Author Question: A client who has had a diagnosis of lung cancer is scheduled to begin radiation treatment. The nurse ... (Read 60 times)

strangeaffliction · **on:** Jun 25, 2018

A client who has had a diagnosis of lung cancer is scheduled to begin radiation treatment. The nurse knows that which of the following statements listed below about potential risks of radiation is most accurate?

A)
Some clients experience longer-term irritation of skin adjacent to the treatment site.
B)
Sometimes you might find that your blood takes longer to clot than normal.
C)
The changes that you might see are normally irreversible.
D)
The unwanted effects will be limited to the exposed portions of your skin.

Question 2

The nurse caring for a lung cancer patient with metastasis to the brain suspects the patient has developed a paraneoplastic syndrome known as syndrome of inappropriate antidiuretic hormone (SIADH) secretion.

Which laboratory result in this patient who has gained 3 lb in a day would alert the nurse to the possibility of SIADH?
A)
Serum potassium of 5.0 mmol/L
B)
Serum sodium of 115 mmol/L
C)
BUN of 8 mg/dL
D)
Hematocrit of 40

ecabral0 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Ans:
A

Feedback:

Chronic radiation dermatitis is a consequence of cancer treatment with ionizing radiation. Hypocoagulation is not an identified consequence of radiation exposure, and changes can be both reversible and deeper than the surface of the skin.

Answer to Question 2

Ans:
B

Feedback:

SIADH is the principal cause of hyponatremia in malignant disease. It may be caused by oat cell carcinoma of the lung and certain other malignant tumors or be due to the tumor producing vasopressin. The other lab values, K+, BUN, and hematocrit are all within normal adult ranges.