The nurse is assessing a patient with prostate cancer who is receiving chemotherapy.
What findings will the nurse identify as potential toxicities of this treatment? Select All That Apply.
Neutropenia.
Alopecia.
Thrombosis.
Lymphadenopathy.
Infertility.
Correct Answer : A,B,E
Choice A rationale
Neutropenia is a common side effect of chemotherapy for prostate cancer. It involves a low neutrophil count, making patients more susceptible to infections.
Choice B rationale
Alopecia, or hair loss, is a frequent side effect of chemotherapy due to the treatment attacking rapidly dividing cells, including hair follicles.
Choice C rationale
Thrombosis, the formation of blood clots, is not a typical side effect of chemotherapy for prostate cancer. While cancer itself may increase clotting risk, chemotherapy is not directly linked to thrombosis.
Choice D rationale
Lymphadenopathy, the enlargement of lymph nodes, is not a common toxicity of chemotherapy. It may occur in cancer progression or other infections but not directly due to chemotherapy.
Choice E rationale
Infertility can result from chemotherapy as it can harm reproductive cells. Patients may need to discuss fertility preservation methods before starting treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Scheduling colonoscopy screening beginning at age 45 is an example of secondary prevention, which focuses on early detection of diseases in asymptomatic individuals. By identifying precancerous polyps or early-stage colorectal cancer, healthcare providers can intervene earlier, improving outcomes and reducing mortality rates associated with colorectal cancer.
Choice B rationale
Monitoring for signs of secondary malignancies is a part of tertiary prevention, which aims to manage and prevent complications in patients who already have a disease. It does not fit the criteria for secondary prevention, which focuses on early detection before symptoms appear.
Choice C rationale
Reducing consumption of processed meat and alcohol is a primary prevention strategy, aiming to lower the risk of developing cancer in the first place. Primary prevention focuses on preventing the onset of disease through lifestyle and environmental changes, rather than early detection and intervention.
Choice D rationale
Avoiding ultraviolet radiation with the use of sunscreen and sun-protective clothing is also a primary prevention strategy. It aims to prevent skin cancer by reducing exposure to harmful UV rays, thereby lowering the risk of developing cancer from sun damage. .
Correct Answer is D
Explanation
Choice A rationale
Hypoventilation and hypoglycemia are symptoms of untreated hypothyroidism rather than an indicator of effective levothyroxine treatment.
Choice B rationale
Angina and arrhythmias can occur if the dosage of levothyroxine is too high, indicating overmedication rather than effective treatment.
Choice C rationale
Weight gain is a sign of undertreated hypothyroidism and would indicate that the medication is not effective in managing the condition.
Choice D rationale
Normal body temperature and pulse rate indicate that levothyroxine is effectively managing the symptoms of hypothyroidism, as it restores metabolic function to normal levels. .
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