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

Answer and Explanation

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.

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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

A. treatment plan will need to be changed to achieve the desired effect B. cancer has increased in she and metastatic sites C. client is at greater risk for tumor lysis syndrome D. cancer treatment is having desired effect on killing cancer cells

Correct Answer is D

Explanation

A. This is not correct because a decrease in CEA levels typically indicates that the current treatment is having a positive effect on the cancer. If CEA levels were increasing, a change in the treatment plan might be considered, but this is not the case here.

B. An increase in CEA levels is typically associated with disease progression or metastasis, not a decrease. The reduction in CEA levels suggests that the cancer is responding to treatment, not progressing.

C. Tumor lysis syndrome occurs when a large number of cancer cells break down rapidly, releasing their contents into the bloodstream. It is more common with certain aggressive cancers or when large tumor burdens are rapidly shrinking. This client's decreasing CEA levels do not indicate that tumor lysis syndrome is more likely.

D. A decrease in CEA levels is a positive indicator that the chemotherapy is working and reducing the cancer burden, which is the desired effect.

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nurse is caring for a client who is receiving radiation therapy to treat lung cancer. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

A client is receiving 1000 mL 0.9% NaCl at 80 mL/hr. On arrival to the unit at 1500, the client has 400 mL of IV fluid remaining. At what time should the nurse expect to hang a new bag? (please use military time)

Correct Answer is ["2000"]

Explanation

The nurse is reviewing lab results for a client receiving chemotherapy for the treatment of cancer. The nurse notes the carcinoembryonic antigen (CEA) was previously 198 ng/mL and is now 95ng/mL. The nurse is aware this finding indicates the:

Correct Answer is D

Explanation

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