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 D
Explanation
A. Seasonal allergy only
Montelukast may be used for the treatment of allergic rhinitis associated with seasonal allergies, but its primary use is for asthma prevention.
B. Severe asthmatic attacks
Montelukast is not typically used for the treatment of severe asthmatic attacks. Short-acting bronchodilators and systemic corticosteroids are more commonly used in this scenario.
C. Acute bronchospasm
While montelukast has a role in the prevention of bronchospasm, it is not typically used for the acute treatment of bronchospasm. Short-acting bronchodilators are more appropriate for immediate relief of bronchospasm.
D. Maintenance and prevention of asthma
Montelukast (Singulair) is used for the maintenance and prevention of asthma. It is a leukotriene receptor antagonist that works by blocking the action of leukotrienes, which are inflammatory mediators involved in the pathophysiology of asthma. By inhibiting leukotrienes, montelukast helps to reduce airway inflammation and bronchoconstriction, thereby preventing asthma symptoms.
Correct Answer is C
Explanation
A. Tiotropium bromide (Spiriva)
Tiotropium bromide is a long-acting anticholinergic bronchodilator used for maintenance therapy in conditions like chronic obstructive pulmonary disease (COPD). It is not indicated for the immediate relief of acute asthma symptoms.
B. Montelukast (Singulair)
Montelukast is a leukotriene receptor antagonist used for maintenance therapy in asthma. It is not a rescue medication and does not provide immediate relief during an acute asthma attack.
C. Albuterol (Proventil)
In the case of an acute asthma attack, the nurse should prepare to administer a short-acting bronchodilator. Albuterol (Proventil) is a short-acting beta-agonist bronchodilator that provides rapid relief of bronchoconstriction and acute symptoms during an asthma attack.
D. Acetylcysteine (Mucomyst)
Acetylcysteine is a mucolytic agent used to help loosen and thin mucus in the airways. It is not indicated for the immediate relief of bronchoconstriction during an acute asthma attack.
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