A form of cancer therapy wherein a beam of high-energy electromagnetic radiation desires the cancer ceils?
- A. surgery
- B. radiation therapy
- C. chemotherapy
- D. pallitive treatment Situation: The nurse is assigned in a counseling clinic about preventive measures for cancers.
Correct Answer: B
Rationale: Radiation therapy is a form of cancer treatment that uses a beam of high-energy electromagnetic radiation to target and destroy cancer cells. The high-energy radiation damages the DNA in cancer cells, causing them to die or be unable to multiply. By precisely targeting the tumor with these radiation beams, radiation therapy helps to minimize damage to surrounding healthy tissues. This form of therapy is an essential component in the treatment of many types of cancer, either alone or in combination with surgery, chemotherapy, or other treatments.
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The nurse is teaching the client about risk factors for diabetes mellitus. Which of the following risk factors for diabetes mellitus is nonmodifiable?
- A. Poor control of blood glucose levels
- B. Current of recent foot trauma
- C. Inappropriate foot care
- D. Advanced age
Correct Answer: D
Rationale: Advanced age is a nonmodifiable risk factor for diabetes mellitus. Nonmodifiable risk factors are characteristics or traits that cannot be changed or controlled. In this case, a person's age is a factor that continuously increases as time passes and cannot be altered. Other nonmodifiable risk factors for diabetes mellitus include family history of diabetes and certain ethnic backgrounds. On the other hand, poor control of blood glucose levels, current or recent foot trauma, and inappropriate foot care are examples of modifiable risk factors that can be managed through lifestyle changes and proper medical care.
An adult is on long term aspirin therapy and is experiencing tinnitus. What is the best interpretation of this occurrence?
- A. The aspirin is working correctly
- B. The client has an upper GI bleed
- C. The client has a metal taste in their mouth
- D. The client is experiencing a mild overdosage
Correct Answer: D
Rationale: Tinnitus (ringing in the ears) is a potential side effect of aspirin overdose. Aspirin can cause toxicity with symptoms like ringing in the ears, dizziness, confusion, and nausea. It is important for the adult to seek medical attention if they are experiencing tinnitus while on long-term aspirin therapy to address the possible overdose situation.
Mr. RR is being prepared for surgery. Nursing care would include:
- A. Careful assessment of neurologic signs to establish baseline data for post-operative care
- B. Planning activities for Mr. RR
- C. Administration of an SS enema to prevent post-operative impaction
- D. Explaining to Mr. RR post-operative complications
Correct Answer: A
Rationale: Nursing care for a patient being prepared for surgery includes conducting a careful assessment of neurologic signs to establish baseline data for post-operative care. Assessing the patient's neurologic status preoperatively is important for early detection of any post-operative complications such as changes in consciousness, sensation, or movement. This baseline data will be used to monitor and evaluate the patient's recovery and response to the surgery, anesthesia, and post-operative care interventions. Planning activities, administering enemas, and explaining post-operative complications are also important aspects of nursing care but assessing neurologic signs is the priority in this scenario.
Hemangiomas are the most common benign tumors of infancy, occurring more in full-term infants. Of the following, the most common risk factor of development of hemangioma is
- A. male infant
- B. female infant
- C. infant of diabetic mother
- D. infant delivered by cesarean section
Correct Answer: B
Rationale: Female infants are at higher risk for developing hemangiomas.
An 8-year-old child is receiving digoxin (Lanoxin). The nurse should notify the practitioner and withhold the medication if the apical pulse is less than _____ beats/min.
- A. 60
- B. 70
- C. 90
- D. 100
Correct Answer: A
Rationale: In pediatric patients receiving digoxin, the nurse should notify the practitioner and withhold the medication if the apical pulse is less than 60 beats/min in an 8-year-old child. Digoxin can cause bradycardia as a side effect, and a low heart rate (bradycardia) can indicate toxicity. Monitoring the apical pulse rate before administering digoxin is essential to ensure the child's safety and prevent complications related to digoxin toxicity.