The nurse is caring for a client who is receiving external beam radiation for treatment of right upper lobe lung cancer. What problem should be anticipated following this treatment?

Constipation

Alopecia

Increased saliva

Esophagitis

Answer and Explanation

The Correct Answer is D

A. Constipation is not a direct consequence of external beam radiation to the lung; it may occur due to other factors, such as reduced mobility or medications, but it is not specifically anticipated from this treatment.
B. Alopecia is typically associated with radiation therapy to areas where hair grows, such as the head, rather than the lung area, so it is not expected in this case.
C. Increased saliva is not a common side effect of radiation to the lungs; rather, some patients may experience dry mouth due to treatment to nearby structures.
D. Esophagitis is a well-known complication of radiation therapy to the chest area, as the esophagus can be affected by radiation exposure, leading to inflammation and discomfort in swallowing.

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Correct Answer is B

Explanation

A. This statement is accurate as Mohs surgery involves examining each layer of skin for cancer cells before proceeding with further removal.
B. The client indicates a misunderstanding; Mohs surgery does not typically involve a needle biopsy of the lymph node at the time of the procedure, as it focuses on the local removal of skin cancer.
C. This statement is correct as the goal of Mohs surgery is to remove the cancer while preserving as much healthy tissue as possible.
D. This statement is also true as Mohs surgery is designed to minimize healthy tissue removal, often resulting in better cosmetic outcomes

A. A profound feeling of tiredness B. Renal impairment C. Expectoration of frothy sputum D. Development of bone marrow suppression

Correct Answer is A

Explanation

A. A profound feeling of tiredness is a common side effect of radiation therapy due to fatigue caused by the treatment itself and the body's response to cancer.
B. Renal impairment is not a typical direct side effect of radiation therapy for esophageal cancer; it is more commonly associated with treatments targeting the kidneys or systemic therapies.
C. Expectoration of frothy sputum may indicate pulmonary issues or fluid overload but is not a common side effect specifically related to radiation therapy for esophageal cancer.
D. Development of bone marrow suppression is possible but less common specifically with radiation therapy compared to chemotherapy, which is more directly associated with this side effect.

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The nurse is caring for a client who is receiving external beam radiation for treatment of right upper lobe lung cancer. What problem should be anticipated following this treatment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who is scheduled to have Mohs Micrographic surgery for a basal cell carcinoma. Which statement by the client Indicates a need for further teaching?

Correct Answer is B

Explanation

In assessing a client with esophageal cancer being treated with radiation therapy, which finding(s) would alert the nurse to a possible side effect of this treatment?

Correct Answer is A

Explanation

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