The nurse is caring for a client who is receiving teletherapy radiation for a malignant tumor. Which instruction regarding skin care of the portal site should the nurse provide?
Protect the skin of the radiation portal site from sunlight exposure.
Avoid washing the skin inside the radiation portal site.
Remove the ink marks of the portal after each radiation treatment.
Apply moisture lotions daily to the radiation portal site.
The Correct Answer is A
A. Protecting the skin of the radiation portal site from sunlight exposure is crucial to prevent further damage to the irradiated area, as the skin becomes more sensitive during radiation therapy.
B. Washing the skin inside the radiation portal site should be done gently with mild soap and water, as directed by the healthcare provider, to maintain cleanliness and prevent infection. However, excessive rubbing or scrubbing should be avoided to minimize irritation.
C. The ink marks of the portal are used as reference points for accurate delivery of radiation and should not be removed until instructed by the healthcare provider or radiation therapist.
D. Moisturizing the radiation portal site can help alleviate dryness and discomfort associated with radiation therapy, but it should be done sparingly and with products recommended by the healthcare provider to avoid potential interactions or interference with the treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Palpitations and shortness of breath are symptoms of thyrotoxicosis, indicating excessive thyroid hormone levels, which could result from an overdose of levothyroxine sodium.
B. Bradycardia and constipation are more indicative of hypothyroidism, which would suggest the need for an increase in levothyroxine dosage rather than a decrease.
C. Muscle cramping and dry, flushed skin are symptoms of hypothyroidism, which would suggest inadequate thyroid hormone replacement rather than excess.
D. Lethargy and lack of appetite are also symptoms of hypothyroidism, not hyperthyroidism, which would not typically result from an overdose of levothyroxine.
Correct Answer is C
Explanation
A. Fentanyl and hydromorphone are potent opioids often used for pain management, but they are not typically first-line medications for acute chest pain associated with suspected myocardial infarction.
B. Hydromorphone, like fentanyl, is an opioid analgesic primarily used for moderate to severe pain but is not the first choice for managing acute chest pain.
C. Morphine is the medication of choice for managing acute chest pain associated with myocardial infarction. It helps alleviate pain, reduce myocardial oxygen demand, and relieve anxiety.
D. Oxycodone is an opioid analgesic used for moderate to severe pain but is not typically indicated as first-line therapy for acute chest pain associated with myocardial infarction.
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