A nurse is caring for a client who has ovarian cancer and is receiving palliative chemotherapy. The client tells the nurse that she feels hopeless and wonders why she is still taking the drugs. The nurse should respond by saying:
"I understand how you feel. Palliative chemotherapy can help you live longer and feel better."
"You should not give up hope. Palliative chemotherapy can still cure your cancer if you respond well."
"You have the right to refuse treatment. Palliative chemotherapy is optional and you can stop anytime."
"How do you cope with your feelings? Palliative chemotherapy can relieve some of your symptoms and discomforts."
The Correct Answer is D
Choice A reason:
This is incorrect because it may sound dismissive of the client's feelings and imply that palliative chemotherapy can only prolong life, not improve quality of life. Palliative chemotherapy is not meant to cure cancer or to extend life significantly, but to relieve the symptoms of cancer and improve quality of life.
Choice B reason:
This is incorrect because it may give false hope to the client and contradict the purpose of palliative chemotherapy. Palliative chemotherapy is unlikely to cure cancer or induce remission, even if the client responds well.
Choice C reason:
This is incorrect because it may suggest that the nurse does not support the client's decision to continue treatment or that palliative chemotherapy is futile. Palliative chemotherapy is optional and the client has the right to refuse treatment, but the nurse should respect the client's wishes and provide information and support.
Choice D reason:
This is correct because it shows empathy and compassion for the client's feelings and acknowledges the benefits of palliative chemotherapy. Palliative chemotherapy can relieve some of the symptoms and discomforts caused by cancer, such as pain, nausea, fatigue, etc.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
This is incorrect because chemotherapy given before other treatments to shrink the leukemia cells is called neoadjuvant chemotherapy, not induction chemotherapy. Neoadjuvant chemotherapy is used to improve the outcome of the main treatment, such as surgery or radiation therapy.
Choice B reason:
This is incorrect because chemotherapy given after other treatments to kill any leftover leukemia cells is called adjuvant chemotherapy, not induction chemotherapy. Adjuvant chemotherapy is used to lower the chance of leukemia recurrence and improve the outcome of the firstline treatment.
Choice C reason:
This is correct because induction chemotherapy is the firstline or initial treatment of cancer, usually with high doses of anticancer drugs, before another treatment such as consolidation or postremission therapy. The goal of induction chemotherapy is to cure the cancer, destroy as many cancer cells as possible, suppress distant metastases, and shrink the tumor.
Choice D reason:
This is incorrect because chemotherapy given to control symptoms and improve quality of life is called palliative chemotherapy, not induction chemotherapy. Palliative chemotherapy is used for patients with incurable or terminal cancer to reduce pain and suffering.
Correct Answer is B
Explanation
Choice A reason:
This is incorrect because shrinking the tumor before surgery and making it easier to remove is the purpose of neoadjuvant chemotherapy, not adjuvant chemotherapy. Neoadjuvant chemotherapy is given before the primary treatment, while adjuvant chemotherapy is given after the primary treatment.
Choice B reason:
This is correct because eliminating any remaining cancer cells and preventing recurrence is the main goal of adjuvant chemotherapy. Adjuvant chemotherapy is given after the primary treatment, usually surgery, to lower the chance that the cancer will return and to improve the outcome of firstline treatment.
Choice C reason:
This is incorrect because inducing remission and reducing the tumor burden is the purpose of induction chemotherapy, not adjuvant chemotherapy. Induction chemotherapy is given as the firstline treatment to achieve a complete or partial response.
Choice D reason:
This is incorrect because relieving symptoms and improving quality of life is the purpose of palliative chemotherapy, not adjuvant chemotherapy. Palliative chemotherapy is given to patients with incurable or terminal cancer to reduce pain and suffering.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today