A nurse is caring for a client who is receiving chemotherapy for breast cancer. Which of the following precautions should the nurse perform during administration of oral chemotherapy?

Specialized chemotherapy mask

Chemotherapy gown

Face shield

Pair of chemotherapy gloves

Answer and Explanation

The Correct Answer is D

A.   A specialized chemotherapy mask is not typically required for the administration of oral chemotherapy. Masks may be necessary during certain procedures (like administering intravenous chemotherapy) where there is a risk of splashing or aerosolization, but they are not standard for oral administration.
B.   A chemotherapy gown is generally not required for administering oral chemotherapy. These gowns are used for intravenous chemotherapy administration where there is a risk of drug spillage. For oral medications, the risk of exposure is significantly lower, so gowns are not standard practice.
C.   A face shield is not typically needed when administering oral chemotherapy. Face shields are used to protect against splashes during procedures involving injectable forms of chemotherapy or other hazardous drugs, but oral administration does not pose the same risk of exposure.
D.   The use of chemotherapy gloves is essential when handling oral chemotherapy agents. Gloves protect the nurse from potential exposure to the medication, especially if the drug is crushed or if there is any risk of spillage.

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Correct Answer is C

Explanation

A. Occurs when the bladder becomes overfilled and leaks due to weak or damaged bladder muscles.
B. Occurs when urine leaks involuntarily during activities that increase abdominal pressure, such as coughing, laughing, or lifting.
C. This type of incontinence occurs when the bladder contracts involuntarily, often without warning. It's caused by damage to the nerves that control the bladder, resulting in loss of voluntary control.
D. Occurs when a person has a sudden, strong urge to urinate and cannot hold it in.

A. Check the value of the client's current platelet count. B. Instruct the client to use an electric toothbrush. C. Have the client make an appointment to see the dentist. D. Explain to the client that this is an expected adverse effect.

Correct Answer is A

Explanation

A. Methotrexate can cause myelosuppression, leading to low platelet counts (thrombocytopenia), which increases the risk of bleeding. Checking the platelet count will help assess whether the bleeding gums are related to low platelet levels and determine the need for further intervention.
B. An electric toothbrush can be gentler on the gums and may help reduce trauma to the oral mucosa, which can help minimize bleeding. However, while it is a good practice, it is not the immediate priority compared to checking the platelet count.
C. This action may be appropriate, especially if the bleeding persists or is severe. A dental evaluation is important to rule out any underlying dental issues that could be causing the bleeding gums. However, this should not be the first response without first assessing the cause of the bleeding, such as checking the platelet count.
D. While some degree of bleeding may occur due to thrombocytopenia associated with methotrexate, it
is not appropriate to dismiss the client’s symptoms as merely an expected effect. Bleeding gums can indicate a serious issue, and it’s important to take such complaints seriously and investigate the underlying cause.

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A nurse is caring for a client who is receiving chemotherapy for breast cancer. Which of the following precautions should the nurse perform during administration of oral chemotherapy?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is A

Explanation

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