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Questions and Answers
A postmenopausal client is prescribed raloxifene. Which instruction regarding medication administration should the nurse include?
A postmenopausal client is prescribed raloxifene. Which instruction regarding medication administration should the nurse include?
- Discontinue weight-bearing exercises to minimize the risk of thromboembolism.
- Take raloxifene concurrently with estrogen replacement therapy for optimal results.
- Consume adequate amounts of calcium and vitamin D while on this medication. (correct)
- Administer the medication on an empty stomach to enhance absorption.
A premenopausal client is taking raloxifene to prevent breast cancer. Which of the following instructions is most important for the nurse to emphasize?
A premenopausal client is taking raloxifene to prevent breast cancer. Which of the following instructions is most important for the nurse to emphasize?
- Avoid use of contraception due to teratogenic effects.
- Use contraception and do not breastfeed during treatment. (correct)
- Estrogen replacement therapy can be taken.
- Continue breastfeeding as usual.
A client with a history of deep vein thrombosis (DVT) is being considered for raloxifene therapy. What is the most appropriate action by the healthcare provider?
A client with a history of deep vein thrombosis (DVT) is being considered for raloxifene therapy. What is the most appropriate action by the healthcare provider?
- Administer a low dose of raloxifene with close monitoring for DVT symptoms.
- Consider an alternative medication due to the client's contraindication. (correct)
- Prescribe raloxifene only if the client is also taking an anticoagulant medication.
- Proceed with raloxifene therapy after consulting with a hematologist.
Which of the following adverse effects should a nurse monitor for in a client taking raloxifene?
Which of the following adverse effects should a nurse monitor for in a client taking raloxifene?
A nurse is providing education to a client who has been prescribed raloxifene. Which statement by the client indicates an understanding of the teaching?
A nurse is providing education to a client who has been prescribed raloxifene. Which statement by the client indicates an understanding of the teaching?
A client taking raloxifene reports experiencing hot flashes. Which of the following interventions should the nurse suggest?
A client taking raloxifene reports experiencing hot flashes. Which of the following interventions should the nurse suggest?
A client with hyperlipidemia is prescribed raloxifene. What is the appropriate nursing intervention?
A client with hyperlipidemia is prescribed raloxifene. What is the appropriate nursing intervention?
A client asks the nurse about the benefits of taking raloxifene. Which of the following is an appropriate response?
A client asks the nurse about the benefits of taking raloxifene. Which of the following is an appropriate response?
Flashcards
Raloxifene Therapeutic Use
Raloxifene Therapeutic Use
Prevention and treatment of postmenopausal osteoporosis; reduces the risk of estrogen receptor-positive breast cancer.
Raloxifene Adverse Effects
Raloxifene Adverse Effects
Increased risk of DVT and pulmonary emboli, hot flashes, and stroke.
Raloxifene Nursing Interventions
Raloxifene Nursing Interventions
Observe for signs of thromboembolism, use lightweight covers, monitor bone density.
Raloxifene Administration
Raloxifene Administration
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Raloxifene Client Instructions
Raloxifene Client Instructions
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Raloxifene Contraindications
Raloxifene Contraindications
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Raloxifene Precautions
Raloxifene Precautions
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Raloxifene Interactions
Raloxifene Interactions
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Study Notes
SERMs - Raloxifene
- Raloxifene is the example SERM mentioned
Therapeutic Use
- Raloxifene is used for the prevention and treatment of postmenopausal osteoporosis.
- Raloxifene reduces the risk of estrogen receptor-positive breast cancer.
Adverse Drug Reactions
- Use of Raloxifene increases the risk of deep vein thrombosis (DVT) and pulmonary emboli.
- Raloxifene can cause hot flashes.
- Raloxifene can cause stroke.
Interventions
- Observe for manifestations of thromboembolisms in clients taking Raloxifene.
- Use lightweight covers over clients.
- Monitor bone density in clients taking Raloxifene.
Administration
- Give Raloxifene orally daily.
- Raloxifene may be administered with or without food.
Client Instructions
- Contact the provider if the client experiences pain in the calf or difficulty breathing.
- Do not take estrogen replacement therapy during treatment with Raloxifene.
- Advise clients that hot flashes may occur.
- Encourage clients to consume adequate amounts of calcium and vitamin D.
- Encourage clients to perform weight-bearing exercises daily.
- If premenopausal and using raloxifene to prevent breast cancer, use contraception and do not breastfeed during treatment.
- Do not take estrogen replacement therapy during treatment.
Contraindications
- Raloxifene is teratogenic.
- Raloxifene is contraindicated during lactation.
- Raloxifene is contraindicated in clients with a current or past history of deep vein thrombosis.
Precautions
- Use with caution with estrogen therapy.
- Use with caution with hyperlipidemia.
Interactions
- Concurrent administration of estrogen with Raloxifene is not recommended.
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Description
Raloxifene is a SERM used for preventing and treating postmenopausal osteoporosis and reduces the risk of estrogen receptor-positive breast cancer. Adverse effects include increased risk of thromboembolisms, hot flashes and stroke. Monitor bone density of clients taking Raloxifene and instruct clients to contact the provider if they experience pain in the calf or difficulty breathing.
