Mr. Johnson is a 56 year-old male who is being treated for cancer of the bladder. He is receiving chemotherapy and the RN noticed that the oncologist has instructed the patient to drink 2-3 liters of water per day. In addition to staying hydrated, what is another rationale for encouraging fluid intake for this client?
To help prevent Tumor Lysis Syndrome.
Staying hydrated decreases oral dryness that patient may exhibit as a result of chemotherapy.
To help prevent new onset diabetes mellitus.
Because it is better to encourage water Vs. carbonated beverages.
The Correct Answer is A
A. To help prevent Tumor Lysis Syndrome.
Encouraging fluid intake is crucial for patients undergoing chemotherapy, especially when there's a risk of Tumor Lysis Syndrome (TLS). TLS is a potentially serious complication that can occur when cancer cells release their contents into the bloodstream, leading to metabolic imbalances. Adequate hydration helps prevent the concentration of these released substances and reduces the risk of TLS.
B. Staying hydrated decreases oral dryness that the patient may exhibit as a result of chemotherapy.
While hydration is generally important for overall well-being, oral dryness is not typically a direct consequence of bladder cancer chemotherapy. It might be a side effect of certain medications, but the primary concern in this case is likely related to preventing TLS.
C. To help prevent new onset diabetes mellitus.
The rationale for fluid intake in the context of bladder cancer chemotherapy is not typically related to preventing new onset diabetes mellitus. The primary focus is usually on managing potential side effects of chemotherapy and promoting overall health.
D. Because it is better to encourage water Vs. carbonated beverages.
While encouraging water over carbonated beverages is generally a healthy choice, the primary rationale for increased fluid intake in the context of bladder cancer chemotherapy is more specific and related to preventing Tumor Lysis Syndrome.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Explanation:
A. Administer phenergan (Promethazine) 12.5 mg IVP at the first complaint of nausea.
This option suggests waiting until the patient complains of nausea before administering the antiemetic. It is not a proactive approach and may not effectively prevent nausea associated with chemotherapy.
B. Administer ondansetron (Zofran) 4mg IV Push after Ms. Samuels complains of nausea.
Similar to option A, this choice involves waiting for the patient to experience nausea before administering the medication. Again, it is not a proactive strategy for preventing chemotherapy-induced nausea and vomiting.
C. Administer ondansetron (Zofran) 4mg IV push sometime between 1300-1330.
This option is the most appropriate among the given choices. It suggests administering the antiemetic (ondansetron) before the scheduled chemotherapy session. Ondansetron is commonly used as a prophylactic measure to prevent nausea and vomiting associated with chemotherapy.
D. Administer phenergan (Promethazine) 25 mg PO at 1345.
This choice involves administering the antiemetic (phenergan) orally just 15 minutes before the scheduled chemotherapy session. While it is better than waiting for symptoms to appear, oral medications may take some time to be absorbed, and it might not provide as rapid relief as an intravenous (IV) medication.
Correct Answer is C
Explanation
A. "My provider will prescribe prophylactic antibiotics."
While antibiotics may be prescribed if there is a bacterial infection or exacerbation, they are not typically used prophylactically in all cases of mild emphysema.
B. "My condition is reversible with proper medications."
Emphysema is a chronic and typically irreversible condition. While medications can help manage symptoms and improve quality of life, they do not generally reverse the damage caused by emphysema.
C. "I should use albuterol (Proventil) when my symptoms worsen."
Albuterol (Proventil) is a short-acting beta-agonist bronchodilator, and it is commonly used as a rescue inhaler to provide quick relief of symptoms such as shortness of breath and wheezing in patients with conditions like emphysema. Using albuterol as needed during symptom exacerbations aligns with appropriate management of mild emphysema.
D. "I will need to take oral prednisone on a daily basis."
Daily use of oral prednisone is not a standard treatment for mild emphysema. Prednisone is a corticosteroid that may be used in certain situations, such as during exacerbations, but its long-term use carries potential risks and is generally avoided unless necessary.
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