The nurse notes that a client scheduled to begin radiation therapy takes vitamins A, C, and E. What side effects of taking these supplements during treatment should the nurse be alert to?
a. Altered bleeding
b. Immunosuppression
c. Increased chemotherapy levels
d. Hinder the effects of radiation treatments
d. Hinder the effects of radiation treatments
Antioxidant vitamins, such as A, C, and E, may prevent the oxidizing effect of free radicals deliberately formed by radiation and some chemotherapies and thus have the potential to hinder the efficacy of these treatments. Use of antioxidant supplements during treatment is discouraged unless specifically prescribed by the oncologist. In some unique circumstances, antioxidants are used as treatment adjuvant therapy and it is imperative that their use be reserved only for these prescribed circumstances until further research is available. Garlic supplementation is noted to alter platelet function and coagulation. Echinacea can cause immunosuppression. A variety of other herbs affect chemotherapy levels, which can lead to toxicity.
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Which of the following statements best describes how policies in the private sector are different from policies in the public sector?
a. Private sector policies are slow, deliberate, and reactive to events. b. Private sector policies are determined by the opinions and feelings of those employed in that sector. c. Private sector policies are based on economics and market trends. d. Private sector policies are based on rational decision making.
The office nurse is providing information to a client who has experienced recurrent renal calculi. Which of the following jobs would place a client at greatest risk for calculi formation?
A) Over-the-road truck driver B) Mining engineer C) Nursing instructor D) Rumba instructor
Which woman is most likely to have osteoporosis?
a. A 50-year-old woman receiving estrogen therapy b. A 60-year-old woman who takes supplemental calcium c. A 55-year-old woman with a sedentary lifestyle d. A 65-year-old woman who walks 2 miles each day
A nursing instructor is teaching about psychodrama, a specialized type of therapeutic group. Which student statement indicates that further teaching is necessary?
A. "Psychodrama provides a safe setting in which to discuss painful issues." B. "In psychodrama, the client is the protagonist." C. "In psychodrama, the client observes actor interactions from the audience." D. "Psychodrama facilitates resolution of interpersonal conflicts."