that increases in clients who have acute or chronic pancreatitis; however, heparin does not affect this enzyme. A nurse is assessing a client who has a positive Trousseau's sign. Which of the following medications should the nurse plan to administer? a. sodium bicarbonate b. manesium sulfate