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,A,B
Explanation
The correct order for administering ipratropium bromide (Atrovent), albuterol (Proventil), and an inhaled glucocorticoid (steroid) to treat chronic bronchitis is:
C. Ipratropium bromide (Atrovent), albuterol (Proventil), glucocorticoid (steroid)
Here's the rationale for this order:
Ipratropium bromide (Atrovent): Ipratropium is an anticholinergic bronchodilator that helps to relax the muscles around the airways, allowing for increased airflow. It is typically recommended to use ipratropium before other bronchodilators to maximize their effectiveness.
Albuterol (Proventil): Albuterol is a short-acting beta-agonist bronchodilator. It works by relaxing the muscles in the airways, leading to improved airflow. Using it after ipratropium further promotes bronchodilation.
Glucocorticoid (steroid): Inhaled glucocorticoids have anti-inflammatory effects and help to reduce airway inflammation. Using the glucocorticoid last allows it to reach the airways and exert its anti-inflammatory effects.
Correct Answer is C
Explanation
A. Restrict the client’s intake of fluids.
Fluid restriction is not a standard intervention during the administration of monoclonal antibodies.
B. Premedicate the client with morphine.
Morphine is not a standard premedication for monoclonal antibody infusions. Premedication may be used in some cases, but the specific medications used depend on the patient's individual needs and the nature of the monoclonal antibody being administered.
C. Stay with the client during the first 15 minutes of the infusion.
The rationale for staying with the client during the initial part of the infusion is to monitor for any immediate hypersensitivity reactions or infusion-related adverse events, which can sometimes occur early in the infusion process. This allows the nurse to respond promptly if the client experiences any adverse reactions.
D. Assess the client for the development of ototoxicity.
Ototoxicity (hearing loss) is not a common concern with monoclonal antibody infusions. The focus of assessment during the infusion is primarily on immediate hypersensitivity reactions and other infusion-related adverse events.
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