Author Question: A nurse cares for a client after radiation therapy for lung cancer. The client reports a sore ... (Read 47 times)

kodithompson · **on:** Jun 25, 2018

A nurse cares for a client after radiation therapy for lung cancer. The client reports a sore throat. Which action should the nurse take first?

a. Ask the client to gargle with mouthwash containing lidocaine.
b. Administer prescribed intravenous pain medications.
c. Explain that soreness is normal and will improve in a couple days.
d. Assess the client's neck for redness and swelling.

Question 2

A nurse assesses clients on the medical-surgical unit. Which client is at greatest risk for development of obstructive sleep apnea?

a. A 26-year-old woman who is 8 months pregnant
b. A 42-year-old man with gastroesophageal reflux disease
c. A 55-year-old woman who is 50 pounds overweight
d. A 73-year-old man with type 2 diabetes mellitus

patma1981 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A
Mouthwashes and throat sprays containing a local anesthetic agent such as lidocaine or diphenhydramine can provide relief from a sore throat after radiation therapy. Intravenous pain medications may be used if local anesthetics are unsuccessful. The nurse should explain to the client that this is normal and assess the client's neck, but these options do not decrease the client's discomfort.

Answer to Question 2

ANS: C
The client at highest risk would be the one who is extremely overweight. None of the other clients have risk factors for sleep apnea.