A 48-year-old woman with 2-year history of rheumatoid arthritis has not had sufficient relief with methotrexate alone. Her physician prescribes etanercept to help control her symptoms. How does etanercept work?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: C

Rationale: Prostate cancer is androgen-dependent, relying on testosterone and other androgens for growth. Estrogen therapy suppresses pituitary secretion of luteinizing hormone, reducing testicular androgen production, effectively starving the cancer. This hormonal manipulation is a standard approach. Choice A inaccurately suggests direct cell death, not estrogen's mechanism. Choice B overstates testosterone elimination; it's reduced, not eradicated. Choice D misattributes nutrient blockade, unrelated to estrogen's action. The nurse's best response (C) clarifies estrogen's role in androgen suppression, addressing the client's confusion with precision and relevance to his treatment.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: C

Rationale: Amitriptyline, a tricyclic antidepressant, has anticholinergic effects, including urinary retention , a medical emergency risking bladder damage or infection, needing immediate intervention. Dry mouth and constipation are common, manageable side effects. Drowsiness is expected with its sedative action. Urinary retention's severity'potential for acute retention'sets it apart, requiring rapid reporting or catheterization. This aligns with amitriptyline's blockade of muscarinic receptors, where bladder dysfunction can escalate fast, making C the finding demanding urgent attention over chronic annoyances.

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.