The nurse is caring for a 28-year-old woman with a new diagnosis of Hodgkin's lymphoma scheduled to begin treatment with chemotherapy and radiation.
The patient states that she is trying to become pregnant.
What is the nurse's best response?

Reassure the patient that radiation and chemotherapy will not affect their ability to become pregnant.

Discuss fertility counseling and contraception options that are available to the patient.

Refer the patient to the social worker to identify an appropriate pregnancy surrogate.

Notify the provider that treatment should be delayed until the patient becomes pregnant.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Chemotherapy and radiation can significantly affect fertility. It would be incorrect to reassure the patient that these treatments will not impact her ability to become pregnant, as these treatments often reduce fertility or cause temporary or permanent infertility.

Choice B rationale

Discussing fertility counseling and contraception options allows the patient to make informed decisions about her reproductive health. Fertility preservation methods, such as egg or embryo freezing, can be considered before starting treatment. This approach respects the patient's desire to become pregnant while acknowledging the impact of cancer treatment.

Choice C rationale

Referring the patient to a social worker for pregnancy surrogacy is premature and not directly addressing the patient's immediate concerns about fertility and treatment. Fertility counseling is a more appropriate initial step.

Choice D rationale

Delaying treatment for cancer to allow for pregnancy can have severe negative impacts on the patient's prognosis and is not advised. Immediate treatment is crucial to control the disease and improve survival chances.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A rationale

Increasing the dose of corticosteroids without consulting a healthcare provider can be dangerous as it can cause serious side effects like immunosuppression, weight gain, and high blood pressure. Patients with Cushing's syndrome already have excess corticosteroids and should avoid additional doses.

Choice B rationale

This statement is incorrect as Cushing's syndrome is not related to a thyroid gland tumor. The treatment for Cushing's syndrome often involves removing a tumor from the adrenal gland or pituitary gland, not the thyroid.

Choice C rationale

Resuming physically intense activities like football should be discussed with a healthcare provider. Patients with Cushing's syndrome may have muscle weakness, osteoporosis, and other health issues that could be exacerbated by high-impact sports.

Choice D rationale

Patients with Cushing's syndrome have a weakened immune system due to high corticosteroid levels. Avoiding infections and promptly reporting any signs of illness, like fever, is crucial for their health.

A. The patient will have one formed bowel movement by the end of the shift. B. The patient's skin will be free of petechiae and purpura by discharge. C. The patient will tolerate meals without reports of nausea by the end of the day. D. The patient will be free from infection by discharge.

Correct Answer is D

Explanation

Choice A rationale

Filgrastim (G-CSF) is used to stimulate the production of white blood cells to decrease the risk of infection. A formed bowel movement is unrelated to the specific outcomes of this medication.

Choice B rationale

While filgrastim can improve overall blood cell counts, its primary goal is to enhance neutrophil counts, rather than addressing skin petechiae or purpura, which may be related to platelet levels.

Choice C rationale

Filgrastim does not target gastrointestinal symptoms such as nausea. Instead, it is aimed at restoring neutrophil levels to reduce infection risk.

Choice D rationale

Filgrastim is specifically designed to increase neutrophil counts, thus helping the patient to be free from infections by discharge, which is a SMART goal.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is caring for a 28-year-old woman with a new diagnosis of Hodgkin's lymphoma scheduled to begin treatment with chemotherapy and radiation.The patient states that she is trying to become pregnant.What is the nurse's best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing discharge teaching to a patient diagnosed with Cushing's syndrome.What statement made by the patient will demonstrate their understanding of the discharge instructions?

Correct Answer is D

Explanation

The nurse is administering filgrastim (G-CSF) to a patient with colorectal cancer after finishing a cycle of chemotherapy.Which SMART Outcome will this intervention help to achieve?

Correct Answer is D

Explanation

The nurse is discussing dietary changes with a patient newly diagnosed with hypoparathyroidism.Which will the nurse encourage the patient to include in their diet?

The nurse is caring for a patient with lymphoma who is receiving chemotherapy.The patient's laboratory results are below.What interventions will the nurse implement related to these results? ANC (Absolute neutrophil count): 2400/mm³. Hemoglobin: 8.4 g/dL. Hematocrit: 25.9%. Platelets: 6,000/mm³.

The nurse has received SBAR report on a patient with Cush and ecchymoses on the upper extremity.What action should the nurse implement first?

The nurse is caring for a patient with lung cancer who suddenly develops shortness of breath, jugular venous distention, and edema in the face, neck, and arms.The nurse promptly notifies the healthcare provider that the patient is exhibiting signs of which oncologic emergency?

The nurse on the oncology unit is caring for a patient receiving chemotherapy for treatment of leukemia.Which patient finding is the nurse's priority for implementing interventions?

The nurse is caring for a patient with Graves Disease and anemia who had a thyroidectomy two days ago.Based on the laboratory results below, which medication will the nurse administer first? Creatinine 1.2 mg/dL. Calcium 8.5 mg/dL. Hemoglobin 12 g/dL. Hematocrit 36%.

The nurse is caring for a patient newly diagnosed with hypothyroidism who has a new prescription for levothyroxine 50 mcg orally.Which interventions will the nurse include in the plan of care? Select All That Apply.

The nurse is caring for a 28-year-old woman with a new diagnosis of Hodgkin's lymphoma scheduled to begin treatment with chemotherapy and radiation.
The patient states that she is trying to become pregnant.
What is the nurse's best response?