A male patient is undergoing external radiation therapy on an outpatient basis for treatment of ...

A male patient is undergoing external radiation therapy on an outpatient basis for treatment of Hodgkin disease. After 2 weeks of treatment, he tells the nurse that he is so tired he can hardly get out of bed in the morning. Which is an appropriate goal?
 
  a. Take two rest periods during the day
  b. Ambulate in the hall four times a day
  c. Select two activities for distraction
  d. Investigate a consultation with a psychiatrist for treatment of depression

Question 2

What should the nurse emphasize when counseling an anxious HIV-positive mother about the care of her HIV-positive infant?
 
  a. The baby will develop AIDS and refer her to a local AIDS support group. The baby will remain HIV-positive for the rest of its life.
  b. Although infants of HIV-infected mothers may test positive for HIV antibodies, not all infants are infected with the virus.
  c. She has not yet developed AIDS, and that it is possible the baby will not develop AIDS for many years.
  d. If the infant is started on zidovudine (AZT) within the first month after delivery, AIDS can be prevented.

Question 3

Which statement is most appropriate for a nurse to tell a patient before insertion of the radioactive implant?
 
  a. Nurses will always be available, but they will spend only short periods of time at your bedside.
  b. Personal cleanliness is essential, so you will be given a complete bed bath each day.
  c. Your diet will be changed to a high-fiber diet to encourage daily bowel movements.
  d. Your bed linens will be completely changed each day to minimize radioactive contamination.

Question 4

For most people who are HIV-positive, marker antibodies are usually present 10 to 12 weeks after exposure. What is the development of these antibodies called?
 
  a. Immunocompetence
  b. Seroconversion
  c. Opportunistic infection
  d. Immunodeficiency

Question 5

What measures would the home health nurse, designing nursing interventions for a patient receiving external radiation treatments for a malignancy, recommend to protect the patient's skin?
 
  a. Applying warm compresses to damaged skin
  b. Encouraging patient to apply fragrant lotion to skin
  c. Patting the skin dry after the bath
  d. Exposing skin to sun for 10 minutes a day

Question 6

What do the activated monocytes and macrophages produce in the presence of an inflammatory process?
 
  a. Reduction of red cells
  b. Increase in WBCs
  c. Neopterin
  d. Increase in T-helper cells increase natural killer (NK) cells