A nurse is educating a client who was recently diagnosed with cancer and tells the nurse they are worried about infertility following radiation treatment. Which of the following interventions should the nurse recommend?
Use chemotherapy instead of radiation.
Use fertility medications during treatment.
Use radiation shielding techniques.
Use surgical interventions to remove the cancer.
The Correct Answer is C
Choice A reason:
Using chemotherapy instead of radiation may not be a viable option as the treatment plan is based on the type and stage of cancer. Chemotherapy can also affect fertility, so it is not a direct solution to the concern of infertility.
Choice B reason:
Fertility medications during treatment might help preserve fertility, but they do not address the direct impact of radiation on reproductive organs. Additionally, the use of such medications should be discussed with an oncologist and a fertility specialist.
Choice C reason:
Radiation shielding techniques involve using protective shields to limit radiation exposure to the reproductive organs. This can help reduce the risk of infertility caused by radiation, especially when the pelvic area is involved in the treatment.
Choice D reason:
Surgical interventions to remove the cancer may be part of the treatment plan, but they do not directly address the concern of radiation-induced infertility. Surgery can also result in infertility, depending on the organs involved and the extent of the procedure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
Bradycardia, or a heart rate that is slower than normal, is not a common finding in anemia. Anemia typically results in a compensatory increase in heart rate, known as tachycardia, to maintain adequate oxygen delivery to tissues.
Choice B reason:
Diarrhea is not a direct symptom of anemia. While it can be a postoperative complication due to various reasons, such as medication side effects or infections, it is not a symptom associated with anemia resulting from excess blood loss.
Choice C reason:
Fatigue is a hallmark symptom of anemia, regardless of the cause. When anemia is due to excess blood loss, the body's oxygen-carrying capacity is diminished due to the reduced number of red blood cells. This leads to fatigue, as tissues and organs receive less oxygen than is needed for optimal function.
Choice D reason:
Hypertension is not typically associated with anemia. In fact, anemia can sometimes lead to hypotension, or low blood pressure, because of the reduced volume of red blood cells in the circulatory system.
Correct Answer is D
Explanation
Choice A reason:
Venous thromboembolism (VTE) is a condition where blood clots form in the deep veins, usually in the legs. While VTE is a risk following trauma and immobilization, the acute onset of shortness of breath and chest pain is less typical for VTE, which more commonly presents with leg pain and swelling.
Choice B reason:
Hypovolemic shock occurs due to significant blood or fluid loss, leading to decreased blood volume and inadequate circulation. While it can result from a motor-vehicle crash, the client's symptoms of shortness of breath and chest pain are not the most indicative of hypovolemic shock, which typically presents with rapid pulse, low blood pressure, and cold, clammy skin.
Choice C reason:
Compartment syndrome is a surgical emergency where increased pressure within the muscle compartments impairs circulation and nerve function. It presents with severe pain, swelling, and sometimes paralysis of the affected limb, but it does not typically cause shortness of breath or chest pain.
Choice D reason:
Fat embolism syndrome (FES) is a serious complication that can occur after long bone fractures. Fat globules may enter the bloodstream and travel to the lungs, leading to respiratory distress, which can manifest as shortness of breath and chest pain. FES can also cause neurological symptoms and a petechial rash. Given the client's symptoms and recent trauma, FES is a likely complication and requires immediate assessment and intervention.
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