Nokea
A patient receiving external radiation treatments should be given which recommendation 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
Correct Answer: C
Rationale: Patting the skin dry rather than rubbing is less damaging to the skin. Lotions, sun exposure, and applications of heat or cold are not beneficial.
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Which statement is 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.'
Correct Answer: A
Rationale: Generally, it is recommended that the nurse spend short periods of time in the room of a patient with an implant. Baths and linen changes are not given daily. A low-residue diet is the norm to minimize peristalsis and bowel movements that might dislodge the implant.
After reporting abdominal pain, the patient has blood drawn for a CA-19-9. When he asks the nurses the purpose of this test, which response is appropriate?
- A. It tests for hepatobiliary cancer.
- B. It tests for colorectal cancer.
- C. It tests for bladder cancer.
- D. It tests for lung cancer.
Correct Answer: A
Rationale: The CA-19-9 is a tumor marker for tumors in the hepatobiliary system.
The nurse will question which intervention in the plan of care who has experienced a weight loss during chemotherapy to treat cancer?
- A. provide adequate, easily digestible, soft, bland foods.
- B. give small, frequent, highly nutritional meals.
- C. allow extra time to eat.
- D. offer three large meals of highly nutritious foods.
Correct Answer: D
Rationale: A patient problem of weight loss will require the nurse to give small, frequent, highly nutritional meals; to allow extra time to eat; and to provide adequate, easily digestible, soft, bland foods.
Which person will the nurse instruct to avoid visiting a patient being treated with internal radiation therapy?
- A. A 78 year old using a walker
- B. An 18-year-old woman
- C. A woman pregnant in the third trimester
- D. A 24-year-old nursing mother
Correct Answer: C
Rationale: Persons under the age of 18 and persons who are pregnant should not be allowed to visit a patient with internal radiation.
The American Cancer Society recommends beginning annual mammography from ages ___ to ___
Correct Answer: 45-54
Rationale: Women between the ages of 45-54 should have annual mammography from ages 45-54, with an option to begin at age 40.