Cancer therapies
client with chemo for cancer develops sores in the mouth and asks the nurse why this happened, what is the nurse best response
the rapidly dividing cells of the gastrointestinal tract are damaged by the drug
client admitted to hospital with metastatic cancer has temp of 100.4 , distended abdomen, and pain - client asks do you think I am going to have surgery?
you seemed concerned about having surgery.
client receiving vinCRistine, dietary plan should include
high in fluids
nurse is planning care for a client with cancer who is receiving plant alkaloid CRIstine, what is a common side effect
Constipation
for which side effects should a nurse assess a client with cancer who is being treated with chemotherapeutic agents
Diarrhea bleeding tendencies
a nurse administers leucoverin calcium, before methotrexate, what effect should the nurse consider?
Supplies levels of folic acid required by blood forming organs
A client who is receiving radiation therapy for cancer says that the family and I will get radiation burn, what does nurse respond?
a localized skin reaction usually occurs
client who has breast cancer had postlumpectomy chemo basis , what is an important nursing intervention while the client is receiving radiation
assess the radiated site daily for redness or irritation
a nurse is caring for a client who has a radium implant for cancer of the cervix
restrict visitors to a ten minute stay
a client was treated with a radium implant for cancer of the clien, what is important to include when giving discharge instructions
return for follow-up care
a nurse checking the perineum of a client with a radium implant for cervical cancer observes the packing protruding from the vagina, why must the nurse notify the health care provider to remove it
the radioactive packing will injure health tissue
a client on chemotherapy asks the nurse why an antibiotic was also prescribed, which tissue affected by the chemo should the nurse consider
bone marrow
a client has just had a suprapubic prostatectomy, which action should the nurse implement to prevent a secondary bladder infection
change the dressings frequently
a nurse identifies that a client receiving chemotherapy has lost weight,what are appropriate nursing interventions for this client
encourage the intake of preferred foods, promoting the intake of small frequent meals, administering ordered antiemetics before meals
radium inserted in the vagina of a client is now being removed, what safety precaution should the nurse employ when assisting with the radium removal
ensure that long forceps are available for removing the radium
what is important nursing care for children with leukemia on chemotherapeutic protocols
having them avoid contact with infected persons
the parents of child with leukemia asks the nurse why irradiation of spine and skull is necessary. what is the response by the nurse
leukemic cells may invade the nervous system, but the usual drugs are ineffective in the brain
a nurse applies an ice pack to the a clients leg for 20 min, clinical indicator helps the nurse determine the effectiveness of the treatment
local anesthesia
modified neck dissection for oropharyngeal cancer, the client receives external radiation to the operative site, most critical reason to the radiation should the nurse assess the client
mucosal edema
client with invasive carcinoma of the bladder is recieving the tumor, before surgery what should the nurse considering the side effect of radiation
observe feces for the presence of blood
a client expresses concern about being exposed to radiation therapy because it can cause cancer , what should the nurse say when informing the client about exposure to radiation
only a small part of the body is irradiated
a nurse is caring for a client who had an insertion of radium for cancer of the cervix , for what radium reaction should the nurse assess the client
pain
quesiton about postemenoupausal women
preventing infection is the priority
