The client who is being treated with radiation for cervical cancer asks if she should bother having a mammogram, especially because she is currently being exposed to radiation. What is the nurse's best response?
A. "Although you should delay the mammogram until your therapy is finished, per-form a breast self-exam monthly."
B. "Being treated for one kind of cancer does not prevent the development of anoth-er type of cancer. Have the mammogram."
C. "Absolutely do not have the mammogram this year, because you are already over the limit for safe exposure levels to radiation."
D. "The radiation therapy you are receiving will protect you against other cancer development, so it is okay to skip the mammogram this year."
B
Clients are encouraged to participate in their normal regular screening for other cancer types while they are receiving some treatments for a different cancer type. The mammogram radiation exposure is very low and will not interfere with the cervical cancer therapy. Also, the cervical cancer therapy will not interfere with the mammogram.
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A nurse is caring for a client who is confined to bed due to paralysis. The client has a medical history of stroke, hypertension, and diabetes mellitus for the past 5 years, besides having asthma since childhood
Which of the following is the best example of a secondary illness seen in the client? A) Diabetes mellitus B) Asthma C) Hypertension D) Stroke
A client seeks to elicit personal information about the nurse by asking several direct questions about
the nurse's living arrangements. To refocus the interview the nurse should say a. "I am uncomfortable when you ask me personal questions, so please stop.". b. "It seems a bit odd that you are focusing on me rather than on yourself.". c. "Your questioning is manipulative and distracting us from our purpose.". d. "This is your time to focus on your situation. Tell me about your concerns.".
A patient with swelling and a laceration above the right eye states, "I don't know what caused me to fall and cut my head on the door frame."
The patient's spouse appears nervous but smiles when mentioning that the patient is "so clumsy at times.". The nurse should give priority attention to which intervention when addressing this patient's needs? a. Directly asking the patient if spousal abuse is occurring or has ever occurred b. Completing a thorough assessment that includes a focus on signs of old injuries c. Interviewing the patient regarding the circumstances surrounding this suspicious fall d. Notifying security that there is a possibility that this patient is a victim of physical abuse
When monitoring a patient for the most common side effect of oral first-generation antihistamines, the nurse would assess
a. heart rate and rhythm. b. alertness. c. respiratory rate. d. bowel sounds.