Author Question: Which information should the nurse include in teaching a patient who is scheduled for external beam ... (Read 39 times)

cagreen833 · **on:** Jun 25, 2018

Which information should the nurse include in teaching a patient who is scheduled for external beam radiation to the breast?

a. The radiation therapy will take a week to complete.
b. Careful skin care in the radiated area will be necessary.
c. Visitors are restricted until the radiation therapy is completed.
d. Wigs may be used until the hair regrows after radiation therapy.

Question 2

Which patient statement indicates that the nurse's teaching about tamoxifen (Nolvadex) has been effective?

a. I can expect to have leg cramps.
b. I will call if I have any eye problems.
c. I should contact you if I have hot flashes.
d. I will be taking the medication for 6 to 12 months.

strudel15 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
Skin care will be needed because of the damage caused to the skin by the radiation. External beam radiation is done over a 5- to 6-week period. Scalp hair loss does not occur with breast radiation therapy. Because the patient does not have radioactive implants, no visitor restrictions are necessary.

Answer to Question 2

ANS: B
Retinopathy, cataracts, and decreased visual acuity should be immediately reported because it is likely that the tamoxifen will be discontinued or decreased. Tamoxifen treatment generally lasts 5 years. Hot flashes are an expected side effect of tamoxifen. Leg cramps may be a sign of deep vein thrombosis, and the patient should immediately notify the health care provider if pain occurs.