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?

“I will avoid crowds to keep from infecting others”

“I will call my doctor if I notice any unusual menstrual bleeding”

"I will run my toothbrush in the dish washer every month."

"1 will take the antiemetic as soon as the chemotherapy infusion is complete."

Answer and Explanation

The Correct Answer is B

Chemotherapeutic agents suppress the hematopoietic process reducing the number of mature platelets circulating in the blood which increases the risk of bleeding.

A. The client cannot infect others as breast cancer is not infectious. They should, however, avoid crowds to prevent contracting infections as their immunity is suppressed by the chemotherapeutic agents

C. Running the toothbrush in the dish washer increases risk of oral infections which is fatal

D. Prophylactic antiemetics are given before chemotherapy sessions

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Correct Answer is C

Explanation

The client should hold breath for 5- 10 seconds after inhalation. This duration allows for optimal exposure of the drug to the airway epithelium. This allows for adequate response to the bronchodilator.
A- The client should wait 2 mins between inhalations to allow for optimal absorption of the medication

B- The client should inhale during release of medication to allow entry into the lungs.

D- The client should inhale the medication slowly and deeply over about 3-4 seconds. This ensures that the medication reaches deep into your lungs where it is needed.

A. Activated partial thromboplastin time (APTT) B. Bleeding time C. Prothrombin time (PT) D. Hemoglobin (Hgb)

Correct Answer is C

Explanation

warfarin inhibits vitamin K epoxide reductase interfering with the synthesis of vitamin K dependent clotting factors (II, VII, IX, and X). This prolongs the prothrombin time, expressed in the form of INR international normalized ratio. Monitoring of INR helps to ensure that the prescribed dosages are within the therapeutic levels without increasing the risk of bleeding. The target INR range is between 2.5 and 3.5.
A. Used to monitor heparin therapy

B, D- not used for monitoring

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which of the following actions by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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