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 B

Explanation

A. A manual wheelchair would not be appropriate for a client with a C4 spinal cord injury. At this level, the client typically has significant loss of motor function and limited ability to propel a manual wheelchair due to weakness in the upper extremities. Therefore, this option is not suitable.
B. A sip-and-puff device allows clients with limited mobility to control a powered wheelchair by inhaling or exhaling into a straw-like device. For a client with a C4 injury, this is a feasible mobility solution that enables independence without the need for significant upper body strength.
C. Ultra-light wheelchairs are designed for individuals who have the strength and ability to propel themselves or those who need minimal assistance. However, a client with a C4 spinal cord injury would likely lack the strength needed for an ultra-light wheelchair, making this option inappropriate.
D. A drive-adapted wheelchair can be customized for individuals with various disabilities, including those with limited mobility. However, while it can be suitable for higher-level injuries (like C4), it would depend on the client's overall condition and whether they have the ability to operate controls, often using adaptive technology.

A. "Clients who have a spinal cord injury are not aroused by touch around the groin area." B. "You should experiment with your body to find out what stimulation is enjoyable after your injury." C. You should not feel undesirable after your injury. You are still nice-looking." D. "You will not be able to have an intimate relationship with anyone after a spinal cord injury."

Correct Answer is B

Explanation

A. While the ability to feel sensations may be affected depending on the level and completeness of the spinal cord injury, many individuals with spinal cord injuries can still experience arousal through touch, especially in areas above the injury level.
B. This statement is appropriate and encouraging. It promotes self-exploration and helps the client understand that their body can still respond in ways that may lead to enjoyment. It acknowledges the importance of finding what feels pleasurable, which can enhance sexual health and intimacy after an injury.
C. While promoting a positive self-image is important, this statement may come off as dismissive of the client’s feelings. While the intention is to support the client's self-esteem, it’s more important to acknowledge that feelings of desirability can be complex after an injury, and it’s okay to have mixed emotions about body image.
D. This statement is misleading and harmful. Many individuals with spinal cord injuries can and do engage in intimate relationships. While there may be challenges, such relationships are entirely possible and can be fulfilling.

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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 nurse is caring for a client who has a spinal cord injury at the fourth cervical level. Which of the following mobility options should the nurse anticipate for this client?

Correct Answer is B

Explanation

A nurse is teaching a client who has a spinal cord injury about sexual stimulation. Which of the following statements by the nurse should be included in the teaching?

Correct Answer is B

Explanation

A nurse is assessing a client who is experiencing complications due to immobility. Which of the following findings should the nurse expect? (Select all that apply.)

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