A nurse is providing teaching to a client who has breast cancer about the adverse effects of chemotherapy. Which of the following client statements indicates an understanding of the teaching?

“I will avoid crowds to keep from infecting others”

“I will call my doctor if I notice any unusual menstrual bleeding”

"I will run my toothbrush in the dish washer every month."

"1 will take the antiemetic as soon as the chemotherapy infusion is complete."

Answer and Explanation

The Correct Answer is B

Chemotherapeutic agents suppress the hematopoietic process reducing the number of mature platelets circulating in the blood which increases the risk of bleeding.

A. The client cannot infect others as breast cancer is not infectious. They should, however, avoid crowds to prevent contracting infections as their immunity is suppressed by the chemotherapeutic agents

C. Running the toothbrush in the dish washer increases risk of oral infections which is fatal

D. Prophylactic antiemetics are given before chemotherapy sessions

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Correct Answer is B

Explanation

Ibuprofen is a non-selective nonsteroidal anti-inflammatory drug (NSAID) used to manage pain and inflammation. It prevents the synthesis of protective prostaglandins in the stomach leading to gastric irritation and ulceration. Taking ibuprofen with food reduces the risk of gastrointestinal irritation.

A. Ibuprofen does not cause weight loss

C. Ear ringing is not an expected side effect and any occurrence of such should be reported

D. Ibuprofen is stable at room temperature and does not require refrigeration

A. Document that the client experienced an anaphylactic reaction to the medication. B. Decrease the infusion rate on the IV. C. Apply cold compresses to the neck area. D. Change the IV infusion site.

Correct Answer is B

Explanation

A. The symptoms described (flushing and tachycardia) are not indicative of an anaphylactic reaction, which typically includes symptoms like difficulty breathing, hives, or swelling. Documenting it as an anaphylactic reaction would be misleading and could lead to inappropriate management.
B. Slowing the infusion rate can help mitigate the symptoms of Red Man Syndrome, which is often related to the rate of vancomycin administration. The recommended infusion rate for vancomycin is generally over at least 60 minutes, and reducing the rate can help alleviate symptoms.
C. Applying cold compresses should help with pain but as important like documentation.
D. The infusion should be continued and not used again for the client.

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A nurse is providing teaching to a client who has breast cancer about the adverse effects of chemotherapy. Which of the following client statements indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has a new prescription for ibuprofen to treat hip pain. Which of the following instructions should the nurse include in the teaching?

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Correct Answer is B

Explanation

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