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. Anorexia B. Pain C. Diaphoresis D. Nausea

Correct Answer is C

Explanation

A. Anorexia is a common symptom after surgery and may be due to the stress of surgery, anesthesia, or the body's adjustment to changes in digestion. While it requires monitoring, it is not an immediate concern unless it worsens or is accompanied by other signs of complications.
B. Mild to moderate pain is expected after surgery, especially following major procedures like gastric cancer surgery. Pain management is important, but it is not usually an immediate concern unless it is severe, unmanageable, or worsens suddenly.
C. Excessive sweating (diaphoresis) after surgery could indicate a serious complication, such as hypovolemic shock, infection, or a cardiovascular event. It is critical for the nurse to assess for other signs, such as low blood pressure, rapid heart rate, or fever, and take immediate action.
D. Nausea can occur after surgery and is a common side effect from anesthesia, pain medications, or the digestive system adjusting. While it requires management, it is typically not as urgent as diaphoresis, unless it is persistent or associated with other concerning symptoms like vomiting or dehydration.

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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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