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 monitoring temperature can be important in assessing for infection or other complications post-surgery, it is not the priority assessment directly related to the administration of morphine. Temperature does not provide immediate information about the patient's respiratory status or opioid effects.
B. Monitoring the apical heart rate is important, especially in patients who may have cardiovascular issues or who are taking medications that can affect heart rate. However, it is not the most immediate concern when administering morphine, as the primary risk with opioids is respiratory depression rather than significant changes in heart rate.
C. Blood pressure is an important vital sign to assess, especially after surgery, but the risk of morphine primarily involves respiratory function. While changes in blood pressure can occur with opioid use, they are less critical compared to assessing the respiratory rate.
D. This is the correct priority assessment before administering morphine. Opioids like morphine can cause respiratory depression, which is a serious side effect. Monitoring the respiratory rate allows the nurse to identify any signs of respiratory distress or depression, ensuring that the patient is safe to receive the medication.

A. Complete a neurological check on the client. B. Place the client in a rigid cervical collar. C. Open the client's airway using the jaw-thrust maneuver. D. Evaluate the client for other injuries.

Correct Answer is C

Explanation

A. While neurological assessments are important in understanding the extent of injury, they are not the immediate priority when a client is not breathing. The focus should be on ensuring airway patency and resuscitation.
B. Stabilizing the cervical spine is essential if there is a suspected fracture. However, if the client is not breathing, securing the airway is the most urgent need. Placing a collar can come after addressing the airway.
C. The jaw-thrust maneuver is specifically designed to open the airway without flexing the neck, which is crucial in suspected cervical spine injuries. Ensuring that the airway is open is the top priority for an unresponsive client who is not breathing.
D. While evaluating for other injuries is necessary in the context of a motor vehicle accident, this should occur after securing the airway. The primary concern is to address the life-threatening issue of the client not breathing.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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