nurse is caring for a client who is receiving radiation therapy to treat lung cancer. Which of the following actions should the nurse take?

Examine the skin for generalized urticaria.

Observe for signs of infection.

Review laboratory test results for low hemoglobin.

Monitor the mouth for signs of xerostomia

Answer and Explanation

The Correct Answer is B

A. Urticaria (hives) is not a common side effect of radiation therapy. The skin should be examined for localized radiation-induced skin changes, such as erythema or dryness, rather than generalized urticaria.
B. Radiation therapy can weaken the immune system, increasing the risk of infection. The nurse should monitor for signs of infection, especially in areas affected by radiation, as the skin and mucous membranes can become more vulnerable.
C. Low hemoglobin is not a direct or immediate concern related to radiation therapy for lung cancer. However, it could occur if the patient experiences bone marrow suppression, but this is not typically the primary concern for radiation therapy to the lung.
D. Xerostomia (dry mouth) is more commonly associated with radiation therapy to the head and neck area. Radiation to the lungs generally does not affect salivary glands, so monitoring for xerostomia is not necessary in this case.

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Correct Answer is A

Explanation

A. Neurogenic shock is characterized by hypotension due to loss of sympathetic tone, leading to vasodilation. Intravenous fluids like Lactated Ringers are commonly prescribed to increase blood volume and support blood pressure.
B. Metoprolol is a beta-blocker, which reduces heart rate and blood pressure. It would not be used in neurogenic shock, where the goal is to improve blood pressure and cardiac output.
C. Epinephrine is a vasopressor and can be used to help increase blood pressure and heart rate in shock states, including neurogenic shock. It helps in vasoconstriction and improving perfusion.
D. Dopamine is another vasopressor and inotropic agent that can be used to improve blood pressure and cardiac output in neurogenic shock. It works by stimulating the heart and constricting blood vessels.
E. Furosemide is a diuretic, and would not typically be used in neurogenic shock. In fact, it may worsen hypoperfusion by decreasing circulating blood volume. Diuretics are usually used for conditions like heart failure or fluid overload, not shock management

A. Blow your nose hard when the dizziness first begins B. Lay down and keep your head still C. Take salt & potassium supplements daily D. Drink at least 6 full glasses of water every day

Correct Answer is B

Explanation

A. Blowing your nose hard when the dizziness first begins is not a recommended action for Meniere's disease. Blowing the nose forcefully can increase pressure in the ears and potentially worsen symptoms of vertigo, not alleviate them.
B. Laying down and keep your head still is a recommended strategy for managing vertigo in Meniere's disease. Resting and keeping the head still can help reduce the sensation of spinning or dizziness, providing some relief. Movement can trigger or worsen vertigo, so staying still is an effective way to reduce symptoms.
C. While salt intake is often restricted in Meniere's disease due to its potential to increase fluid retention in the inner ear, potassium supplements are generally not a standard recommendation. Dietary changes should be discussed with a healthcare provider.
D. Hydration is important for overall health, but this is not a specific recommendation for reducing vertigo in Meniere's disease. It may help with general wellness, but it won't directly alleviate the symptoms of vertigo associated with the condition.

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nurse is caring for a client who is receiving radiation therapy to treat lung cancer. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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Correct Answer is B

Explanation

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