A nurse is reinforcing teaching with a client who has cancer and is undergoing external radiation therapy. Which of the following instructions should the nurse include in the teaching?
"Wash the site daily with warm water
"Wash skin markings off after each treatment.
"Apply lotion to the site after treatment."
"Cover the site with a transparent dressing
The Correct Answer is A
A) "Wash the site daily with warm water": The nurse should instruct the client to wash the radiation treatment site gently with warm water and mild soap (without scrubbing or using harsh soaps). This helps to cleanse the skin without irritating it. Keeping the skin clean can help prevent infection and minimize irritation during the course of radiation therapy. It's important not to use hot water or harsh chemicals, as the skin in the treated area can be sensitive.
B) "Wash skin markings off after each treatment": Skin markings are placed on the client's skin by the radiation oncologist to ensure the radiation is targeted precisely. These marks should not be washed off, as they are necessary for the planning and delivery of radiation. Washing off the marks could affect the accuracy of the treatment.
C) "Apply lotion to the site after treatment": While it may seem like a good idea to apply lotion to moisturize the skin, clients undergoing radiation therapy should avoid applying any lotions, creams, or ointments to the radiation site unless specifically prescribed by their healthcare provider. Some lotions or creams may contain chemicals that could irritate the skin further or interfere with the radiation treatment. Only approved products should be used.
D) "Cover the site with a transparent dressing": Covering the radiation treatment site with a transparent dressing is typically not recommended unless the client has an open wound or is instructed to do so by the healthcare provider. The treated skin should be left exposed to air to promote healing unless advised otherwise. Covering the site could trap moisture, leading to skin irritation or infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Nutritionist:
While a nutritionist can provide valuable advice on feeding, including breastfeeding or formula feeding, the primary issue here is not related to nutritional guidance but rather the financial concern about paying for baby formula. A nutritionist may provide support, but they are not typically responsible for addressing financial needs or coordinating resources for assistance.
B) Case manager:
The case manager is the most appropriate team member to refer to in this situation. A case manager is responsible for assessing the client’s needs and connecting them with resources such as financial assistance, community support programs, or social services. Since the client is unable to afford baby formula, the case manager can help by referring the client to programs that may provide formula at no cost or at a reduced price, such as the Women, Infants, and Children (WIC) program.
C) Primary care provider:
The primary care provider may offer support and referrals but would generally not be the first point of contact for addressing financial barriers to obtaining baby formula. The primary care provider can provide medical advice related to the client's postpartum care and the infant's health, but they are not typically the best person to address financial concerns directly.
D) Pediatric nurse practitioner:
A pediatric nurse practitioner focuses on providing care for the child, not necessarily addressing the financial needs of the family. While they can provide guidance on infant care and feeding, the issue of financial support for formula is outside their role. The case manager would be the more appropriate referral to assist with financial concerns.
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"B"},"F":{"answers":"A"}}
Explanation
Administer phytonadione (Vitamin K): Contraindicated
There is no indication that the client has a bleeding disorder or is on anticoagulant therapy requiring Vitamin K. This intervention is not relevant to the client's condition.
Apply cool compress to the extremity: Anticipated
A cool compress helps reduce pain and swelling associated with IV infiltration by constricting blood vessels and limiting the spread of IV fluid into surrounding tissues.
Elevate extremity: Anticipated
Elevation promotes venous return and reduces edema in the infiltrated extremity, aiding in symptom relief and tissue recovery.
Suggest irrigating the IV catheter: Contraindicated
Flushing or irrigating an infiltrated IV catheter could worsen tissue damage by forcing more fluid into the surrounding area. The catheter should be removed immediately.
Assist in inserting a new IV catheter in a site distal to the infiltration site: Contraindicated
A new IV should be placed proximal (above) rather than distal to the infiltration site to ensure proper circulation and avoid further infiltration.
Send the catheter tip for culture: Anticipated
Given the client’s edema, pain, and potential IV infiltration, infection is a concern. Sending the catheter tip for culture helps rule out phlebitis or IV-related infection.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.