A nurse is educating a client who was recently diagnosed with cancer and tells the nurse they are worried about infertility following radiation treatment. Which of the following interventions should the nurse recommend?

Use chemotherapy instead of radiation.

Use fertility medications during treatment.

Use radiation shielding techniques.

Use surgical interventions to remove the cancer.

Answer and Explanation

The Correct Answer is C

Choice A reason:
Using chemotherapy instead of radiation may not be a viable option as the treatment plan is based on the type and stage of cancer. Chemotherapy can also affect fertility, so it is not a direct solution to the concern of infertility.

Choice B reason:
Fertility medications during treatment might help preserve fertility, but they do not address the direct impact of radiation on reproductive organs. Additionally, the use of such medications should be discussed with an oncologist and a fertility specialist.

Choice C reason:
Radiation shielding techniques involve using protective shields to limit radiation exposure to the reproductive organs. This can help reduce the risk of infertility caused by radiation, especially when the pelvic area is involved in the treatment.

Choice D reason:
Surgical interventions to remove the cancer may be part of the treatment plan, but they do not directly address the concern of radiation-induced infertility. Surgery can also result in infertility, depending on the organs involved and the extent of the procedure.

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Correct Answer is C

Explanation

Choice A reason:
Resuming sexual intercourse in 2 to 3 weeks may not be appropriate for all patients after such a major surgery. The recovery time can vary based on individual factors, including the extent of the surgery and the patient's overall health. It's essential for patients to follow their healthcare provider's specific recommendations, which typically involve waiting until after the postoperative check-up, usually around 6 weeks, to ensure proper healing.

Choice B reason:
Increased vaginal drainage typically occurring 5 days following surgery could be a sign of infection or other complications. Normal postoperative discharge should gradually decrease over time. If a patient experiences increased drainage, especially if it's foul-smelling or accompanied by fever, they should contact their healthcare provider immediately.

Choice C reason:
After a total abdominal hysterectomy and bilateral salpingo-oophorectomy, patients may experience vaginal dryness due to decreased estrogen levels. Using artificial lubricants can help alleviate symptoms of itching and dryness, making this an appropriate instruction for postoperative care.

Choice D reason:
A Papanicolaou (Pap) test is not typically required every 6 months after a total abdominal hysterectomy and bilateral salpingo-oophorectomy for uterine cancer unless the surgery was performed as treatment for cervical cancer or serious pre-cancer. For those who had the procedure due to benign conditions, further Pap tests are generally not necessary.

A. Performing range of motion B. Checking capillary refill C. Discussing cast care D. Managing pain

Correct Answer is B

Explanation

Choice A Reason:
While performing range of motion exercises is important for maintaining joint function and preventing stiffness, it is not the first action a nurse should take. Range of motion exercises should only be performed after ensuring that there is no compromise in circulation or nerve function.

Choice B Reason:
Checking capillary refill is the correct first action. This quick test assesses the blood flow to the extremity and can indicate if there is any vascular obstruction. A delayed capillary refill time, which is more than 2 seconds, could signify compromised circulation and necessitate immediate intervention.

Choice C Reason:
Discussing cast care is important for client education and preventing complications such as skin breakdown and infection. However, it is not the first priority. The nurse should first ensure the client's physiological stability before providing education.

Choice D Reason:
Managing pain is a critical component of nursing care, especially for clients with fractures. However, the assessment of circulation takes precedence over pain management. Once it is established that there is no immediate threat to the limb's viability, pain management should be addressed promptly.

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A nurse is educating a client who was recently diagnosed with cancer and tells the nurse they are worried about infertility following radiation treatment. Which of the following interventions should the nurse recommend?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has had a total abdominal hysterectomy and bilateral salpingo-oophorectomy for uterine cancer. Which of the following instructions should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is assessing a client who has a cast in place for a fractured tibia. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

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