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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["25"]
Explanation
Convert the desired dose from grams (g) to milligrams (mg).
1 g = 1000 mg
Desired dose = 1 g
= 1000 mg.
Available concentration = 200 mg/5 mL.
Calculate the volume to administer.
Volume (mL) = Desired dose (mg) / (Available concentration (mg) / Available volume (mL))
= 1000 mg / (200 mg / 5 mL)
= 1000 mg × (5 mL / 200 mg)
= (1000 × 5) / 200 mL
= 5000 / 200 mL
= 25 mL.
Correct Answer is B
Explanation
A. Auscultate lung fields: Auscultating the lungs is important for assessing the condition of the lungs, but it is not the first action. Vital signs should be assessed first to ensure the client is stable before proceeding with any treatment or procedure.
B. Assess pulse and respirations: This is the first step in preparing the client for percussion, vibration, and postural drainage. Assessing the pulse and respirations ensures that the client is hemodynamically stable and able to tolerate the procedure.
C. Assess characteristics of her sputum: While evaluating the sputum is important for monitoring the effectiveness of treatment, it is not the first action to take. Ensuring the client’s respiratory status is stable is the priority.
D. Instruct to slowly exhale with pursed lips: While this technique can help with breathing and promoting airway clearance, it is not the first step before performing percussion and drainage. The client’s vital signs should be checked first to ensure they are stable enough for the procedure.
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