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.

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Correct Answer is B

Explanation

Choice A rationale

Routine prophylactic radiation therapy is not recommended for breast cancer survivors as it can lead to additional health issues such as secondary cancers and tissue damage. It is not a standard survivorship care practice.

Choice B rationale

Regular mammography screenings are crucial for early detection of breast cancer recurrence or new primary breast cancers. It is a standard component of survivorship care.

Choice C rationale

Coordinating with hospice care is more relevant for end-of-life care rather than survivorship care. Survivorship care focuses on maintaining health and monitoring for recurrence, not on palliative care planning.

Choice D rationale

Survivorship care is important throughout a patient's life, not just the first five years after remission. Continuous monitoring and health promotion are essential to detect any late effects of cancer treatment and maintain overall health.

A. Regular insulin 10 units subcutaneous. B. Chlorothiazide 750 mg intravenous. C. Calcitonin 300 international units subcutaneous. D. Calcitriol 0.75 mcg orally.

Correct Answer is C

Explanation

Choice A rationale

Regular insulin 10 units subcutaneous is used to lower blood glucose levels in hyperkalemia. While insulin can help shift potassium into cells, it is not indicated for hypercalcemia or hyperparathyroidism. Regular insulin would not address the elevated calcium levels in this patient.

Choice B rationale

Chlorothiazide 750 mg intravenous is a diuretic that can increase calcium reabsorption in the kidneys, potentially worsening hypercalcemia. It is contraindicated in hyperparathyroidism because it can exacerbate the high calcium levels and associated symptoms.

Choice C rationale

Calcitonin 300 international units subcutaneous is the correct choice for this patient. Calcitonin inhibits osteoclast activity, reducing bone resorption and lowering serum calcium levels. It provides rapid but short-term control of hypercalcemia, which is crucial for managing acute symptoms of hyperparathyroidism.

Choice D rationale

Calcitriol 0.75 mcg orally is an active form of vitamin D that increases calcium absorption in the gut. It is used to manage hypocalcemia, not hypercalcemia. Administering calcitriol would further elevate the already high calcium levels, worsening the patient's condition.

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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 caring for a patient who has been in remission from breast cancer for five years.What intervention will the nurse include as a component of survivorship care for this patient?

Correct Answer is B

Explanation

Correct Answer is C

Explanation

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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?