Author Question: A client receiving chemotherapy tells the nurse that he is concerned that he may be developing ... (Read 109 times)

Jipu 123 · **on:** Jun 25, 2018

A client receiving chemotherapy tells the nurse that he is concerned that he may be developing Alzheimer's disease since he is having a new onset of memory loss. Which of the following should the nurse do to help this client?

1. Discuss the client's memory issues with the physician.
2. Suggest the client use a journal to aid with short-term chemo fog problems.
3. Assess for signs of pending stroke.
4. Notify the physician and plan for transferring the client to an intensive care area.

Question 2

The nurse has been an employee of an organization for 2 years and is considering a job change. Which of the following does this nurse's plan suggest to any future employers?

1. The nurse moves to other jobs too frequently.
2. The nurse is inflexible.
3. The nurse is searching for a more challenging environment with career opportunities.
4. The nurse is willing to sacrifice home and personal life for a job.

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

Answer to Question 1

2
Twenty to 50 of cancer clients receiving chemotherapy describe cognitive changes such as being in a fog. To aid this client, the nurse should suggest the client keep a log or journal to document activities in order to identify when the fog is more acute. Chemo fog can last up to 2 years after treatment, but it is not permanent. The client's memory issues do not need to be discussed with a physician. The client is not experiencing a stroke. The client does not need to be transferred to an intensive care area.

Answer to Question 2

3
At one point in time, job changes every 2 or 3 years was considered a red flag for employers. This does not hold true today. The nurse who changes jobs every 2 or 3 years is interested in career advancement and success. Creativity is valued and opportunities are desired. Moving to another job in 2 to 3 years does not mean the nurse is inflexible. The new generation of nurses does not want to sacrifice home and personal life for a job.