Nokea
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.
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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 difference between an excisional biopsy and an incisional biopsy is that an excisional biopsy involves which technique?
- A. use of a needle to obtain fluid samples.
- B. removal of the entire lesion.
- C. taking a 'bite' from the lesion for study.
- D. shaving of the superficial layers of the lesion.
Correct Answer: B
Rationale: An excisional biopsy involves the excision of the entire lesion.
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.
For which possible sign of testicular cancer would the nurse encourage the patient to look for during self-testicular examination?
- A. Smooth consistency of testicle
- B. Stomachache
- C. Breast enlargement
- D. Heavy feeling in the scrotum
- E. Enlarged blood vessels in scrotum
- F. Hematuria
Correct Answer: B,C,D
Rationale: Signs and symptoms of a scrotal tumor include an ache in the groin or stomach, feeling of heaviness in the scrotum, and breast enlargement.
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.