Author Question: The nurse assesses several clients for their potential risk for developing cancer. Which client does ... (Read 27 times)

mcmcdaniel · **on:** Jul 23, 2018

The nurse assesses several clients for their potential risk for developing cancer. Which client does the nurse assess to be at highest risk for developing cancer?

1. The client who drinks alcohol daily and eats red meat at most meals
2. The client who is 10 pounds overweight, but exercises regularly
3. The client who usually applies sunscreen when arriving at the beach
4. The client who frequently forgets self-breast exams, but has routine mammograms

Question 2

The client receives cyclophosphamide (Cytoxan) as treatment for cancer, and is experiencing oral irritation as an adverse effect. What does the best plan by the nurse include as it relates to providing oral comfort?

1. Teach the client to avoid extreme temperatures of food selections.
2. Teach good oral hygiene, including the use of an antiseptic mouthwash.
3. Administer megestrol (Megace ES) to the client.
4. Teach the client to use a firm toothbrush for brushing the teeth.

joshraies · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1
Rationale 1: Alcoholism and consuming large amounts of red meat are lifestyle factors that put this client at risk for developing cancer.
Rationale 2: Being 10 pounds overweight is not a big risk, and regular exercise is protective against cancer.
Rationale 3: Application of sunscreen at the beach will help prevent skin cancer.
Rationale 4: A monthly self-breast exam is ideal, but routine mammograms will offset most of the risk from forgetting to do some monthly exams.

Answer to Question 2

Correct Answer: 1
Rationale 1: Avoiding extreme temperatures of foods will help prevent further trauma and discomfort to the mouth.
Rationale 2: Most mouthwashes contain alcohol, which will make the problem worse.
Rationale 3: Megestrol (Megace ES) can be effective for appetite stimulation in cancer clients, but will not help oral irritation.
Rationale 4: The client should use a soft toothbrush.