A patient tells the oncology nurse about an upcoming vacation to the beach to celebrate completing radiation treatments for cancer. What response by the nurse is most appropriate?
Select one:
"Avoid getting salt water on the radiation site."
"Remember you should not drink alcohol for a whole year."
"Have a wonderful time and enjoy your vacation."
"Do not expose the radiation area to direct sunlight."
The Correct Answer is D
A. While cleanliness and avoiding irritation are important, salt water is generally not harmful unless the skin is still healing or open. Sun exposure is the bigger concern.
B. There is no universal recommendation to avoid alcohol for a year after radiation, unless specifically advised by the healthcare provider for medical reasons.
C. While supportive, this response does not provide essential safety guidance regarding radiation treatment aftercare.
D. Skin that has been exposed to radiation is very sensitive and prone to damage from UV rays. Patients are advised to keep the treated area protected from sunlight for an extended period, even after treatment ends, to avoid burns or pigmentation changes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This is a hallmark sign of diabetic ketoacidosis (DKA). The fruity or acetone-like smell results from the accumulation of ketones, a byproduct of fat metabolism in the absence of adequate insulin.
B. DKA is characterized by hyperglycemia, typically with blood glucose levels well above 250 mg/dL, not hypoglycemia.
C. Malignant hypertension is not typically associated with DKA. While dehydration and electrolyte imbalances may affect blood pressure, malignant hypertension is a separate and unrelated condition.
D. DKA is associated with Kussmaul respirations—deep, rapid breathing to compensate for metabolic acidosis—not the cyclical pattern of Cheyne-Stokes.
Correct Answer is B
Explanation
A. While nausea and vomiting are common side effects of many chemotherapy agents, this is not specific to vesicants, which are drugs that can cause tissue damage if they leak outside the vein.
B. Vesicant chemotherapy agents can cause severe tissue damage, necrosis, and ulceration if they extravasate (leak into surrounding tissue). Close monitoring of the IV site for signs of redness, swelling, or pain is essential.
C. This may indicate gastrointestinal or bladder irritation from other types of chemotherapy agents, but it is not the hallmark concern with vesicants.
D. This is unrelated to vesicant properties. Orthostatic hypotension may occur from dehydration or autonomic effects, but not from vesicant infiltration.
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