During a treatment meeting on an oncology unit, the nurse learns ...

[ereecah]

During a treatment meeting on an oncology unit, the nurse learns that a client is scheduled for chemotherapy before and after surgery. What are the purposes for this client to receive chemotherapy at these specific times?
 
  Select all that apply.
  A) Eradicate all cancer cells.
  B) Shrink the tumor.
  C) Kill remaining cancer cells.
  D) Allow the immune system to kill cancer cells.
  E) Improve wound healing.

Question 2

The mother of a 1-month-old infant calls the nurse who works in the health clinic. The mother is concerned because the infant has had vomiting and diarrhea for 1 days.
 
  The nurse knows that this infant is at risk for metabolic acidosis. Which is the priority nursing action?
  A) Instruct the mother to provide the infant with 50 mL of glucose water.
  B) Instruct the mother to measure the infant's urine output for 24 hours.
  C) Instruct the mother to give the infant at least 2 ounces of juice every 2 hours.
  D) Instruct the mother to bring the infant to the clinic for evaluation.

[Jossy]

Answer to Question 1

Answer: B, C

It is impossible to eradicate all cancer cells with chemotherapy. Chemotherapy before surgery is used to shrink the tumor. Chemotherapy is used after surgery to kill remaining cancer cells. The use of chemotherapy before and after surgery will not allow the immune system to kill the cancer cells. Chemotherapy is not used to improve wound healing.

Answer to Question 2

Answer: D

Parents and caregivers need to be taught the seriousness of vomiting or diarrhea in infants due to rapid fluid loss that can occur in this age group. They should also be taught the importance of bringing an infant in this situation to healthcare providers for evaluation. Encouraging fluids for an infant who is actively vomiting will not improve fluid balance status, and neither juice nor glucose water is the best choice of fluid. Simply monitoring the loss over the next 24 hours would increase the potential for the infant to become dehydrated.

[ereecah]

TYSM

[smrtceo]

Excellent