A nurse is caring for a client who is receiving chemotherapy for breast cancer. Which of the following precautions should the nurse perform during administration of oral chemotherapy?

Specialized chemotherapy mask

Chemotherapy gown

Face shield

Pair of chemotherapy gloves

Answer and Explanation

The Correct Answer is D

A.   A specialized chemotherapy mask is not typically required for the administration of oral chemotherapy. Masks may be necessary during certain procedures (like administering intravenous chemotherapy) where there is a risk of splashing or aerosolization, but they are not standard for oral administration.
B.   A chemotherapy gown is generally not required for administering oral chemotherapy. These gowns are used for intravenous chemotherapy administration where there is a risk of drug spillage. For oral medications, the risk of exposure is significantly lower, so gowns are not standard practice.
C.   A face shield is not typically needed when administering oral chemotherapy. Face shields are used to protect against splashes during procedures involving injectable forms of chemotherapy or other hazardous drugs, but oral administration does not pose the same risk of exposure.
D.   The use of chemotherapy gloves is essential when handling oral chemotherapy agents. Gloves protect the nurse from potential exposure to the medication, especially if the drug is crushed or if there is any risk of spillage.

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Correct Answer is D

Explanation

A. While this statement aims to offer reassurance, it may come off as dismissive of the client’s current feelings. The client is expressing deep emotions, and saying "everything will be okay" may minimize their experience. It’s better to acknowledge their feelings rather than trying to immediately reassure them without understanding the root of their distress.
B. This response invites the client to express their feelings and thoughts but may come off as interrogative or insensitive, especially if the client is already upset. It might not provide the emotional support the client needs in that moment. A better approach would be to validate their emotions first.
C. This response could be perceived as judgmental or sarcastic, potentially making the client feel invalidated or misunderstood. It does not offer the support they need and may discourage them from expressing their feelings further.
D. This response shows empathy and respect for the client’s feelings. By acknowledging their need for space while also expressing a willingness to engage later, the nurse is providing a supportive approach. It allows the client to feel heard and valued without forcing them to communicate when they may not be ready.

A. Quadriplegia B. Paraplegia C. Paresthesia D. Hemiplegia

Correct Answer is B

Explanation

A. Quadriplegia, also known as tetraplegia, is characterized by paralysis of all four limbs and typically results from injuries at the cervical spine (C1-C8). Since T2-T3 injuries do not affect the cervical region, this option is not applicable.
B. Paraplegia results from spinal cord injuries that occur below the first thoracic vertebra (T1). Injuries at the T2-T3 level primarily affect the lower body, including the legs, pelvic organs, and trunk, but typically leave the arms and hands functional. Therefore, a client with a T2-T3 injury would have paraplegia.
C. Paresthesia refers to abnormal sensations such as tingling, prickling, or numbness. While a person with a spinal cord injury may experience paresthesia in areas below the level of injury, it is not a type of disability. Instead, it is a symptom that may accompany a spinal cord injury.
D. Hemiplegia is characterized by paralysis on one side of the body and usually results from brain injuries or strokes affecting one hemisphere. It is not associated with spinal cord injuries at the T2-T3 level and therefore is not applicable in this context.

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A nurse is caring for a client who is receiving chemotherapy for breast cancer. Which of the following precautions should the nurse perform during administration of oral chemotherapy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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