A nurse is preparing a client for a radiation treatment who is postoperative following a mastectomy.The nurse should inform the client to expect which of the following adverse effects from the radiation treatment?

Diarrhea.

Anorexia.

Alopecia.

Fatigue.

Answer and Explanation

The Correct Answer is D

Choice A rationale
Diarrhea is not a typical adverse effect of radiation treatment for breast cancer; gastrointestinal symptoms are more common with abdominal or pelvic radiation.
Choice B rationale
Anorexia, or loss of appetite, can occur but is not as common as fatigue for clients undergoing radiation treatment.
Choice C rationale
Alopecia can occur with chemotherapy, but it is less common with radiation therapy unless the radiation is directed at the scalp.
Choice D rationale
Fatigue is a common and expected adverse effect of radiation therapy due to the body's response to treatment and tissue repair processes.

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Correct Answer is B

Explanation

Choice A rationale
Providing 1,000 mL of water every 12 hours is not directly related to preventing infection or other complications post-transplant.
Choice B rationale
Keeping blood pressure equipment in the client's room helps prevent cross-contamination and infection by not sharing equipment with other clients.
Choice C rationale
A negative airflow room is used for clients with airborne infections, not for those undergoing a stem cell transplant.
Choice D rationale
Monitoring vital signs every 8 hours is insufficient; more frequent monitoring is needed post-transplant to detect complications early.

A. Examine the client for hepatomegaly. B. Assess the client for a hypersensitivity reaction. C. Check the results of the client's most recent CBC. D. Evaluate the client for hypercalcemia.

Correct Answer is C

Explanation

Choice A rationale
Examining the client for hepatomegaly can be part of a broader assessment but does not directly address the fatigue related to chemotherapy, particularly cisplatin, which is known to cause bone marrow suppression.
Choice B rationale
Assessing for a hypersensitivity reaction is important during chemotherapy, but it does not specifically address the issue of fatigue, which is often related to blood cell counts.
Choice C rationale
Checking the results of the client's most recent CBC (complete blood count) is crucial because cisplatin can cause anemia, leukopenia, and thrombocytopenia, all of which can lead to significant fatigue.
Choice D rationale
Evaluating for hypercalcemia is not typically associated with cisplatin treatment; it is more relevant in malignancies associated with bone metastasis or overproduction of parathyroid hormone-related protein.

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A nurse is preparing a client for a radiation treatment who is postoperative following a mastectomy.The nurse should inform the client to expect which of the following adverse effects from the radiation treatment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who is to undergo a stem cell transplant. Which of the following actions should the nurse plan to take?

Correct Answer is B

Explanation

A nurse is caring for a client who is receiving cisplatin to treat bladder cancer. After several treatments, the client reports fatigue. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is caring for a child who has Addison's disease. Which of the following actions should the nurse take?

A nurse is assessing a client who has Cushing's syndrome. Which of the following findings should the nurse expect?

A nurse is teaching a client who has stage IV pancreatic cancer about the development of disseminated intravascular coagulation (DIC). Which of the following statements should the nurse make?

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A nurse is teaching a group of middle adult clients about early detection of cancer. The nurse should include the American Cancer Society recommendation that men and women at average risk should have which of the following screening tests?

A nurse is providing teaching to a client who has breast cancer about the adverse effects of chemotherapy. Which of the following client statements indicates an understanding of the teaching?

A nurse is reviewing the CBC findings for a female client who is receiving combination chemotherapy for breast cancer. Which of the following findings should the nurse report to the provider?