The client is receiving induction chemotherapy. Which information is important for the nurse to include in the initial treatment plan?

Physician order for life sustaining treatment.

Encourage low residue foods.

Neutropenic precautions.

An advanced directive

Answer and Explanation

The Correct Answer is C

A. Physician order for life-sustaining treatment: Life-sustaining treatment is not part of the initial chemotherapy plan unless end-of-life decisions are involved. The focus is on managing side effects and preventing complications.

B. Encourage low residue foods: Low-residue foods are not a priority in the initial chemotherapy plan. The primary concern is managing immunosuppression and preventing infections, which makes neutropenic precautions more important.

C. Neutropenic precautions: Neutropenic precautions are crucial during induction chemotherapy to prevent infections due to the lowered white blood cell count. The nurse should educate the client on hygiene and infection prevention.

D. An advanced directive: While important, an advanced directive is not the immediate focus during chemotherapy. The initial plan centers on managing chemotherapy effects and preventing complications like infections.

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Correct Answer is ["B","C","D","E","F","G"]

Explanation

A. Visual disturbances: Visual disturbances are not a typical symptom of ovarian cancer. They are more often associated with conditions such as neurological issues or metabolic disturbances. Ovarian cancer primarily affects the reproductive and gastrointestinal systems.

B. Back pain: Back pain is a common symptom of ovarian cancer, particularly when the tumor grows and presses on surrounding structures. It may also be a result of ascites or metastasis to the lower abdomen or pelvis.

C. Persistent indigestion: Persistent indigestion is a common symptom of ovarian cancer, especially as the tumor grows and puts pressure on the digestive system. It can cause bloating, nausea, and feelings of fullness, often contributing to gastrointestinal discomfort.

D. Pelvic or abdominal pain: Pelvic or abdominal pain is a hallmark symptom of ovarian cancer. As the tumor develops, it may cause discomfort or pain in the pelvic region, often accompanied by bloating or pressure in the lower abdomen.

E. Ascites: Ascites, or the accumulation of fluid in the abdominal cavity, is a classic sign of advanced ovarian cancer. It occurs when cancer spreads to the peritoneum and interferes with the body's ability to drain fluid properly, leading to swelling in the abdomen.

F. Unexplained weight loss: Unexplained weight loss can occur with ovarian cancer, particularly in later stages. This may result from changes in appetite, increased metabolic demand, or complications like ascites.

G. Frequent urination: Frequent urination is a symptom that can be associated with ovarian cancer, particularly when the tumor presses on the bladder. This pressure can lead to the sensation of needing to urinate more often, even if the bladder is not full.

A. Hoarseness B. Increased appetite C. Difficulty swallowing D. Neck swelling E. Constipation

Correct Answer is ["A","C","D"]

Explanation

A. Hoarseness: Hoarseness is a common clinical manifestation of thyroid cancer, especially when the tumor affects the vocal cords or the recurrent laryngeal nerve. This may occur due to direct compression or invasion of the surrounding tissues in the neck, including the larynx.

B. Increased appetite: Increased appetite is associated with hyperthyroidism rather than thyroid cancer itself. Thyroid cancer often does not significantly alter thyroid hormone levels in its early stages, and therefore, an increased appetite is not a direct clinical manifestation.

C. Difficulty swallowing: Difficulty swallowing, or dysphagia, is a common symptom of thyroid cancer, particularly if the tumor enlarges and compresses the esophagus or other structures in the neck. This can interfere with the passage of food through the throat.

D. Neck swelling: Neck swelling, particularly a lump or nodule in the thyroid gland, is one of the most common clinical manifestations of thyroid cancer. The mass can be palpable and is often the first noticeable sign. It may be associated with other symptoms such as pain or difficulty swallowing.

E. Constipation: Constipation is not directly linked to thyroid cancer. While thyroid dysfunction (especially hypothyroidism) may cause constipation, this symptom is not a typical manifestation of thyroid cancer itself.

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The client is receiving induction chemotherapy. Which information is important for the nurse to include in the initial treatment plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following clinical manifestations of ovarian cancer? Select All that Apply.

Correct Answer is ["B","C","D","E","F","G"]

Explanation

Which of the following are clinical manifestations for thyroid cancer? Select all that apply

Correct Answer is ["A","C","D"]

Explanation

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