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 B

Explanation

A. Decreased surface antigens are more relevant to hepatitis B infection than to monitoring HIV treatment effectiveness.
B. Increased CD4 cells indicate an effective response to antiretroviral therapy, as CD4 cells are a key component of the immune system that HIV targets and destroys. Effective therapy allows CD4 counts to recover.
C. Decreased killer T cells (CD8 cells) would not be a desired effect; these cells help control viral infections, including HIV.
D. Increased viral burden (or viral load) suggests worsening of the infection, not improvement. Effective therapy should decrease the viral load.

A. "should check my skin monthly for any changes." B. I should avoid the use of tanning booths." C. I should use sunscreen even on cloudy days" D. Eating high a high fiber diet will reduce my risk for developing skin cancer

Correct Answer is D

Explanation

A. Checking the skin monthly for changes is a recommended practice for detecting early signs of skin cancer, such as new moles or changes to existing ones.
B. Avoiding the use of tanning booths is important because artificial tanning increases the risk of skin cancer, particularly melanoma.
C. Using sunscreen even on cloudy days is advised, as UV rays can penetrate clouds and still harm the skin.
D. A high-fiber diet, while beneficial for overall health, does not specifically reduce the risk of developing skin cancer. Risk reduction for skin cancer is more related to sun protection and avoiding UV radiation exposure.

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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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