A nurse is teaching a client who has esophageal cancer and is scheduled to start radiation therapy. Which of the following instructions should the nurse include in the teaching?
Use a washcloth to bathe the treatment area.
Remove the dye markings after each radiation treatment.
Avoid sun exposure from 1100 to 1600.
Wear clothing over the area of radiation treatment.
The Correct Answer is A
Choice A reason: Clients receiving radiation therapy should use gentle methods to clean the treatment area, such as a soft washcloth, to avoid irritating the skin. The skin in the treatment field is highly sensitive and prone to breakdown, so gentle care is essential.
Choice B reason: Dye markings are used to guide radiation therapy and must remain intact throughout the course of treatment. Removing them would interfere with accurate targeting of the radiation beam.
Choice C reason: While avoiding sun exposure is generally good advice, the specific instruction for radiation therapy is to protect the treatment area from trauma and irritation. Sun avoidance is important, but the more direct teaching point is gentle cleansing.
Choice D reason: Clothing should not rub or irritate the treatment area. Loose, soft clothing is recommended, but simply wearing clothing over the area is not the key teaching point. The priority is protecting the skin from irritation and maintaining the markings.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Stoma size changes during the healing process. Initially, the stoma may be swollen, but over several weeks it shrinks and stabilizes. Saying the stoma size will remain the same even after healing is incorrect and shows a lack of understanding of normal stoma healing.
Choice B reason: An ileostomy typically drains liquid to semi-liquid stool that is often greenish in color due to bile pigments. This statement demonstrates accurate understanding of expected stoma output. Recognizing normal drainage helps the client differentiate between expected findings and complications such as blockage or infection.
Choice C reason: Pouch systems should generally be changed every 3 to 7 days, depending on the type of system and the client’s skin condition. Waiting 2 weeks would risk leakage, odor, and skin breakdown. Therefore, this statement reflects incorrect understanding of ileostomy care.
Choice D reason: Enteric-coated medications should be avoided in clients with ileostomies because the shortened transit time through the intestine prevents proper absorption. Medications should be in liquid, chewable, or non–enteric-coated forms. This statement indicates misunderstanding of medication management with an ileostomy.
Correct Answer is A
Explanation
Choice A reason: Warfarin is an anticoagulant, and when combined with eptifibatide, which is a glycoprotein IIb/IIIa inhibitor that prevents platelet aggregation, the risk of severe bleeding increases significantly. This drug interaction is contraindicated because it can lead to life-threatening hemorrhage. This makes Warfarin the correct answer.
Choice B reason: Metoprolol is a beta-blocker used for hypertension and cardiac conditions. It does not directly interact with eptifibatide in a way that increases bleeding risk. Therefore, it is not contraindicated.
Choice C reason: Sertraline is an SSRI antidepressant. While SSRIs can increase bleeding risk slightly due to platelet effects, they are not considered absolute contraindications with eptifibatide. The risk is lower compared to anticoagulants like warfarin.
Choice D reason: Lisinopril is an ACE inhibitor used for hypertension and heart failure. It does not have a direct interaction with eptifibatide that would contraindicate use. While monitoring for hypotension and renal function is necessary, it is not a contraindication.
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