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.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

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

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Borderline: Borderline personality disorder is associated with unstable mood, intense fear of abandonment, impulsivity, and self-destructive behaviors. While these clients may struggle with relationships, they do not exhibit grandiosity or an excessive need for admiration.

B. Schizoid: Schizoid personality disorder involves emotional detachment, preference for solitary activities, and limited expression of emotions. Clients with this disorder avoid social interactions but do not display traits of grandiosity or admiration-seeking.

C. Narcissistic: Narcissistic personality disorder is characterized by an inflated sense of self-importance, constant need for admiration, and lack of empathy toward others. These clients often exploit relationships for personal gain and require recognition to maintain self-esteem.

D. Histrionic: Histrionic personality disorder is marked by excessive emotionality, attention-seeking behavior, and dramatic expression. While they crave approval, they do not exhibit the pervasive grandiosity and lack of empathy that define narcissistic personality disorder.

A. "My energy level will increase over time." B. "I need to avoid prolonged sun exposure." C. "My medications will ultimately correct my problem" D. "I do not need to make changes in my diet."

Correct Answer is B

Explanation

A. "My energy level will increase over time.": Fatigue is one of the most common and persistent symptoms of systemic lupus erythematosus (SLE). Energy levels often fluctuate depending on disease activity, and clients may experience chronic fatigue rather than steady improvement.

B. "I need to avoid prolonged sun exposure.": Ultraviolet (UV) light can trigger lupus flares and worsen symptoms such as skin rashes, joint pain, and fatigue. Avoiding prolonged sun exposure and using sun protection is a key self-care measure in SLE.

C. "My medications will ultimately correct my problem.": Medications such as corticosteroids, immunosuppressants, and NSAIDs help control inflammation and manage symptoms, but they do not cure SLE. The disease is chronic and requires ongoing management rather than correction.

D. "I do not need to make changes in my diet.": While no specific diet cures lupus, a balanced diet rich in vitamins, minerals, and anti-inflammatory foods supports overall health. Dietary modifications may also help manage side effects of medications, so disregarding nutrition is not accurate.

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

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

Which personality disorder is characterized by a pervasive pattern of grandiosity, need for admiration, and a lack of empathy?

Correct Answer is C

Explanation

The nurse is teaching the client newly diagnosed with systemic lupus erythematous about the condition. Which statement by the client indicates teaching was effective?

Correct Answer is B

Explanation

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

A client diagnosed with Schizophrenia states, "The voices won't leave me alone!" Which of the following statements should the nurse make?

The clinic nurse is caring for an adult oncology client who reports extreme fatigue and weakness after the first week of radiation therapy. Which response by the nurse would best reassure this client?

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

A nurse is completing an admission assessment for a client who has schizophrenia. Which of the following findings should the nurse document as positive symptoms? Select all that apply.

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?

A client is receiving external radiation therapy for cancer treatment. During a teaching session, the nurse evaluates the client's understanding of radiation safety. Which statement by the client indicates the need for further teaching?

A patient taking a first generation anti-psychotic medication is noted to grimace and smack both lips. The patient's neck and shoulders twisting in a snakelike motion. What problem would the nurse suspect?