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?

Schedule the patient for annual prophylactic radiation therapy to the affected breast.

Educate the patient about the need for routine mammography screening.

Coordinate with the hospice team to complete the patient's advanced directives.

Teach the patient that they no longer need survivorship care after five years of remission.

Answer and Explanation

The Correct Answer is B

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.

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Correct Answer is A

Explanation

Choice A rationale

Scheduling colonoscopy screening beginning at age 45 is an example of secondary prevention, which focuses on early detection of diseases in asymptomatic individuals. By identifying precancerous polyps or early-stage colorectal cancer, healthcare providers can intervene earlier, improving outcomes and reducing mortality rates associated with colorectal cancer.

Choice B rationale

Monitoring for signs of secondary malignancies is a part of tertiary prevention, which aims to manage and prevent complications in patients who already have a disease. It does not fit the criteria for secondary prevention, which focuses on early detection before symptoms appear.

Choice C rationale

Reducing consumption of processed meat and alcohol is a primary prevention strategy, aiming to lower the risk of developing cancer in the first place. Primary prevention focuses on preventing the onset of disease through lifestyle and environmental changes, rather than early detection and intervention.

Choice D rationale

Avoiding ultraviolet radiation with the use of sunscreen and sun-protective clothing is also a primary prevention strategy. It aims to prevent skin cancer by reducing exposure to harmful UV rays, thereby lowering the risk of developing cancer from sun damage. .

A. Dysmenorrhea. B. Constipation. C. Sore throat. D. Increased urine output.

Correct Answer is C

Explanation

Choice A rationale

Dysmenorrhea, or painful menstrual cramps, is not a common side effect of propylthiouracil (PTU). PTU is used to manage hyperthyroidism, and it primarily affects the thyroid gland and related metabolic processes. Dysmenorrhea is typically related to reproductive system disorders and hormonal changes, rather than the medication for thyroid conditions.

Choice B rationale

Constipation is also not a typical symptom associated with propylthiouracil (PTU). PTU's effects are focused on thyroid hormone production, and constipation is more commonly related to other factors such as diet, hydration, and gastrointestinal conditions. Reporting constipation would not be as relevant in the context of PTU therapy.

Choice C rationale

Sore throat is a significant symptom to report as it can indicate agranulocytosis, a rare but severe side effect of propylthiouracil (PTU). Agranulocytosis is a condition where the body has a dangerously low number of white blood cells, which compromises the immune system, making infections more likely and harder to fight off. Early detection and intervention are crucial to prevent serious complications.

Choice D rationale

Increased urine output is not typically associated with propylthiouracil (PTU). While changes in metabolism can occur, increased urine output is more often related to other conditions such as diabetes mellitus or diuretic use. Reporting this symptom would not directly relate to PTU therapy.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A public health nurse is providing an educational program at a health fair focusing on strategies to prevent cancer.What type of health promotion activity will the nurse describe as an example of secondary prevention?

Correct Answer is A

Explanation

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?

Correct Answer is C

Explanation

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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?