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SophiaGrant SophiaGrant
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Posts: 353
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6 years ago
A chemotherapy drug that causes alopecia is prescribed for a patient. Which action should the nurse take to maintain the patient's self-esteem?
 
  a. Tell the patient to limit social contacts until regrowth of the hair occurs.
  b. Encourage the patient to purchase a wig or hat and wear it once hair loss begins.
  c. Teach the patient to gently wash hair with a mild shampoo to minimize hair loss.
  d. Inform the patient that hair usually grows back once the chemotherapy is complete.

Question 2

A patient who has ovarian cancer is crying and tells the nurse, My husband rarely visits. He just doesn't care. The husband indicates to the nurse that he never knows what to say to help his wife.
 
  Which nursing diagnosis is most appropriate for the nurse to add to the plan of care?
  a. Compromised family coping related to disruption in lifestyle
  b. Impaired home maintenance related to perceived role changes
  c. Risk for caregiver role strain related to burdens of caregiving responsibilities
  d. Dysfunctional family processes related to effect of illness on family members

Question 3

A patient undergoing external radiation has developed a dry desquamation of the skin in the treatment area. The nurse teaches the patient about management of the skin reaction. Which statement, if made by the patient, indicates the teaching was effective?
 
  a. I can buy some aloe vera gel to use on the area.
  b. I will expose the treatment area to a sun lamp daily.
  c. I can use ice packs to relieve itching in the treatment area.
  d. I will scrub the area with warm water to remove the scales.

Question 4

External-beam radiation is planned for a patient with cervical cancer. What instructions should the nurse give to the patient to prevent complications from the effects of the radiation?
 
  a. Test all stools for the presence of blood.
  b. Maintain a high-residue, high-fiber diet.
  c. Clean the perianal area carefully after every bowel movement.
  d. Inspect the mouth and throat daily for the appearance of thrush.

Question 5

The nurse teaches a postmenopausal patient with stage III breast cancer about the expected outcomes of cancer treatment. Which patient statement indicates that the teaching has been effective?
 
  a. After cancer has not recurred for 5 years, it is considered cured.
  b. The cancer will be cured if the entire tumor is surgically removed.
  c. Cancer is never considered cured, but the tumor can be controlled with surgery, chemotherapy, and radiation.
  d. I will need to have follow-up examinations for many years after I have treatment before I can be considered cured.
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Replies
wrote...
6 years ago
The answer to question 1

ANS: B
The patient is taught to anticipate hair loss and to be prepared with wigs, scarves, or hats. Limiting social contacts is not appropriate at a time when the patient is likely to need a good social support system. The damage occurs at the hair follicle and will occur regardless of gentle washing or use of a mild shampoo. The information that the hair will grow back is not immediately helpful in maintaining the patient's self-esteem.

The answer to question 2

ANS: D
The data indicate that this diagnosis is most appropriate because poor communication among the family members is affecting family processes. No data suggest a change in lifestyle or its role as an etiology. The data do not support impairment in home maintenance or a burden caused by caregiving responsibilities.

The answer to question 3

ANS: A
Aloe vera gel and cream may be used on the radiated skin area. Ice and sunlamps may injure the skin. Treatment areas should be cleaned gently to avoid further injury.

The answer to question 4

ANS: C
Radiation to the abdomen will affect organs in the radiation path, such as the bowel, and cause frequent diarrhea. Careful cleaning of this area will help decrease the risk for skin breakdown and infection. Stools are likely to have occult blood from the inflammation associated with radiation, so routine testing of stools for blood is not indicated. Radiation to the abdomen will not cause stomatitis. A low-residue diet is recommended to avoid irritation of the bowel when patients receive abdominal radiation.

The answer to question 5

ANS: D
The risk of recurrence varies by the type of cancer. Some cancers are considered cured after a shorter time span or after surgery, but stage III breast cancer will require additional therapies and ongoing follow-up.
SophiaGrant Author
wrote...
6 years ago
This is very helpful, my teacher this year is not good
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