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 A

Explanation

A. This statement indicates that the client is actively trying to adapt to their condition by using adaptive equipment for feeding. Acknowledging spills but recognizing improvement reflects a positive attitude towards learning and gaining independence. This is a strong indication of adaptation.
B. While this statement shows that the client has the necessary equipment, preferring a bed bath suggests a reluctance to engage with the shower setup. It may indicate a lack of willingness to explore new methods for independence, which points to a slower adaptation process.
C. This statement suggests avoidance of social activities and a level of withdrawal from engaging with the outside world. This indicates a struggle with adjustment rather than successful adaptation to the home environment.
D. While enjoying life is important, relying on alcohol for pleasure may indicate unhealthy coping mechanisms. This statement does not demonstrate adaptation to the client's condition and may suggest avoidance of addressing the challenges of their new lifestyle.

A. Use pillows to keep heels off the bed surface. B. Minimize skin exposure to moisture. C. Implement turning schedule every 4 hr. D. Keep the client's skin dry with powder. E. Massage over erythematous bony prominences.

Correct Answer is ["A","B"]

Explanation

A. Using pillows or specialized heel protectors helps to alleviate pressure on the heels, reducing the risk of pressure ulcers in bony prominences. Keeping the heels off the bed surface is an effective way to prevent skin breakdown.
B. Moisture from sweat, urine, or other sources can contribute to skin breakdown and increase the risk of pressure ulcers. Keeping the skin dry is essential for maintaining skin integrity and preventing irritation or maceration.
C. While turning the client is important to relieve pressure, every 4 hours may not be frequent enough, especially for individuals at high risk for skin breakdown. The standard recommendation is to turn clients at least every 2 hours to reduce prolonged pressure on any specific area.
D. While using powder can help absorb moisture and keep skin dry, it is important to avoid overuse, as excessive powder can cause buildup and irritation. Additionally, talcum powder is not recommended due to potential respiratory issues. Instead, using barrier creams or moisture-wicking fabrics may be preferable.
E. Massaging over bony prominences, especially areas that are already red (erythematous), can increase tissue damage and worsen skin breakdown. Instead, it is better to avoid direct pressure on these areas and use protective measures to relieve pressure.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A home health nurse is caring for a client who is quadriplegic following a spinal cord injury and who is adjusting to the home environment. Which of the following client statements indicate the client is adapting?

Correct Answer is A

Explanation

A nurse is developing a plan of care to prevent skin breakdown for a client with a spinal cord injury and paralysis. Which of the following nursing actions are appropriate? (Select all that apply.)

Correct Answer is ["A","B"]

Explanation

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