Question
1. A nurse is caring for a client who is undergoing a course of chemotherapy. She is reporting severe nausea and vomiting and has lost 9 lb. since her last course of chemotherapy. Which of the following statement is appropriate for the nurse to make? (Select all that apply.) Your nausea will lessen with each course of chemotherupy Hot food is better tolerated because of the pleasant aroma it produces b. c.Try eating several small meals throughout the day." d. "Eat as much red meat as tolerated to get rid of the metallic taste." e. Take your antiemetic immediately after you eat." 2. A nurse is caring for a client who is undergoing brachytherapy. Which of the following precautions should be followed? (Seleet all that apply.) a. The client should have a private room b. Health care personnel should wear a dosimeter film badge c. Visitors should stay 4 feet away from the client d. Visitors can stay as long as they like e Children and pregnant women should not visit the client. f. Lead container sbould be kept in the room g Tongs should be kept in the room. 3. A nurse is caring for a client who had a mastectomy for breast cancer. The client has been prescribed tamoxifen (Nolvadex). Which of the following should indicate to the nurse that the client needs further teaching? "I may experience hot flashes." b. "I may experience nausea and vomiting." a. "I may lose weight. d. c. "1 may have vaginal bleeding." A nurse is caring for a client who is receiving immunotherapy in the outpatient clinic. Which of the following should the nurse recommend for inclusion in the plan of care? (Select all that apply.) 4. Get 20 min. of direct sunlight a day a. b. -e. d. e. Monitoe for changes in vision. Report flu-like symptoms to provider Report changes in hearing Monitor for unsteady gait or balance S. A nurse should know that which of the following is the most reliable indicator of pain? a. Blood pressure. b. Facial expression d. Verbal description of pain. 6. A client who has breakthrough cancer pain has been prescribed oxycodone (OxyContin). Which of the following side effects of oxycodone should the nurse monitor for and be prepared to intervene when present? (Select all that apply.) b. Constipation. e. Joint pain e.Respiratory depression. 7. A nurse is caring for a client who is to undergo neurolytic ablation. The nurse should recognize that this treatment is used only when other measures have failed due to the risk of b. Myelosuppression. d. Irreversible nerve damage 8. Match the alternative approach to cancer pain in the left column to its description in the righ
Explanation / Answer
Ans. 1 c and e
If a patient suffers from nausea or vomiting, he should take antiemetics first and change his eating habits such as
-Small and frequent meal should be prefer.
-Drink as much fluid as possible.
-Avoid fatty and spicy fluid.
Ans.2 a,b,c,e,f,g
There are some precautions requiere in case of patient administreda brachytherapy implant such as
-patient required a private room.
-lead container to absorb radiations should be kept by the bed of patient.
-visitors should be more than 18 years old and no pregnant women should be allowed.
-health care personals should wear their badge
- distance from patient 3-6ft.
Ans.3 c
As patients don't lose weight as a side effect of tamoxifen instead she can experience nausea, hot flashes or more seriously vaginal bleeding.
Ans 4.b,c,e
Patient should be cautious while walking in sun , should wear cap.
Any change in vision might be observed after immunotherapy.
