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 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.
Correct Answer is D
Explanation
A. Decrease viral load:
This is a goal typically associated with antiviral medications, which aim to reduce the amount of virus in the body, commonly seen in the treatment of viral infections like HIV.
B. Kill tumor cells:
This is the goal of many cancer treatments, such as chemotherapy or radiation therapy. These treatments aim to destroy or inhibit the growth of cancer cells.
C. Increase body defenses:
This is a goal often associated with immunotherapy, which aims to enhance the body's immune system to better recognize and attack cancer cells or other pathogens.
D. Relieve symptoms:
This is the primary goal of palliative therapy, which focuses on managing and alleviating symptoms, improving the patient's comfort and quality of life, especially in the context of serious or life-limiting illnesses like cancer.
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