Which assessment finding is a possible contraindication?A 45-year-old patient with a family history of breast cancer is considering using tamoxifen [Nolvadex] for cancer prevention. The nurse performs a medication history and learns that the patient is taking sertraline [Zoloft] for depression. Montelukast chewable tablets should be used with caution in patients with phenylketonuria.

She asks the nurse if anastrozole [Arimidex] would work better for her. What is the primary adverse effect of this drug?A patient will begin taking tamoxifen [Nolvadex] to treat breast cancer.

The provider has ordered flutamide to be given as adjunct therapy. Which nursing action is correct? Learn vocabulary, terms, and more with flashcards, games, and other study tools. Leukotrienes are considered more important than prostaglandins as inflammatory agents; they induce bronchoconstriction and mucus production.

The nurse prepares to administer aldesleukin [Proleukin] as part of the treatment regimen. The nurse performs a health history and learns that the woman had a child when she was 35 years old, that she has not had a hysterectomy, and that she experienced DVT when she was pregnant. Selective receptor antagonist of leukotriene D4, thus inhibiting bronchoconstriction.

b. changing from sertraline to escitalopram [Lexapro]. What is the correct response by the nurse?A 43-year-old patient with a strong family history of breast cancer considers taking tamoxifen [Nolvadex] for cancer prevention. Which statement by the patient indicates understanding of this medication?The nurse is preparing to administer a first dose of ado-trastuzumab emtansine [Kadcycla] to a patient who has metastatic breast cancer. After the first injection, the patient experiences an increase in cancer symptoms. The nurse performs a medication history and learns that the patient is taking sertraline [Zoloft] for depression. The patient asks the nurse why both drugs are necessary. Elevated sputum and blood levels of leukotrienes have been documented during acute asthma attacks. What will the nurse tell her?The nurse is caring for a patient in the oncology unit who was recently diagnosed with advanced renal carcinoma. Excipient information presented when available (limited, particularly for generics); consult specific product labeling.Packet, Oral: Singulair: 4 mg (30 ea)Generic: 4 mg (1 ea, 30 ea)Tablet, Oral: Singulair: 10 mgGeneric: 10 mgTablet Chewable, Oral: Singulair: 4 mg, 5 mg [contains aspartame]Generic: 4 mg, 5 mg What are the Actions of Montelukast (Singulair) Nursing Pharmacology Considerations? A patient will begin taking tamoxifen [Nolvadex] to treat breast cancer. disrupts the effects of leukotrienes which effect airway edema, smooth muscle constriction, and … The patient tells the nurse that she experienced chills, fever, pain, and nausea after her first infusion. Name /bks_53161_deglins_md_disk/montelukast 02/17/2014 07:57AM Plate # 0-Composite pg 1 # 1 PDF Page #1 Canadian drug name. The nurse will contact the prescriber to request an order for which medication in order to minimize cetuximab's side effects?A patient with chronic myeloid leukemia (CML) begins treatment with imatinib [Gleevec]. Montelukast is contraindicated for use in those patients with hypersensitivity to any product component. Each 4 mg and 5 mg chewable tablet contains 0.674 and 0.842 mg, respectively, of phenylalanine. What will the nurse do?A patient with advanced cancer of the prostate begins treatment with leuprolide [Lupron Depot] injections and will receive 7.5 mg IM once per month. Start studying Montelukast. What will the nurse tell the patient?A patient with advanced prostate cancer will begin treatment with leuprolide [Lupron]. Functional & chemical classification of the medicationInhibits leukotriene (LTD4) formation; leukotrienes exert their effects by increasing neutrophil, eosinophil migration; aggregation of neutrophils, monocytes; smooth muscle contraction, capillary permeability; these actions further lead to bronchoconstriction, inflammation, edemaIndications for the use of this medication (excluding unlabeled uses)Chronic asthma in adults and children, seasonal allergic rhinitis, bronchospasm prophylaxisWhat are the normal adult routes of medication administration?What is the normal adult dose range for this medication?Life threatening adverse reactions/side effects (red)Seizures, suicidal ideation, memory impairment, hostility, somnambulism, pancreatitis, thrombocytopenia,Dizziness, fatigue, headache, abdominal pain, influenza, coughRapidly absorbed; peak 3-4 hr, chew tab (5 mg) 2-2.5 hr; half-life 2.7-5.5 hr, extended in hepatic disease; protein binding 99%; metabolized by liver; excreted via bileWhat nursing assessments/interventions are required for patients receiving this medication?• Churg-Strauss syndrome: rare adult patients carefully for symptoms: eosinophilia, vasculitic rash, worsening pulmonary symptoms, cardiac complications, neuropathyWhat patient/family teaching is required when administering this medication?• To check OTC medications, current prescription medications for ePHEDrine, which will increase stimulation; to avoid alcoholWhat nursing evaluation is required when administering this medication?Therapeutic response: ability to breathe more easily A nursing student asks the nurse what differentiates antiestrogen drugs from aromatase inhibitors in the treatment of breast cancer.