A client in the oncology clinic reports her family is frustrated ...

[cool]

A client in the oncology clinic reports her family is frustrated at her ongoing fatigue 4 months after radiation therapy for breast cancer. What response by the nurse is most appropriate?
 
  a. Are you getting adequate rest and sleep each day?
  b. It is normal to be fatigued even for years afterward.
  c. This is not normal and I'll let the provider know.
  d. Try adding more vitamins B and C to your diet.

Question 2

A new nurse has been assigned a client who is in the hospital to receive iodine-131 treatment. Which action by the nurse is best?
 
  a. Ensure the client is placed in protective isolation.
  b. Hand off a pregnant client to another nurse.
  c. No special action is necessary to care for this client.
  d. Read the policy on handling radioactive excreta.

[jasonq]

Answer to Question 1

ANS: B
Regardless of the cause, radiation-induced fatigue can be debilitating and may last for months or years after treatment has ended. Rest and adequate nutrition can affect fatigue, but it is most important that the client understands this is normal.

Answer to Question 2

ANS: D
This type of radioisotope is excreted in body fluids and excreta (urine and feces) and should not be handled directly. The nurse should read the facility's policy for handling and disposing of this type of waste. The other actions are not warranted.