A nurse is assessing a client who has Paget's disease of the bone. Which of the following findings should the nurse expect? (Select all that apply.)

Choice A reason:
Using an antibiotic ointment is not typically recommended as a preventive measure for skin integrity during radiation therapy. Antibiotic ointments are used to treat bacterial infections, and their use should be directed by a healthcare provider if an infection is present or there is skin breakdown.

Choice B reason:
It is important not to apply heat to the area of irradiation as heat can increase skin irritation and the risk of burns in the treated area. Patients undergoing radiation therapy are advised to avoid heat sources, including heating pads, hot water bottles, and direct sunlight, to prevent further damage to the skin.

Choice C reason:
Lubricating the skin with hypoallergenic lotion can help maintain skin integrity by keeping it moisturized. However, it is crucial to use lotions that are free of metals, alcohol, perfumes, and dyes, as these can react with radiation and cause skin irritation. Lotions should be applied after radiation therapy sessions and not immediately before treatment.

Choice D reason:
The instruction not to wash the area of irradiation is incorrect. It is essential to keep the skin clean to reduce the risk of infection. Patients should gently wash the irradiated area with lukewarm water and mild soap, and pat the area dry with a soft towel. They should avoid scrubbing or using harsh soaps that can irritate the skin.

Choice A reason:
This statement is misleading. While many herbal therapies are generally considered safe, they can have side effects and interact with other medications. It is important to consult with a healthcare provider before starting any new herbal therapy.

Choice B reason:
This statement is accurate. Many herbal products have not been subjected to rigorous long-term testing that is required for conventional medications. Therefore, their long-term safety and efficacy profiles are not always well-established.

Choice C reason:
This statement is incorrect. Some herbal therapies have been found to be beneficial in reducing menopausal discomfort, such as hot flashes and night sweats. However, their effectiveness can vary from person to person.

Choice D reason:
This statement is not advisable without further assessment. While some herbal therapies may help with menopausal symptoms, it is important for the client to discuss with a healthcare provider to consider personal health history, potential side effects, and interactions with other medications.