A nurse is caring for a client who is scheduled for chemotherapy due to bone metastasis of prostate cancer. Which of the following statements about chemotherapy made by the nurse is correct?

Chemotherapy is only used for palliation.

Chemotherapy cures prostate cancer that has metastasized to the bone.

Chemotherapy is used in conjunction with other treatment modalities in the type of cancer.

Chemotherapy makes the body fluid a biohazard.

Answer and Explanation

The Correct Answer is C

A. Chemotherapy is only used for palliation: While chemotherapy can be used for palliative care to relieve symptoms and improve quality of life in advanced cancer, it is also used with curative intent in some cases, especially when cancer is diagnosed early or is responsive to chemotherapy.

B. Chemotherapy cures prostate cancer that has metastasized to the bone: Chemotherapy alone is generally not curative for prostate cancer that has metastasized to the bone. It may help slow disease progression, relieve symptoms, or prolong survival, but it is not typically curative on its own.

C. Chemotherapy is used in conjunction with other treatment modalities in this type of cancer: Chemotherapy is often used in combination with other treatment modalities such as hormone therapy, radiation therapy, or surgery in the management of prostate cancer with bone metastasis. The goal is to target cancer cells using multiple approaches to achieve the best possible outcome for the patient.

D. Chemotherapy makes the body fluid a biohazard: Chemotherapy drugs can be excreted in body fluids such as urine, saliva, and sweat, making them potentially hazardous. However, this statement does not specifically address the role of chemotherapy in the treatment of prostate cancer with bone metastasis.

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

Explanation

A. Client has increased urine specific gravity: Increased urine specific gravity indicates concentrated urine, which is a hallmark of SIADH and should be reported as it reflects the excessive retention of water.

B. Changes in the client's behavior: Behavioral changes can be indicative of hyponatremia, a serious complication of SIADH, and should be reported immediately.

C. Client is complaining of nausea: Nausea is a symptom of hyponatremia, which is a common and dangerous consequence of SIADH that needs prompt attention.

D. Client is complaining of severe headache: A severe headache can also be a sign of hyponatremia and potential cerebral edema, both of which are critical conditions needing urgent intervention.

E. Client's urine output is only 50 cc/hr: While reduced urine output can be associated with SIADH, 50 cc/hr is not extremely low and might not be immediately alarming on its own. The other symptoms are more critical and should take precedence in reporting to the provider.

A. The client has circumoral cyanosis. B. The client's heart rate is 86 bpm. C. The client has a pulse ox of 90% on room air. D. The client is lethargic.

Correct Answer is C

Explanation

A. The client has circumoral cyanosis: Circumoral cyanosis, or bluish discoloration around the mouth, is a sign of hypoxia but may not be present in all cases of hypoxemia. Pulse oximetry provides a more objective measurement.

B. The client's heart rate is 86 bpm: Heart rate may be within normal limits even in the presence of hypoxemia, as compensatory mechanisms may not be fully activated.

C. The client has a pulse ox of 90% on room air: A pulse oximetry reading of 90% indicates hypoxemia (oxygen saturation below normal levels), which is a significant finding, especially in a client with COPD who may already have compromised respiratory function.

D. The client is lethargic: Lethargy may occur with severe hypoxemia, but it is a late sign and may not always be present. Monitoring oxygen saturation is more reliable for early detection of hypoxemia.

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A nurse is caring for a client who is scheduled for chemotherapy due to bone metastasis of prostate cancer. Which of the following statements about chemotherapy made by the nurse is correct?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is exhibiting manifestations of syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following findings should the nurse report to the provider? (Select all that apply.)

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

Explanation

A nurse suspects impending respiratory failure in a client diagnosed with chronic obstructive pulmonary disease (COPD). The nurse should recognize that which assessment finding supports the presence of hypoxemia?

Correct Answer is C

Explanation

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A nurse is caring for a client who is scheduled for chemotherapy due to bone metastasis of prostate cancer. Which of the following statements about chemotherapy made by the nurse is correct?