nurse is caring for a client who is receiving radiation therapy to treat lung cancer. Which of the following actions should the nurse take?
Examine the skin for generalized urticaria.
Observe for signs of infection.
Review laboratory test results for low hemoglobin.
Monitor the mouth for signs of xerostomia
The Correct Answer is B
A. Urticaria (hives) is not a common side effect of radiation therapy. The skin should be examined for localized radiation-induced skin changes, such as erythema or dryness, rather than generalized urticaria.
B. Radiation therapy can weaken the immune system, increasing the risk of infection. The nurse should monitor for signs of infection, especially in areas affected by radiation, as the skin and mucous membranes can become more vulnerable.
C. Low hemoglobin is not a direct or immediate concern related to radiation therapy for lung cancer. However, it could occur if the patient experiences bone marrow suppression, but this is not typically the primary concern for radiation therapy to the lung.
D. Xerostomia (dry mouth) is more commonly associated with radiation therapy to the head and neck area. Radiation to the lungs generally does not affect salivary glands, so monitoring for xerostomia is not necessary in this case.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2000"]
Explanation
Answer: 2000
Rationale:
Step 1: Determine the volume remaining
400 mL of IV fluid is left.
Step 2: Determine the infusion rate
80 mL/hour
Step 3: Calculate the time it will take to infuse the remaining fluid:
Time = Volume ÷ Rate
Time = 400 mL ÷ 80 mL/hour = 5 hours
Step 4: Add the infusion time to the current time
Arrival time = 1500
1500 + 5 hours = 2000
Correct Answer is D
Explanation
A. Radiation oncology is focused on the use of radiation therapy to treat cancer. Since the patient has decided not to continue with treatment, this specialty would not be the most appropriate recommendation in this situation.
B. Hospice care is designed to provide comfort and support for individuals with terminal illnesses who are no longer seeking curative treatments. It focuses on improving the quality of life, pain management, and providing emotional and spiritual support for the patient and their family. This is the most appropriate referral in the context of a terminal cancer diagnosis where the patient has chosen to discontinue curative treatment.
C. Psychiatry may be helpful if the patient is experiencing significant emotional or psychological distress, but it is not the primary specialty needed for a terminal cancer patient who is opting for comfort-focused care.
D. Surgical oncology would be involved if surgery were part of the cancer treatment plan. Since the patient has chosen not to continue treatment, surgery is unlikely to be appropriate at this time.
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