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Mrs. Miller is a 34 year-old who just successfully completed chemotherapy for breast cancer. Which of the following should the RN include in her plan of care?

Avoid elevated altitudes of greater than 2,000 feet (if possible) and air travel for 2-4 weeks (depending on the oncologist’s advice).

Avoid foods high in purine for 30-90 days (depending on the oncologist’s advice).

Avoid sun exposure for 60-90 days following chemotherapy (depending on oncologist’s advice).

Have a solid plan for contraception for 3 months to 2 years (depending on the oncologist’s advice).

Answer and Explanation

The Correct Answer is C

A. Avoid elevated altitudes of greater than 2,000 feet (if possible) and air travel for 2-4 weeks (depending on the oncologist’s advice):

Altitude and air travel restrictions are not common recommendations after completing chemotherapy.

B. Avoid foods high in purine for 30-90 days (depending on the oncologist’s advice):

Restrictions on foods high in purine are not typically associated with post-chemotherapy care.

C. Avoid sun exposure for 60-90 days following chemotherapy (depending on oncologist’s advice):

Chemotherapy can make the skin more sensitive to sunlight. Advising the patient to avoid sun exposure or take precautions such as using sunscreen can help prevent skin damage during this period.

D. Have a solid plan for contraception for 3 months to 2 years (depending on the oncologist’s advice):

Contraception considerations may be important, but the timeframe mentioned is not a standard recommendation following chemotherapy completion. The need for contraception may vary depending on the patient's overall health, reproductive goals, and specific chemotherapy drugs received. This decision is usually discussed with the healthcare provider on an individual basis.

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Correct Answer is ["A"]

Explanation

A. “Drink extra water while taking this medication.”

This is correct. Guaifenesin is an expectorant that works by thinning and loosening mucus in the airways. Drinking extra water helps to enhance its effectiveness by keeping the patient well-hydrated.

B. “Monitor urine output closely.”

Monitoring urine output is not typically necessary with guaifenesin. It does not have a diuretic effect, and excessive monitoring of urine output may not be relevant in this context.

C. “Take it with an oral antihistamine for better effectiveness.”

Guaifenesin is often used in combination with other medications, but taking it with an oral antihistamine is not a standard recommendation. The combination should be based on the specific guidance of the healthcare provider.

D. “Avoid driving or using heavy machinery while on this medication.”

Guaifenesin does not typically cause sedation or impairment, so there is generally no need to avoid driving or using heavy machinery. This instruction may not be necessary for this medication.

A. Chest Xrays B. Echocardiogram C. Pulmonary function tests D. Cardiac catherization

Correct Answer is ["A","B","C"]

Explanation

A. Chest X-rays

Chest X-rays are imaging tests that provide detailed pictures of the inside of the chest, including the heart, lungs, and other structures. They are noninvasive as they do not involve any penetration or insertion into the body.

B. Echocardiogram

An echocardiogram is a noninvasive test that uses sound waves to create images of the heart. It provides information about the structure and function of the heart without the need for invasive procedures.

C. Pulmonary function tests

Pulmonary function tests (PFTs) are noninvasive tests that assess the function of the lungs. They include various breathing exercises and measurements to evaluate lung capacity and respiratory function.

D. Cardiac catheterization

Cardiac catheterization is an invasive procedure that involves the insertion of a catheter into the heart. It is not considered noninvasive.

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Mrs. Miller is a 34 year-old who just successfully completed chemotherapy for breast cancer. Which of the following should the RN include in her plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has the feeling of having “chest tightness” while experiencing “cold-like” symptoms. Her cough is nonproductive. Her physician prescribed guaifenesin (Mucinex) to help with secretions. When teaching about this medication, what should the nurse instruct? (Select all that apply)

Correct Answer is ["A"]

Explanation

Many patients who are undergoing chemotherapy treatment require both invasive and noninvasive tests to be conducted to rule out, or monitor, organ toxicities. Please select which routine tests are considered noninvasive: (Select all that apply)

Correct Answer is ["A","B","C"]

Explanation

The oncology RN knows that the most important reason that patients who are undergoing chemotherapy have either intravenous ports, central lines, or peripherally inserted central line is:

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