Chemotherapy is used in conjunction with other treatment modalities.
Chemotherapy makes the body fluid a biohazard.
A nurse is caring for a client who is scheduled for chemotherapy due to bone metastasis of prostate cancer.
Which of the following statements about chemotherapy made by the nurse is correct?
Chemotherapy is only used as palliative therapy.
Chemotherapy cures prostate cancer that has metastasized to the bone.
Chemotherapy can help control the spread of cancer and improve quality of life.
Chemotherapy is not an effective treatment for bone metastasis.
The Correct Answer is C
Choice A rationale
Chemotherapy is not solely used as palliative therapy. While it can provide palliation by alleviating symptoms and improving quality of life in advanced cancers, it is also used with curative intent in various cancers, especially when combined with other modalities like surgery or radiation, or as neoadjuvant/adjuvant therapy to reduce tumor burden or prevent recurrence.
Choice B rationale
Chemotherapy does not typically cure prostate cancer that has metastasized to the bone. Metastatic prostate cancer is generally considered incurable, though treatable. Chemotherapy aims to control disease progression, reduce tumor burden, alleviate symptoms such as bone pain, and extend life expectancy. It is a systemic treatment targeting rapidly dividing cells throughout the body.
Choice C rationale
Chemotherapy can effectively help control the spread of cancer and improve quality of life. By targeting rapidly dividing cells, chemotherapy reduces tumor size and inhibits further metastasis, thereby slowing disease progression. This can lead to symptom relief, such as decreased pain from bone metastases, allowing for an enhanced quality of life for the client.
Choice D rationale
Chemotherapy is an effective treatment for bone metastasis, particularly in prostate cancer. While it may not cure the metastasis, it plays a crucial role in disease management. It can reduce the tumor burden in the bones, alleviate pain, decrease the risk of skeletal-related events like fractures, and improve overall client outcomes by controlling systemic disease. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
Choice A rationale
Client autonomy is a fundamental ethical principle in healthcare, recognizing the individual's right to make decisions about their own medical information, including disclosure of their diagnosis. This right is protected by privacy regulations such as HIPAA, ensuring confidential patient-provider relationships.
Choice C rationale
Disclosure to intimate partners is critical for public health and the safety of the partner. HIV can be transmitted through unprotected sexual contact or sharing of needles. Informing partners allows them to undergo testing and take necessary precautions, such as using condoms or initiating pre-exposure prophylaxis (PrEP).
Choice D rationale
Certain communicable diseases, including HIV/AIDS, are legally reportable to state health departments to facilitate public health surveillance and intervention. This allows for tracking disease prevalence, identifying transmission patterns, and implementing prevention strategies, while still maintaining client confidentiality.
Choice E rationale
Full disclosure of medical conditions to healthcare providers is essential for safe and effective care. This allows providers to understand the client's overall health status, anticipate potential complications, prevent drug interactions, and implement appropriate infection control measures to protect both the client and healthcare workers.
Correct Answer is A
Explanation
Choice A rationale
Human immunodeficiency virus (HIV) is transmitted through specific body fluids, including blood, semen, pre-ejaculatory fluid, rectal fluids, vaginal fluids, and breast milk. Standard precautions are universally applied infection control practices designed to prevent transmission of infectious agents from recognized or unrecognized sources in healthcare settings. This includes hand hygiene and the use of personal protective equipment.
Choice B rationale
Respiratory isolation, such as airborne or droplet precautions, is implemented for diseases spread via airborne particles or respiratory droplets. HIV is not transmitted through the airborne or droplet route; therefore, respiratory isolation is an unnecessary and inappropriate measure for routine care of an HIV-positive individual.
Choice C rationale
Contact isolation is employed for infections spread by direct or indirect contact with the client or their environment, such as methicillin-resistant Staphylococcus aureus. HIV is not primarily transmitted through casual contact or fomites; thus, contact isolation is not indicated for the daily care of an HIV-positive individual.
Choice D rationale
An isolation gown is a component of personal protective equipment used in contact or droplet isolation to prevent contamination of clothing from splashes or sprays of infectious materials. Since HIV transmission requires direct contact with specific body fluids, a gown is not routinely necessary for providing care unless exposure to such fluids is anticipated. .
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