Which of the following statements by the client requires additional teaching regarding managing side effects of radiation and chemotherapy?

"I can use a regular toothbrush but brush gently."

"I should balance my activities throughout the day to allow for rest periods."

"I should include frequent small meals throughout the day."

"I should use an electric razor."

Answer and Explanation

The Correct Answer is A

A. "I can use a regular toothbrush but brush gently.": Clients receiving chemotherapy and radiation often develop thrombocytopenia or mucositis. A regular toothbrush can cause gum trauma and bleeding. The client should use a soft-bristled toothbrush or foam swabs to reduce oral injury and infection risk.

B. "I should balance my activities throughout the day to allow for rest periods.": Fatigue is a major side effect of cancer treatment, and conserving energy through activity pacing helps maintain independence while preventing exhaustion.

C. "I should include frequent small meals throughout the day.": Nausea, anorexia, and altered taste are common treatment side effects. Smaller meals are easier to tolerate and help maintain adequate nutrition and caloric intake.

D. "I should use an electric razor.": Due to potential thrombocytopenia and bleeding risk, electric razors are recommended instead of blades to minimize cuts and reduce complications during treatment.

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Correct Answer is B

Explanation

A. Place the head of the patient's bed flat: Positioning the patient flat does not address the underlying issue of excessive bubbling. This intervention has no effect on the integrity of the chest tube system or on resolving the possible air leak.

B. Notify the healthcare provider: Excessive bubbling in the water seal chamber usually indicates an air leak in the chest tube system or from the patient’s lung. Prompt notification of the healthcare provider ensures timely evaluation and correction of the problem to prevent complications.

C. Milk the chest tube: Milking or stripping chest tubes is not recommended because it can create high negative pressures and damage lung tissue. This action does not correct excessive bubbling and may worsen patient outcomes.

D. Disconnect the system and get another: Disconnecting the system increases the risk of introducing air into the pleural space, potentially leading to a tension pneumothorax. Replacing the system may be needed, but it should not be done before assessing and notifying the healthcare provider.

A. Scattered rhonchi and crackles with an elevated WBC count B. Clubbing of the fingers and polycythemia C. Copious amounts of rust-colored sputum with cyanosis D. Distended neck veins and dependent edema

Correct Answer is B

Explanation

A. Scattered rhonchi and crackles with an elevated WBC count: These findings suggest an acute respiratory infection or pneumonia, not chronic hypoxemia. Elevated WBC count points to infection rather than a long-term adaptation to COPD.

B. Clubbing of the fingers and polycythemia: These are expected in chronic hypoxemia. Clubbing results from prolonged low oxygen levels, while polycythemia develops as the body compensates by producing more red blood cells to increase oxygen-carrying capacity.

C. Copious amounts of rust-colored sputum with cyanosis: Rust-colored sputum is typically associated with bacterial pneumonia, particularly pneumococcal infection, not chronic hypoxemia. Cyanosis may occur, but the sputum description makes this finding less appropriate.

D. Distended neck veins and dependent edema: These findings are consistent with cor pulmonale or right-sided heart failure, a complication of COPD, but they are not the expected baseline findings of chronic hypoxemia itself.

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Which of the following statements by the client requires additional teaching regarding managing side effects of radiation and chemotherapy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a patient with chest tubes connected to a drainage system. What should the first action be when the nurse observes excessive bubbling in the water seal chamber?

Correct Answer is B

Explanation

Which of the following assessment findings would be expected in a client with chronic hypoxemia due to chronic obstructive pulmonary disease (COPD)?

Correct Answer is B

Explanation

When teaching the family of a client with chronic mental illness about the primary cause of relapse and rehospitalization, the nurse would indicate which of the following is the primary factor?

When working with a client with a personality disorder, the nurse would expect to find:

The client with schizophrenia taking antipsychotic medication is conversing with the nurse when the eye's roll back in a locked position and their jaw presents to be locked in one position. Which is the priority action by the nurse?

A patient with schizophrenia believes the student nurses are at the hospital to spy on them. The patient is suffering from what type of symptom?

The nurse working with a client with antisocial personality disorder would expect which behaviors? Select all that apply.

Which diet would be most appropriate for a client with chronic obstructive pulmonary disease (COPD)?

Which observation by the nurse is supportive of a diagnosis of avoidant personality disorder?

A nurse is caring for a client hospitalized with AIDS. A friend comes to visit the client and privately asks the nurse about the risk of contracting HIV when visiting the client. What is the nurse's best response?