The clinic nurse is caring for an adult oncology client who reports extreme fatigue and weakness after the first week of radiation therapy. Which response by the nurse would best reassure this client?
"These symptoms usually result from radiation therapy; however, we will continue to monitor your laboratory studies and test results."
"Even though it is uncomfortable, this is a good sign. It means that only the cancer cells are dying."
"Try not to be concerned about these symptoms. Every client feels this way after having radiation therapy."
"These symptoms are part of your disease and are an unfortunately inevitable part of living with cancer."
The Correct Answer is A
A. "These symptoms usually result from radiation therapy; however, we will continue to monitor your laboratory studies and test results.": Fatigue and weakness are common side effects of radiation because of the body’s increased energy demands and potential effects on bone marrow.
B. "Even though it is uncomfortable, this is a good sign. It means that only the cancer cells are dying.": Radiation affects both healthy and cancerous cells. Suggesting that fatigue is proof of treatment effectiveness can minimize the client’s distress and erode trust if the symptoms worsen.
C. "Try not to be concerned about these symptoms. Every client feels this way after having radiation therapy.": This dismisses the client’s unique experience and generalizes their condition. Clients need validation of their concerns, not minimization, and care must be tailored to their individual response to treatment.
D. "These symptoms are part of your disease and are an unfortunately inevitable part of living with cancer.": This statement is discouraging and increases hopelessness by linking fatigue only to the disease rather than treatment. It does not provide reassurance or promote collaborative management strategies.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["25"]
Explanation
Calculation:
Ordered infusion rate = 1,000 units/hour.
- Identify the available concentration of the solution.
Available concentration = Total units / Total volume
= 20,000 units / 500 mL
= 40 units/mL.
- Calculate the infusion pump setting in milliliters per hour (mL/hr).
Pump setting (mL/hr) = Ordered rate (units/hr) / Available concentration (units/mL)
= 1,000 units/hr / 40 units/mL
= 25 mL/hr.
Correct Answer is D
Explanation
A. "I'll not use my heating pad during my treatment.": Heat can increase skin irritation in areas receiving radiation. Avoiding additional heat helps prevent burns and further tissue damage.
B. "I'll wear protective clothing when outside.": Clothing can protect sensitive skin from UV exposure and reduce irritation, which is important for clients undergoing radiation therapy.
C. "I'll wash my skin with mild soap and water only.": Gentle cleansing preserves skin integrity in the radiation field and prevents further irritation or breakdown from harsh soaps or scrubbing.
D. "I'm worried I'll expose my family members to radiation.": External beam radiation therapy does not make the client radioactive, so there is no risk of exposing family members.
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