A nurse is preparing a client for a radiation treatment who is postoperative following a mastectomy.The nurse should inform the client to expect which of the following adverse effects from the radiation treatment?

Diarrhea.

Anorexia.

Alopecia.

Fatigue.

Answer and Explanation

The Correct Answer is D

Choice A rationale
Diarrhea is not a typical adverse effect of radiation treatment for breast cancer; gastrointestinal symptoms are more common with abdominal or pelvic radiation.
Choice B rationale
Anorexia, or loss of appetite, can occur but is not as common as fatigue for clients undergoing radiation treatment.
Choice C rationale
Alopecia can occur with chemotherapy, but it is less common with radiation therapy unless the radiation is directed at the scalp.
Choice D rationale
Fatigue is a common and expected adverse effect of radiation therapy due to the body's response to treatment and tissue repair processes.

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Correct Answer is A

Explanation

Choice A rationale
Monitoring the client’s hydration status is critical for older adults, especially those on a medical-surgical unit, to prevent dehydration, which can lead to serious complications such as renal impairment, confusion, and electrolyte imbalance.
Choice B rationale
Encouraging physical activities is beneficial but is not always feasible or safe for all older clients, especially those with certain medical conditions or mobility limitations.
Choice C rationale
Administering medications as prescribed is essential but is a standard practice for all clients and not specific to older adults' unique needs.
Choice D rationale
Educating the client on dietary needs is important but secondary to monitoring hydration, which addresses more immediate physiological needs and complications.

A. Joint pain in hands and knees. B. Dry, raised rash on the face. C. Client report of feelings of depression. D. Presence of peripheral edema.

Correct Answer is D

Explanation

Choice A rationale
Joint pain in hands and knees is a common symptom of SLE due to inflammation but is not immediately life-threatening. It requires management but is not the highest priority.
Choice B rationale
A dry, raised rash on the face, such as a malar rash, is common in SLE and should be monitored and treated, but it is not immediately life-threatening.
Choice C rationale
Feelings of depression are serious and need addressing but are not an immediate threat to physical health. Depression is often associated with chronic illnesses and requires comprehensive mental health support.
Choice D rationale
Presence of peripheral edema could indicate renal involvement or cardiac issues in SLE, which can be life-threatening. It is crucial to address this finding urgently to prevent complications such as renal failure or severe cardiovascular events.

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A nurse is preparing a client for a radiation treatment who is postoperative following a mastectomy.The nurse should inform the client to expect which of the following adverse effects from the radiation treatment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an older client on a medical-surgical unit.Which of the following interventions should be included in the plan of care?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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