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).
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is B
Explanation
A. Relieves nasal congestion
Dornase alfa is not used to relieve nasal congestion. It is specifically designed to address the thick, sticky mucus that can accumulate in the airways of individuals with cystic fibrosis (CF).
B. Decreases thick secretions
This is the correct answer. Dornase alfa is known for its ability to decrease the viscosity of thick secretions in the airways of individuals with CF. By breaking down the DNA within the mucus, it helps to thin and improve the clearance of the mucus.
C. Decreases pain
Dornase alfa is not primarily used to decrease pain. Its main action is related to improving respiratory function by reducing the thickness of mucus, which can help ease breathing difficulties associated with CF.
D. Suppresses cough
Dornase alfa is not used to suppress cough. In fact, it may increase coughing initially as it facilitates the loosening and clearance of mucus from the airways.
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