The nurse is caring for a 28-year-old woman with a new diagnosis of Hodgkin's lymphoma scheduled to begin treatment with chemotherapy and radiation.
The patient states that she is trying to become pregnant.
What is the nurse's best response?

Reassure the patient that radiation and chemotherapy will not affect their ability to become pregnant.

Discuss fertility counseling and contraception options that are available to the patient.

Refer the patient to the social worker to identify an appropriate pregnancy surrogate.

Notify the provider that treatment should be delayed until the patient becomes pregnant.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Chemotherapy and radiation can significantly affect fertility. It would be incorrect to reassure the patient that these treatments will not impact her ability to become pregnant, as these treatments often reduce fertility or cause temporary or permanent infertility.

Choice B rationale

Discussing fertility counseling and contraception options allows the patient to make informed decisions about her reproductive health. Fertility preservation methods, such as egg or embryo freezing, can be considered before starting treatment. This approach respects the patient's desire to become pregnant while acknowledging the impact of cancer treatment.

Choice C rationale

Referring the patient to a social worker for pregnancy surrogacy is premature and not directly addressing the patient's immediate concerns about fertility and treatment. Fertility counseling is a more appropriate initial step.

Choice D rationale

Delaying treatment for cancer to allow for pregnancy can have severe negative impacts on the patient's prognosis and is not advised. Immediate treatment is crucial to control the disease and improve survival chances.

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Correct Answer is B

Explanation

Choice A rationale

Routine prophylactic radiation therapy is not recommended for breast cancer survivors as it can lead to additional health issues such as secondary cancers and tissue damage. It is not a standard survivorship care practice.

Choice B rationale

Regular mammography screenings are crucial for early detection of breast cancer recurrence or new primary breast cancers. It is a standard component of survivorship care.

Choice C rationale

Coordinating with hospice care is more relevant for end-of-life care rather than survivorship care. Survivorship care focuses on maintaining health and monitoring for recurrence, not on palliative care planning.

Choice D rationale

Survivorship care is important throughout a patient's life, not just the first five years after remission. Continuous monitoring and health promotion are essential to detect any late effects of cancer treatment and maintain overall health.

A. Increase of 25 mmHg in the patient's systolic blood pressure. B. An increase in the serum potassium level from 3.5 to 5.6 mEq/dL. C. Patient complains of headache and is showing signs of restlessness. D. The patient has normal temperature with pallor to the skin.

Correct Answer is A

Explanation

Choice A rationale

An increase in systolic blood pressure by 25 mmHg indicates a positive response to therapy for Addisonian crisis. Addisonian crisis involves severe hypotension due to low levels of cortisol and aldosterone, which regulate blood pressure. Cortisol replacement therapy helps to increase blood pressure by enhancing the responsiveness of blood vessels to catecholamines and promoting sodium and water retention. This improvement is critical for stabilizing the patient and restoring hemodynamic balance.

Choice B rationale

An increase in serum potassium level from 3.5 to 5.6 mEq/dL suggests hyperkalemia, which is a sign of worsening condition, not improvement. Addisonian crisis is characterized by hyperkalemia due to aldosterone deficiency, which impairs potassium excretion. Effective treatment would normalize potassium levels rather than increase them.

Choice C rationale

Complaints of headache and signs of restlessness may indicate adverse effects or complications, rather than therapeutic efficacy. These symptoms could result from inadequate or excessive dosing of corticosteroids or other underlying issues. Monitoring patient response and adjusting treatment is essential.

Choice D rationale

Normal temperature with pallor to the skin does not indicate effective therapy for Addisonian crisis. Pallor may reflect ongoing hypoperfusion or anemia. The absence of fever is not a definitive marker of therapeutic success. Key indicators include hemodynamic stability and normalized electrolytes.

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The nurse is caring for a 28-year-old woman with a new diagnosis of Hodgkin's lymphoma scheduled to begin treatment with chemotherapy and radiation.The patient states that she is trying to become pregnant.What is the nurse's best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient who has been in remission from breast cancer for five years.What intervention will the nurse include as a component of survivorship care for this patient?

Correct Answer is B

Explanation

The nurse is caring for a patient who was treated for Addisonian crisis.What clinical change indicates to the nurse that the prescribed therapy was effective?

Correct Answer is A

Explanation

The nurse is caring for a patient with lung cancer who suddenly develops shortness of breath, jugular venous distention, and edema in the face, neck, and arms.The nurse promptly notifies the healthcare provider that the patient is exhibiting signs of which oncologic emergency?

The nurse is providing discharge teaching to a patient diagnosed with Cushing's syndrome.What statement made by the patient will demonstrate their understanding of the discharge instructions?

A client with severe malnutrition is admitted to the hospital.Which intervention should the nurse implement first?

The nurse is discussing dietary changes with a patient newly diagnosed with hypoparathyroidism.Which will the nurse encourage the patient to include in their diet?

The nurse is caring for a 28-year-old woman with a new diagnosis of Hodgkin's lymphoma scheduled to begin treatment with chemotherapy and radiation.The patient states that she is trying to become pregnant.What is the nurse's best response?

The nurse is teaching a patient with hyperparathyroidism how to manage the condition at home.Which response by the patient indicates the need for additional teaching?

The nurse is caring for a patient who has a new prescription for levothyroxine.The nurse will include in the teaching plan that levothyroxine decreases the action of which medication?

The nurse is providing discharge instructions to a patient with Graves' disease who has a prescription for propylthiouracil (PTU) 300 mg orally every 8 hours.Which symptom will the nurse teach the patient to report to the healthcare provider?

The nurse is caring for a 28-year-old woman with a new diagnosis of Hodgkin's lymphoma scheduled to begin treatment with chemotherapy and radiation.
The patient states that she is trying to become pregnant.
What is the nurse's best response?