What is an important aspect of self-care for clients undergoing radiation therapy?
Using hot packs or heating pads on the treated area
Avoiding exposure to sunlight
Eating spicy and acidic foods
Engaging in strenuous exercise
The Correct Answer is B
Rationale:
A. Applying hot packs, heating pads, or extreme heat to the treated area can increase skin irritation or cause burns, especially since radiation therapy sensitizes the skin. This is not recommended.
B. Radiation therapy can make the skin in the treated area very sensitive and prone to damage. Sun exposure can increase redness, blistering, and long-term skin changes, so patients should protect the area from sunlight by wearing clothing or using protective barriers.
C. Spicy or acidic foods can irritate the mouth or gastrointestinal tract, particularly if radiation involves the head, neck, or abdomen. Patients are usually advised to avoid these foods if the treated area is affected.
D. Strenuous exercise can irritate the skin and exacerbate fatigue caused by radiation therapy. Light activity may be encouraged for general health, but overexertion is discouraged during treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Evisceration refers to internal organs protruding through a surgical incision. While serious, it is usually visible at the surgical site and does not explain systemic signs such as fever, tachycardia, and rigid abdomen.
B. Localized inflammation may cause redness, tenderness, or mild discomfort, but it would not typically produce a rigid abdomen, high fever, and elevated pulse and respirations.
C. An obstruction can cause abdominal distention, nausea, vomiting, and decreased stoma output, but a rigid abdomen and systemic signs like fever and tachycardia suggest a more severe intra-abdominal infection.
D. The patient’s rigid abdomen, tachycardia (pulse 120 bpm), tachypnea (respirations 28/min), and fever (101°F) are classic signs of peritonitis, a life-threatening infection of the abdominal cavity. This can occur post-operatively due to leakage from the stoma, bowel perforation, or infection. Prompt recognition and immediate medical intervention are critical, often requiring antibiotics and possible surgical management.
Correct Answer is ["A","B","E","F"]
Explanation
Rationale:
A. Alkylating agents work by damaging DNA and preventing cancer cells from reproducing, making them a major class of chemotherapeutic drugs. Examples include cyclophosphamide and cisplatin.
B. Antimetabolites interfere with DNA and RNA synthesis by mimicking normal cellular metabolites, preventing cancer cells from dividing. Common examples are methotrexate and 5-fluorouracil.
C. Antinuclear antibodies (ANAs) are immune system proteins found in autoimmune diseases such as lupus. They are not used as chemotherapy agents.
D. Chelating agents bind metals in the body to remove toxic metals, such as in heavy metal poisoning. They do not treat cancer and are not classified as chemotherapeutic drugs.
E. Antineoplastic antibiotics, such as doxorubicin and bleomycin, interfere with DNA replication in cancer cells. Despite the term “antibiotic,” their primary role in oncology is anticancer activity.
F. Certain hormones or hormone antagonists are used to treat hormone-sensitive cancers, such as breast or prostate cancer. Examples include tamoxifen and leuprolide. These drugs modify cancer cell growth by altering hormonal stimulation.
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