The nurse is providing teaching to a client who has breast cancer about the adverse effects of chemotherapy. Which of the following client statements indicates an understanding of the teaching?
"I will run my toothbrush in the dishwasher every month"
"I call my doctor if I notice any excessive menstrual bleeding"
"I will avoid crowds to keep from infecting others"
"I will take the antiemetic as soon as the chemotherapy infusion is complete"
The Correct Answer is B
Rationale:
A. While keeping a toothbrush clean is important, running it in the dishwasher monthly is not an effective or necessary method of infection prevention. A soft-bristled toothbrush should be rinsed and replaced regularly.
B. Excessive menstrual bleeding can indicate thrombocytopenia, a serious side effect of chemotherapy, and should be reported immediately. This statement shows appropriate understanding.
C. Clients with neutropenia should avoid crowds to protect themselves from infection, not to prevent spreading it to others.
D. Antiemetics are most effective when taken before chemotherapy begins, not after the infusion is complete.
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Related Questions
Correct Answer is D
Explanation
Rationale:
A. Hypersensitivity reactions to cisplatin typically involve symptoms like rash, shortness of breath, or facial swelling—not fatigue alone.
B. Hypercalcemia is more commonly associated with cancers like multiple myeloma or bone metastases, and it usually causes confusion, nausea, or constipation—not just fatigue.
C. Hepatomegaly may occur in metastatic disease but is not a routine complication of cisplatin and is less directly linked to fatigue.
D. Fatigue in a client receiving chemotherapy such as cisplatin is commonly due to anemia, a result of bone marrow suppression. Checking the complete blood count (CBC) is essential to assess for decreased red blood cells or other cytopenias.
Correct Answer is A
Explanation
Rationale:
A. Eating foods at room temperature helps reduce strong odors, which can trigger nausea in clients undergoing chemotherapy or radiation. This shows appropriate understanding.
B. Increasing unsaturated fats has no specific role in managing nausea and may even contribute to gastrointestinal discomfort.
C. While smaller meals are generally helpful, this statement is incomplete and less precise compared to option A. It lacks detail about food temperature or type.
D. Drinking large amounts of liquids with meals can contribute to feeling full too quickly and may worsen nausea. It’s better to drink fluids between meals.
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