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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Related Questions
Correct Answer is C
Explanation
Cimetidine inhibits the cytochrome enzymes leading to increased blood concentration of other drugs like theophylline hence increased risk of toxicity. The dosage of the drugs should be lowered when one is on cimetidine.
A-Cimetidine should be taken with meals or at bedtime for more effective absorption and optimal therapeutic effect.
B. There is no specific duration mentioned for the treatment of duodenal ulcer with cimetidine.
D. Taking cimetidine with an antacid is not recommended as they decrease the absorption of cimetidine.
Correct Answer is C
Explanation
Pancrelipase is an enzyme replacement therapy used in pancreatic enzyme deficiency to aid in the digestion of fats, proteins, and carbohydrates. It improves digestion of fats facilitating absorption and reduced fat content in stool.
A. Decreased watery stools is not a typical effect of pancrelipase.
B. Decreased black tarry stools is not directly related to the action of pancrelipase, as it is more commonly associated with gastrointestinal bleeding.
D. Decreased mucus in stools is not specifically related to the action of pancrelipase.
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