The nurse understands that the type of precautions needed for children receiving chemotherapy is based on which action of chemotherapeutic agents?

a. Gastrointestinal upset
b. Bone marrow suppression
c. Decreased creatinine level
d. Alopecia


B
Chemotherapy agents cause bone marrow suppression, which creates the need to institute precautions related to reduced white blood cell, red blood cell, and platelet counts. These precautions focus on preventing infection and bleeding. Although gastrointestinal upset may be an adverse effect of chemotherapy, it is not caused by all chemotherapeutic agents. No special precautions are instituted for gastrointestinal upset. A decreased creatinine level is consistent with renal pathological conditions, not chemotherapy. Not all chemotherapeutic agents cause alopecia. No precautions are taken to prevent alopecia.

Nursing

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Vaginal fistulas are caused by an ulcerating process resulting from (Select all that apply.)

a. cancer. b. radiation. c. poor hygiene. d. multiple sexual partners. e. weakening of tissue from pregnancies. f. surgical interventions.

Nursing

The nurse working on a postoperative gynecology unit has to be knowledgeable of the psychological concerns of many of her clients. What will these concerns most often include?

1. Feelings of loss, grief, and anger 2. Feelings of euphoria and happiness 3. Feelings of control and calmness 4. Feelings of cheerfulness and satisfaction

Nursing

In which scenario would the nurse, caring for the palliative care client, encourage the treatment of chemotherapy?

A) When the chemotherapy can assist in managing distressing clinical symptoms B) When the client and family requests to have more chemotherapy C) When the client feels chemotherapy will cure the disease D) When the chemotherapy helps the psychological state of the client

Nursing

During a group meeting you notice that one member always monopolizes the conversation. Which of the following group roles is this member fulfilling?

a. talker b. silent one c. supporter d. intimidator

Nursing