A client is being discharged after receiving IV chemotherapy for cancer. Which statement indicates a need for additional teaching?

“I will not need to know how to check my body temperature.”

“Chemotherapy is excreted in my bodily fluids.”

“My spouse will wear gloves when emptying my urinal.”

“The chemotherapy will remain in my body for 2-3 days.”

Answer and Explanation

The Correct Answer is A

A. “I will not need to know how to check my body temperature.”:

This statement is incorrect. Monitoring body temperature is important for patients receiving chemotherapy because a compromised immune system increases the risk of infection. Fever can be an early sign of infection, and patients are often instructed to monitor their temperature regularly.

B. “Chemotherapy is excreted in my bodily fluids.”:

This statement is correct. Chemotherapy drugs can be excreted in various bodily fluids, such as urine, sweat, and saliva. Patients are advised to take precautions to avoid exposing others to these bodily fluids during and shortly after chemotherapy.

C. “My spouse will wear gloves when emptying my urinal.”:

This statement is correct. To reduce the risk of exposure to chemotherapy drugs in urine, it is advisable for caregivers, such as spouses, to wear gloves when handling bodily fluids.

D. “The chemotherapy will remain in my body for 2-3 days.”:

This statement is correct. The duration during which chemotherapy remains in the body can vary depending on the specific drugs administered. Patients are typically provided with guidelines on how long they need to take precautions to minimize exposure to others.

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Correct Answer is B

Explanation

A. Shellfish

Shellfish consumption is not typically contraindicated with targeted cancer therapy. However, it is essential for individuals undergoing cancer treatment to follow a well-balanced and nutritious diet. If there are specific dietary restrictions or recommendations based on an individual's overall health or treatment plan, these should be discussed with the healthcare provider or a registered dietitian.

B. Grapefruit

Grapefruit and grapefruit juice contain compounds that can interfere with the metabolism of certain medications, including many targeted therapies. This can result in either increased or decreased levels of the drug in the bloodstream, potentially affecting the efficacy and safety of the treatment. Therefore, individuals receiving targeted therapy are often advised to avoid grapefruit.

C. Yerba mate

Yerba mate is a type of tea made from the leaves of the Ilex paraguariensis plant. While it is generally considered safe, specific interactions with targeted cancer therapies are not well-documented. However, it is always advisable for individuals undergoing cancer treatment to consult with their healthcare team regarding dietary choices, including herbal teas.

D. Aged cheese

Aged cheese is not typically contraindicated with targeted cancer therapy. However, dietary recommendations may vary based on individual health conditions and treatment plans. In some cases, certain dietary restrictions or modifications may be advised, so it's important for individuals to discuss their specific dietary needs with their healthcare providers or dietitians.

A. Hypotension B. Allergy to penicillin C. Narrow-angle glaucoma D. Diabetes insipidus

Correct Answer is C

Explanation

A. Hypotension

While diphenhydramine can cause drowsiness and may contribute to orthostatic hypotension, it is not a strict contraindication. However, caution should be exercised in patients with hypotension.

B. Allergy to penicillin

An allergy to penicillin is not directly related to the use of diphenhydramine. Allergies to specific medications, including penicillin, are important to assess but are not a primary concern when administering diphenhydramine.

C. Narrow-angle glaucoma

Diphenhydramine can cause pupil dilation and may worsen narrow-angle glaucoma, leading to increased intraocular pressure. Therefore, it is crucial to assess for a history of narrow-angle glaucoma before administering diphenhydramine. If a patient has a history of this condition, alternative medications or careful monitoring may be necessary.

D. Diabetes insipidus

Diabetes insipidus is not typically a contraindication for diphenhydramine. However, it is essential to consider the overall health status and specific needs of the patient. Diphenhydramine may have anticholinergic effects, and caution is advised in patients with certain medical conditions.

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A client is being discharged after receiving IV chemotherapy for cancer. Which statement indicates a need for additional teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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