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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Using a soft toothbrush is appropriate for preventing bleeding, but it does not directly indicate an understanding of neutropenia or its implications for infection risk.
B. Babysitting a young child may expose the client to infections, which is not safe for someone with neutropenia. This statement shows a lack of understanding.
C. Calling the oncologist when experiencing an increased temperature is critical because it may indicate an infection, which is a major concern for clients with neutropenia. This statement reflects an appropriate understanding of the condition.
D. While wearing a mask can be beneficial in some situations, stating that it must be worn at all times is not necessary and shows a misunderstanding of the guidelines for reducing infection risk in neutropenia.
Correct Answer is B
Explanation
A. Magnesium at 2.0 mEq/L is within the normal range (1.6-2.2 mg/dL) and does not require immediate intervention.
B. A serum sodium level of 126 mEq/L indicates hyponatremia, which can lead to neurological complications, particularly in patients with brain cancer. Immediate reporting is necessary to manage potential risks such as seizures or altered mental status.
C. A potassium level of 3.5 mEq/L is on the lower limit of normal (3.5-5.3 mEq/L) but is still considered acceptable and does not require urgent action.
D. Calcium at 10 mg/L is an incorrect unit for this context, as total serum calcium is typically measured in mg/dL, and 10 mg/dL falls within the normal range (8.2-10.2 mg/dL).
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