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 option involves the client in their own care and encourages collaboration, which can foster a sense of control and motivation. By setting attainable goals together, the nurse can help the client see progress and feel empowered, potentially improving their willingness to participate in therapy.
B. While it’s important for clients to understand the consequences of their actions, using privileges as a reward for participation can come off as coercive. This approach might increase resistance and resentment, rather than encouraging the client to engage.
C. This option is punitive and likely to exacerbate the client’s feelings of isolation and withdrawal. Limiting support from family and friends can lead to greater resistance and may worsen the client’s emotional state.
D. Providing some level of control can be beneficial; however, allowing complete control over therapy timing may result in inadequate participation. While offering some choice is important, it needs to be balanced with structured therapy sessions to ensure the client receives the necessary rehabilitation.

A. Overflow incontinence B. Stress incontinence C. Reflex incontinence D. Urge incontinence

Correct Answer is C

Explanation

A. Occurs when the bladder becomes overfilled and leaks due to weak or damaged bladder muscles.
B. Occurs when urine leaks involuntarily during activities that increase abdominal pressure, such as coughing, laughing, or lifting.
C. This type of incontinence occurs when the bladder contracts involuntarily, often without warning. It's caused by damage to the nerves that control the bladder, resulting in loss of voluntary control.
D. Occurs when a person has a sudden, strong urge to urinate and cannot hold it in.

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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

A rehabilitation nurse is caring for a client who has had a spinal cord injury that resulted in paraplegia. After a week on the unit, the nurse notes that the client is withdrawn and increasingly resistant to rehabilitative efforts by the staff. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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