Radiation questions from classmates

A client had undergone radiation therapy (external). The expected side effects include the following apart from: A. Hair loss B. Ulceration of oral mucous membranes C. Constipation D. Headache

C

For a female client newly diagnosed with radiation-induced thrombocytopenia, the nurse should include which intervention in the plan of care: A. Administering aspirin if the temperature exceeds 102 B. Inspecting the skin for petechiae once every shift C. Providing for frequent rest periods D. Placing client in strict isolation

B

The following are teaching guidelines regarding radiation therapy except: A. The therapy is painless B. To promote safety, the client is assisted by therapy personnel while the machine is in operation C. The client may communicate all his concerns or needs or discomforts while the machine is operating D. Safety precautions are necessary only during the time of actual irradiation

B

A patient with Hodgkin's lymphoma is undergoing external radiation therapy on an outpatient basis. After 2 weeks of treatment, the patient tells the nurse, "I am so tired I can hardly get out of bed in the morning." An appropriate intervention for the nurse to plan with the patient is to: A. Exercise vigorously when fatigue is not as noticeable B. Consult with a psychiatrist for treatment of depression C. Establish a time to take a short walk every day D. Maintain bed rest until treatment is completed

C

The nurse is caring for a client with cancer. The client has displayed uncomfortable symptoms related to his illness and states the desire for relief from this discomfort. Radiation therapy is ordered to reduce the client's discomfort. The nurse understands that the radiation therapy is being used in what way for the client? A. External beam radiation B. Brachytherapy C. Palliation D. Subcutaneously

C

The nurse is teaching a client proper skin care for external radiation treatments. The nurse knows the client understands when the client states: A. I will wash the area daily with betadine solution B. I will keep the area covered with an occlusive dressing C. I will wear clothing that does not place pressure on the area D. I will apply my usual dry skin lotion to the area

C

Radiation protection is very important to implement when performing nursing procedures. When the nurse is not performing any nursing procedures what distance should be maintained from the client? A. 1 feet B. 2 feet C. 2.5 feet D. 3 feet

D

A patient undergoing external radiation has developed a dry desquamation of the skin in the treatment area. The nurse teaches the patient about management of the skin reaction. Which statement if made by the patient indicates the teaching was effective? A. I can buy some aloe vera gel to use B. I will expose the treatment area to a sun lamp daily C. I can use ice packs to relieve itching in the treatment area D. I will scrub the area with warm water to remove the scales

A

The nurse is caring for a client receiving external beam radiation as a treatment for cancer. The nurse understands that what is the high-energy source in this type of therapy? A. Protons B. Neutrons C. Ultraviolet rays D. Gamma rays

A

Which info obtained by the nurse about a patient with colon cancer who is scheduled for external radiation therapy to the abdomen indicates a need for patient teaching? A. The patient swims a mile 5 days a week B. The patient eats frequently during the day C. The patient showers with dove soap daily D. The patient has a history of dental caries

A

A female client is receiving radiation therapy to her chest wall for recurrent breast cancer. Her chart notes that she has also been diagnosed with esophagitis. Which of the following symptoms would this client probably/most likely exhibit? A. Painful, difficult swallowing and chest tightness B. Burning and tightness in the chest C. Painful ulceration of the mouth D. Nausea, vomiting, abdominal cramping

A

The client receiving internal radiation therapy. The nurse should: A. Remember to give the badge to the next shift nurse B. Maintain 30 mins close contact with patient C. Wear gloves , mask and gown when entering client's room D. Instruct relatives not to visit client during entire duration of therapy

A

A patient receiving head and neck radiation for larynx cancer has ulcerations over the oral mucosa and tongue and thick, ropey saliva. Which instructions should the nurse give to the patient: A. Remove food debris from the teeth and oral mucosa with a stiff toothbrush B. Use cotton-tipped applicators dipped in hydrogen peroxide to clean the teeth C. Gargle and rinse the mouth several times a day with an antiseptic mouthwash D. Rinse the mouth before and after each meal and at bedtime with a saline solution

D

A nurse is providing teaching to a client beginning external beam radiation therapy to the right axilla. The nurse should emphasize: A. Use of a heating pad to promote circulation B. Use of a cold compress to relieve pain C. Applying deodorant to only the left axilla D. Immobilization of the right arm to prevent further tissue damage

C

Skin reactions are common in radiation therapy. Nursing responsibilities on promoting skin integrity should be promoted apart from: A. Avoiding use of ointments, powders, and lotion to the area B. Using soft cotton fabrics for clothing C. Washing the area with a mild soap and water and patting it dry not rubbing it D. Avoid direct sunshine or cold

C

A client is undergoing radiation therapy and says, "I will be so glad when this is over and I don't have to worry about my skin." What response by the nurse is most appropriate? A. "Unfortunately your skin will be permanently damaged from the radiation." B. "You need to protect your skin from the sun for at least a year afterward." C. "You can get a prescription for special lotions that reduce the effects of radiation." D. "You're having skin problems? That is unusual; let me take a look at your skin."

B

A female client with cancer is scheduled for radiation therapy. The nurse knows that radiation at any treatment site may cause certain adverse affects. Therefore, the nurse should prepare the client to expect: A. Hairloss B. Somatitis C. Fatigue D. Vomiting

C