A client has a radiation implant inserted for treatment of cervical cancer. Which nurse should be assigned to provide personal care while the radiation source is in the client? The:

60-year-old nurse who is also assigned to provide care to two other clients with internal radiation.

28-year-old pregnant nurse who has special expertise in oncology.

30-year-old female nurse who is experienced with internal radiation.

35-year-old male nurse who has never worked with a client receiving internal radiation.

Answer and Explanation

The Correct Answer is D

A. This nurse is already exposed to a significant amount of radiation and should not be assigned to care for another client with an internal radiation implant.
B. Pregnant women should avoid exposure to radiation. This nurse should not be assigned to care for a client with an internal radiation implant.
C. While this nurse has experience with internal radiation, she is still exposed to radiation. It is preferable to assign a nurse who has no prior exposure to internal radiation.
D. This nurse has no prior exposure to internal radiation and is therefore the best candidate to provide care to the client.

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Correct Answer is C

Explanation

A. While blood vessel spasms can occur after a stroke, t-PA does not directly affect them.
B. Platelet aggregation is the process by which platelets stick together to form a clot. t-PA dissolves clots, but it does not prevent their formation.
C. Tissue plasminogen activator (t-PA) is a medication that can dissolve blood clots. In the case of a thrombotic stroke, a blood clot has blocked blood flow to the brain. By dissolving the clot, t-PA can restore blood flow and limit brain damage.
D. t-PA does not have any direct effect on the risk of infection in the brain.

A. is effective in diagnosing other male cancers B. is decreased in the presence of cancer C. is a screening tool for prostate cancer D. is used as a definitive diagnosis for prostate cancer

Correct Answer is C

Explanation

A.PSA is primarily associated with prostate health and is not an effective marker for diagnosing other male cancers. While elevated PSA levels can sometimes indicate issues related to the prostate, they are not used for diagnosing other types of cancer.
B. In fact, PSA levels are usually increased in the presence of prostate cancer. While there can be some conditions that lead to a decrease in PSA levels, cancer itself typically raises PSA levels.
C.PSA is commonly used as a screening tool for prostate cancer. Elevated PSA levels may prompt further investigation, including biopsies, to determine if cancer is present. However, it’s important to note that elevated PSA can also occur due to benign conditions like prostatitis or benign prostatic hyperplasia (BPH).
D.While PSA levels can indicate the possibility of prostate cancer, they do not provide a definitive diagnosis. A diagnosis of prostate cancer typically requires further testing, such as a prostate biopsy, to confirm the presence of cancerous cells.

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A client has a radiation implant inserted for treatment of cervical cancer. Which nurse should be assigned to provide personal care while the radiation source is in the client? The:

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who had a thrombotic stroke in the Emergency Department. It has been less than 3 hours since the onset of symptoms. The rationale for using tissue plasminogen activator (t-PA) for this client is to:

Correct Answer is C

Explanation

A client diagnosed with prostate cancer asks the nurse the importance of the prostate specific antigen (PSA). The nurse explains to the client that the PSA:

Correct Answer is C

Explanation

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