How can a nurse help a client with chemotherapy-induced nausea?
The nurse can help prevent nausea and vomiting by administering an antiemetic prior to chemotherapy, and to tell the client to continue taking medication until nausea and vomiting resolve. A nurse is caring for a client who has cancer and a new prescription for ondansetron to treat chemotherapy-induced nausea.
Which female client has an increased risk of developing breast cancer?
A female client who is over 50 years of age has an increased risk of developing breast cancer. A nurse is providing teaching to a client who has cancer and is undergoing external radiation treatment. Which of the following statements by the client indicates an understanding of the teaching? A.
What should the nurse do if the client is dying?
B. I will lay him flat if his breathing becomes shallow C. I will use an electric blanket to keep him warm D. I will continue to talk to him, even when he's sleeping D. The nurse should reinforce to the partner that the client's hearing is thought to be the last sense to leave during the dying process.
How many JP drains should the nurse expect the client to have?
The nurse should expect this client to have 1-2 JP drains. A nurse is providing preop teaching for a client with colorectal cancer who is scheduled to undergo colostomy placement with a peritoneal wound. Which of the following statements by the client indicates an understanding of the teaching?
What line does a nurse assess for dullness?
The nurse assesses dullness at the left anterior axillary line. The nurse is concerned about which condition that the client may have?
What is the function of saliva in the mouth?
Saliva is responsible for the softening of food in the mouth and contains an enzyme, salivary amylase (ptyalin), which assists in the breakdown of carbohydrates. Radiation to the oral cavity can result in reduction of saliva production. Radiation to the mouth will not impair swallowing, ability to digest protein, or ability to absorb nutrients from the stomach.
Can you take blood thinners before colonoscopy?
Blood thinners should not be taken before colonoscopy because bleeding may occur if polyps are removed. The client should stop taking warfarin (Coumadin) approximately 2 weeks before the colonoscopy. The other answers describe accurate complications of the colonoscopy and preparation for the procedure.
How to deal with oral cancer patients?
This client appears to be using denial to cope with this problem. The nurse should work to establish a helping-trusting relationship in hopes that the client will be amenable to future discussions about the lesion. Asking "why" questions often puts people on the defensive and should be avoided. Ignoring the lesion is not being an advocate for the client. Education is important, but right now the client is in denial, so this information will not seem relevant to her.
What is the earliest sign of oral cancer?
Mucosal erythroplasia is the earliest sign of oral cancer. It is not a fungal infection, inflammation of the gums, or an obvious tumor.
Why is my client reacting to my diagnosis?
Because the client has just learned of the diagnosis and treatment, the client is reacting in a negative way. This behavior demonstrates grief, not necessarily refusal of treatment, nor denial or acceptance of the diagnosis. The nurse is caring for a client who has just received a diagnosis of advanced oral cancer that will require extensive ...
Can a nurse assess a client for dysphagia?
If the infection extends down the pharynx, the client could have difficulty swallowing. Therefore, the nurse should assess the client for dysphagia. HIV status may or may not be related but is not the priority. Listening to the lungs is unrelated. Since oral candidiasis is an infectious condition, referral to an oncologist is not needed.
Can you use a lemon swab for salivary glands?
The UAP can apply warm compresses and offer fluids. Massaging salivary glands can be done, but not by the UAP. Lemon-glycerin swabs are drying and should not be used. Speaking has no effect on this condition.
Is smoking a risk factor for oral cancer?
Poor oral hygiene is not related to the etiology of cancer but may cause a tumor to go unnoticed. Tanning is a risk factor, but short-term exposure does not have the same risk as daily exposure to tobacco and alcohol. Illicit drugs are not related to oral cancers.
Should a patient be seen first for suctioning?
The client who needs frequent suctioning should be seen first to ensure that his or her airway is patent. The client waiting for pain medication should be seen next. The nurse may need to call the surgeon to see the client who is asking questions. The client waiting for discharge instructions can be seen last.
What does a cleint tell a nurse?
a cleint undergoing chemotherapy tells the nurse " i do not want to get out of bed in the morning I am so tired. the nursing plan of care should include
What is a common with radiation to the chest?
c. esophagitis is a common with radiation to the chest
Why should a nurse bathe a client?
The nurse should instruct the client to bathe daily using an antimicrobial soap to prevent the spread of infection. If bathing is not possible, washing the genitalia using antimicrobial soap is recommended. A nurse in an oncology clinic is assessing a client who has early stage Hodgkin's lymphoma.
What should a nurse do in a private room?
The clients should be in a private room with a private bathroom, and the nurse should keep the door to the client's room closed. A nurse is planning a presentation for a group of older adults at a community center about risk factors for cancer.
What age should a nurse administer a protein deficiency?
The CDC recommends this immunization for people who are 65+ and older. If the client did receive this immunization more than 5years ago, the nurse should administer another because the client is over 65. A nurse is planning care for a client who is receiving chemotherapy and has a protein deficiency.
What is brachytherapy in cancer?
C. Brachytherapy is a type of radiation therapy during which the radiation source is in direct contact with the client's tumor. During the therapy, the client emits radiation and is potentially hazardous to others.
Why is age 60 considered a risk factor for cancer?
Age is a significant factor because the longer people are exposed to external carcinogenic factors ( e.g. tobacco and alcohol use, environmental pollutants, radiation), the greater their risk of developing cancer becomes.
What is thrombocytopenia in nursing?
Thrombocytopenia is a decrease in the client's blood platelet count, which places the client at an increased risk of bleeding due to the blood's inability to clot. Therefore, the nurse should institute bleeding precautions, including the use of an electric razor.
What is the highest priority in planning care for a client who underwent a surgical resection for oral cancer?
The highest priority in planning care for a client who underwent a surgical resection for oral cancer is to maintain the airway and promote gas exchange. Other interventions include monitoring vital signs, administering IV fluids, and empty surgical drains, but these are of lower priority.
Why do you give antiemetic before chemotherapy?
The purpose of an antiemetic before chemotherapy is to prevent the child from experiencing nausea during and after the administration of the medication. Waiting until nausea has occurred is too late; the medication should be given before nausea occurs. The meals are not causing the nausea; the nausea is caused by the chemotherapy, and if nausea is not prevented, the child will not eat.
How to reduce heat radiation?
Applying an ice pack will increase conductive heat loss, which results in minimizing heat radiation. Wearing dark clothes and lying in the fetal position will minimize heat radiation. Removing extra clothes will increase heat radiation. Wearing sparsely woven clothes will enhance heat radiation.
Can a UAP administer intravenous infusions?
Tasks that do not risk bruising the client may be delegated to the UAP. The RN would shave the client and perform oral hygiene. Intravenous infusions would not be administered by UAP to any client.