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 A

Explanation

A. This statement reflects an active effort to adapt to the new circumstances. The client is utilizing adaptive equipment and recognizing their progress, even if there are still challenges. This shows resilience and a willingness to engage in self-care, indicating positive adaptation.
B. While this statement indicates the client has the necessary equipment, preferring a bed bath suggests a lack of willingness to engage with the shower setup. This may reflect resistance to trying new methods of independence, indicating less adaptation to the home environment.
C. This statement suggests the client is avoiding social interactions and activities outside the home. It indicates a level of withdrawal and a possible struggle with adjustment, rather than an adaptation to their new lifestyle.
D. This statement does not necessarily reflect healthy adaptation. While enjoying life is important, reliance on alcohol for pleasure may suggest avoidance of other coping mechanisms or activities that could promote better adaptation. It may indicate an unhealthy adjustment to their situation.

A. The client has some movement and also some sensation below the level of the injury. B. The client has some movement but no sensation below the level of the injury. C. The client has some sensation but no movement below the level of the injury. D. The client has no sensation or movement below the level of the injury.

Correct Answer is D

Explanation

A. A complete spinal cord injury means that both sensory and motor functions are lost below the level of the injury. If the client had some movement and sensation, it would indicate an incomplete injury, which is not consistent with a complete transection.
B. This option describes a situation known as "motor incomplete," where there is preserved motor function but loss of sensory function below the level of injury. However, in a complete transection at C7, there would be no movement or sensation below that level, making this statement inaccurate.
C. This describes a condition where sensory pathways remain intact while motor pathways are disrupted, which is seen in incomplete spinal cord injuries. However, a complete transection at C7 would mean both movement and sensation are absent below the injury level, making this option incorrect.
D. In the case of a complete spinal cord transection at C7, the client would experience total loss of both sensation and movement below that level. This is consistent with the definition of a complete spinal cord injury.

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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 A

Explanation

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Correct Answer is D

Explanation

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