exam 3 220

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Client is recovering from a craniotomy with tumor debulking. Which comment by the client indicates to the nurse a correct understanding of what surgery entailed?

"I guess the doctor couldn't remove the entire tumor."

What does the nurse understand the rationale for administering allopurinal for a patient receiving chemotherapy?

It lowers serum and uric acid levels.

Nurse is performing a home visit for a client who received chemotherapy w/in the past 24 hours. Nurse observes a small child playing in the bathroom, where the toilet lid has been left up. Based on these observations, nurse modifies client's teaching plan to include:

chemotherapy exposure and risk factor

Root cause of cancer is damage to cellular DNA which can be caused by many factors, or carcinogens. What factors can be carcinogenic? SATA

dietary substances environmental factors viruses

Client is receiving a vesicant antineoplastic for treatment of cancer. Which assessment finding would require the nurse to take immediate action?

extravasation

Patient is taking vincristine, a plant alkaloid for treatment of cancer. What system should nurse be sure to assess for s/s of toxicity?

nervous system

Nurse is providing education to a client with cancer radiation treatment options. The nurse determines that client understands teaching when the client states that which type of radiation aims to protect healthy tissue during treatment/?

brachytherapy

During chemotherapy, an oncology client has a nursing diagnosis of impaired oral mucous membrane related to decreased nutrition and immunosuppression secondary to cytotoxic effects of chemotherapy. Which nursing intervention is most likely to decrease pain of stomatitis?

providing a solution of viscous lidocaine for use as a mouth rinse

Client with a brain tumor is undergoing radiation and chemotherapy for treatment of cancer. Client has recently reported swelling of gums, tongue, and lips. Which is most likely the cause of these symptoms?

stomatitis


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