An oncology nurse is caring for a client with Hodgkin lymphoma and providing education. The client asks the nurse why it is necessary to stop drinking and smoking and stay out of the sun. Which response by the nurse would be best?

"It's important to reduce other factors that increase the risk of second cancers."

"These behaviors can reduce the effectiveness of your chemotherapy."

"Avoiding these factors can reduce the risk of Reed-Sternberg cells developing."

"Engaging in these activities increases your risk of hemorrhage."

Answer and Explanation

The Correct Answer is A

A. "It's important to reduce other factors that increase the risk of second cancers.": Smoking, drinking, and sun exposure increase the risk of developing second cancers. Since Hodgkin lymphoma survivors are already at risk for secondary cancers, minimizing these behaviors is critical.

B. "These behaviors can reduce the effectiveness of your chemotherapy.": While smoking and drinking may have general health impacts, they do not reduce chemotherapy's effectiveness. The main concern is not the treatment itself but the risk of developing other cancers.

C. "Avoiding these factors can reduce the risk of Reed-Sternberg cells developing.": Reed-Sternberg cells are a characteristic of Hodgkin lymphoma, but their development isn't influenced by smoking, drinking, or sun exposure.

D. "Engaging in these activities increases your risk of hemorrhage.": While certain cancers and treatments can increase bleeding risks, this is not the primary concern related to smoking, drinking, and sun exposure.

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Correct Answer is C

Explanation

A. An occupational therapist who works with a client who has HIV: Occupational therapists typically do not come into direct contact with blood or other potentially infectious body fluids, so their risk of contracting HIV is generally low.

B. A nurse who works for an insurance company and collects urine samples from clients who have HIV: Collecting urine samples does not typically involve direct exposure to blood or high-risk body fluids. The risk of HIV transmission in this case is minimal.

C. A phlebotomist who collects blood from clients who have HIV: Phlebotomists have a higher risk of contracting HIV because they handle blood, which is a primary route of transmission for the virus. Even though standard precautions are taken, the risk remains higher compared to other roles.

D. A personal trainer who works with a client who has HIV: Personal trainers generally do not have direct exposure to blood or body fluids and therefore face a much lower risk of HIV transmission.

A. Limit the number of health care workers entering the room. B. Provide the client with fresh fruit to avoid constipation. C. Insert an indwelling catheter to monitor sediment in the urine. D. Take the client's temperature once per shift.

Correct Answer is A

Explanation

A. Limit the number of health care workers entering the room: Reducing the number of healthcare workers entering the room minimizes the risk of exposing the client to potential infections. This is especially important during chemotherapy when the client's immune system is suppressed.

B. Provide the client with fresh fruit to avoid constipation: Fresh fruit can carry the risk of bacterial contamination, especially for immunosuppressed clients. Instead, the nurse should focus on safe, low-risk foods and consider alternatives to prevent constipation, such as fiber supplements or medications.

C. Insert an indwelling catheter to monitor sediment in the urine: Indwelling catheters increase the risk of urinary tract infections, especially in immunosuppressed clients. Catheters should only be used when absolutely necessary to reduce the risk of infection.

D. Take the client's temperature once per shift: Taking the client's temperature once per shift is insufficient for detecting fever, which is a critical sign of infection in immunosuppressed clients. The client should have their temperature checked more frequently to catch any signs of infection early.

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An oncology nurse is caring for a client with Hodgkin lymphoma and providing education. The client asks the nurse why it is necessary to stop drinking and smoking and stay out of the sun. Which response by the nurse would be best?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A group of nurses are discussing risk factors for transmission of human immunodeficiency virus (HIV) from clients. Which of the following individuals should the nurse identify as being at the greatest risk for contracting HIV?

Correct Answer is C

Explanation

A nurse is planning care for a client who has immunosuppression following chemotherapy. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is A

Explanation

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