Nokea
A client informs the nurse that she is using an herbal therapy while receiving chemotherapy. Which of the following actions should the nurse take?
- A. Determine what substances the client is using and make sure that the physician is aware of all therapies the client is using.
- B. Guide the client in the decision-making process to select either Western or alternative medicine.
- C. Encourage the client to seek alternative modalities that do not require the ingestion of substances.
- D. Recommend that the client stop using the alternative medicines immediately.
Correct Answer: A
Rationale: Determining the herbal therapies used and informing the physician ensures safety, as some herbs can interact with chemotherapy drugs, affecting efficacy or toxicity.
You may also like to solve these questions
A client is scheduled for a renal ultrasound. The nurse explains that:
- A. Contrast dye is used.
- B. No preparation is needed.
- C. Fasting is required.
- D. A sedative is given.
Correct Answer: B
Rationale: Renal ultrasound is non-invasive and requires no special preparation.
A 52-year-old client is scheduled for a total abdominal hysterectomy for cervical cancer. The nurse is preparing preoperative teaching. Which of the following should be included in the teaching plan to address potential changes in sexuality?
- A. Sexual intercourse will not be possible after surgery.
- B. Vaginal dryness may occur, and water-soluble lubricants can help.
- C. Menopausal symptoms will not occur if ovaries are preserved.
- D. Sexual desire will remain unchanged after surgery.
Correct Answer: B
Rationale: Vaginal dryness is a common side effect after hysterectomy due to changes in vaginal tissue and potential hormonal shifts, even if ovaries are preserved. Teaching about water-soluble lubricants helps the client prepare for and manage this change.
When receiving a client from the postanesthesia care unit after a splenectomy, which should the nurse assess after obtaining vital signs?
- A. Nasogastric drainage.
- B. Urinary catheter.
- C. Dressing.
- D. Need for pain medication.
Correct Answer: C
Rationale: After a splenectomy, the nurse should assess the dressing for signs of bleeding, as the spleen is highly vascular, and postoperative hemorrhage is a risk. Nasogastric drainage, urinary output, and pain are assessed later, but the dressing is the priority to detect complications.
When admitting a client with a fractured extremity, the nurse should first focus the assessment on which of the following?
- A. The area proximal to the fracture.
- B. The actual fracture site.
- C. The area distal to the fracture.
- D. The opposite extremity for baseline comparison.
Correct Answer: C
Rationale: Assessing distal to the fracture checks for neurovascular compromise, a priority to prevent complications.
The nurse should assess the client with bladder cancer for which of the following?
- A. Suprapubic pain.
- B. Dysuria.
- C. Painless hematuria.
- D. Urine retention.
Correct Answer: C
Rationale: Painless hematuria is a hallmark symptom of bladder cancer, often presenting as the initial sign due to tumor growth causing bleeding without associated pain.