After a course of chemotherapy for cancer of the throat, an older ...

[mia]

After a course of chemotherapy for cancer of the throat, an older adult patient is admitted to the hospital with persistent nausea and vomiting. The nurse should initially assess the patient for
 
  a. weight loss and weak gag reflex.
  b. anemia and poor muscle tone.
  c. oral inflammation and ulceration.
  d. dehydration and infection.

Question 2

The nurse is learning about postmenopausal changes that can affect sexuality in women. Which of the following are included? (Select all that apply.)
 
  a. Shortening of the vagina
  b. Need to void after intercourse
  c. Vaginal dryness
  d. Vaginal irritation needs investigation
  e. Vaginal secretions diminish

[k.lashomb]

Answer to Question 1

D
Drug-induced nausea and vomiting can result in dehydration, decreased caloric intake, and weight loss. Chemotherapy in general will impact the immune system's ability to combat infec-tions. All assessments are important, but dehydration and infection (or sepsis) need to be treated immediately.

Answer to Question 2

A, B, C, E
Shortening of the vagina with decreased secretions and dryness as well as the need to void after intercourse are all normal changes that accompany aging. Vaginal irritation does not necessarily need investigation, as this is a normal finding also.

[mia]

Thanks for the timely response, appreciate it

[shailee]

Excellent