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A year ago
A patient with Hodgkin's lymphoma who is undergoing external radiation therapy tells the nurse, I am so tired I can hardly get out of bed in the morning. Which intervention should the nurse add to the plan of care?
  a. Minimize activity until the treatment is completed.
  b. Establish time to take a short walk almost every day.
  c. Consult with a psychiatrist for treatment of depression.
  d. Arrange for delivery of a hospital bed to the patient's home.

Question 2

A patient with a large stomach tumor that is attached to the liver is scheduled to have a debulking procedure. Which information should the nurse teach the patient about the outcome of this procedure?
  a. Pain will be relieved by cutting sensory nerves in the stomach.
  b. Relief of pressure in the stomach will promote better nutrition.
  c. Tumor growth will be controlled by the removal of malignant tissue.
  d. Tumor size will decrease and this will improve the effects of other therapy.

Question 3

The nurse is caring for a patient with colon cancer who is scheduled for external radiation therapy to the abdomen. Which information obtained by the nurse would indicate a need for patient teaching?
  a. The patient swims a mile 3 days a week.
  b. The patient snacks frequently during the day.
  c. The patient showers everyday with a mild soap.
  d. The patient has a history of dental caries with amalgam fillings.

Question 4

The nurse should include which food choice when providing dietary teaching for a patient scheduled to receive external beam radiation for abdominal cancer?
  a. Fresh fruit salad
  b. Roasted chicken
  c. Whole wheat toast
  d. Cream of potato soup
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A year ago
The answer to question 1

Walking programs are used to keep the patient active without excessive fatigue. Having a hospital bed does not necessarily address the fatigue. The better option is to stay as active as possible while combating fatigue. Fatigue is expected during treatment and is not an indication of depression. Minimizing activity may lead to weakness and other complications of immobility.

The answer to question 2

A debulking surgery reduces the size of the tumor and makes radiation and chemotherapy more effective. Debulking surgeries do not control tumor growth. The tumor is debulked because it is attached to the liver, a vital organ (not to relieve pressure on the stomach). Debulking does not sever the sensory nerves, although pain may be lessened by the reduction in pressure on the abdominal organs.

The answer to question 3

The patient is instructed to avoid swimming in salt water or chlorinated pools during the treatment period. The patient does not need to change habits of eating frequently or showering with a mild soap. A history of dental caries will not impact the patient who is scheduled for abdominal radiation.

The answer to question 4

To minimize the diarrhea that is commonly associated with bowel radiation, the patient should avoid foods high in roughage, such as fruits and whole grains. Lactose intolerance may develop secondary to radiation, so dairy products should also be avoided.
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A year ago
Appreciate this a lot, answers were right.
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