The nurse is caring for a client receiving radiation therapy for treatment of oral cancer. Which new finding is the greatest concern?

Stomatitis

Stridor

Nausea

Xerostomia

Answer and Explanation

The Correct Answer is B

A. Stomatitis is a common side effect of radiation therapy for oral cancer, and while it requires management, it is not immediately life-threatening.
B. Stridor indicates potential airway obstruction, which is a critical and urgent condition that requires immediate intervention, making it the greatest concern among the options presented.
C. Nausea is a typical side effect of cancer treatment but is usually manageable and not considered an immediate threat.
D. Xerostomia, or dry mouth, is another common side effect of radiation to the head and neck, but it is not as urgent as the risk of airway compromise indicated by stridor.

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Correct Answer is B

Explanation

A. While a diet of soft foods and liquid protein may be beneficial for a client undergoing chemotherapy, it is not the most critical intervention related to thrombocytopenia. Nutritional needs can be managed but do not address the immediate risk of bleeding or injury.
B. Teaching safety in the home to reduce injury and falls is the most important intervention. Clients with thrombocytopenia have a significantly increased risk of bleeding and bruising, making it essential to prevent falls and injuries that could lead to serious complications.
C. Spacing activities throughout the day can help manage fatigue, but it is not as urgent as ensuring the client is safe from injuries related to low platelet counts.
D. Frequent hand hygiene is important to prevent infections, especially in immunocompromised patients, but it does not directly address the primary concern of preventing injuries related to thrombocytopenia.

A. Limiting visits by family members and friends B. Assessment of amylase and lipase C. Abdominal assessment including abdominal girth D. Continuous cardiac monitoring

Correct Answer is C

Explanation

A. Limiting visits by family members and friends is not necessary for managing ascites and could hinder the client's emotional support.
B. While amylase and lipase are important in assessing pancreatic function, they are not directly relevant to ascites management or liver cancer.
C. An abdominal assessment including abdominal girth is crucial for monitoring ascites, as changes in girth can indicate fluid accumulation or changes in the client's condition.
D. Continuous cardiac monitoring is not typically indicated for clients with liver cancer experiencing ascites unless there are specific cardiac concerns.

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The nurse is caring for a client receiving radiation therapy for treatment of oral cancer. Which new finding is the greatest concern?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client receives chemotherapy with an agent that causes thrombocytopenia. Which intervention is most important to teach the client?

Correct Answer is B

Explanation

The nurse is planning care for the client diagnosed with liver cancer experiencing ascites. The nurse would include which of the following?

Correct Answer is C

Explanation

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