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."
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
In liver cirrhosis, the impaired liver function leads to increased levels of ammonia in the blood. Such high levels can lead to hepatic encephalopathy. Use of lactulose promotes excretion of ammonia through acidification of ammonia to ammonium ions which are not readily absorbed into the blood stream.
A, B, D- Lactulose does not affect potassium, glucose and bicarbonate levels in the bloodstream.
Correct Answer is A
Explanation
flank pain is a typical symptom of urolithiasis (renal or ureteric). The presence of a stone in the urinary tract stretches the tract leading to pain. Calcium supplementation increases the risk of calcium stone formation in the urinary tract.
B. calcium supplements do not cause hepatitis
C. Calcium supplementation do not cause peptic ulcers
D. Calcium stones have been implicated in pancreatic but this presents with epigastric pain
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