A client who is receiving chemotherapy frequently complains of ...

[CORALGRILL2014]

A client who is receiving chemotherapy frequently complains of headache. The most effective nursing intervention would be to administer:
 
  1. ibuprofen.
  2. naproxen.
  3. aspirin.
  4. acetaminophen.

Question 2

What would be the best response by the nurse to a client who says that her friends might not accept her now that she has had a mastectomy?
 
  1. It is just a mastectomy; don't worry so much.
  2. You should get some new friends.
  3. I understand your concerns about your body changes. Let's talk about it.
  4. It is normal to be worried about what other people think. Your friends will get over it.

[IRincones]

Answer to Question 1

Correct Answer: 4
Rationale 1: Ibuprofen is not indicated because it can precipitate bleeding, and the client is already at risk for anemia.
Rationale 2: Naproxen is not indicated because it can precipitate bleeding, and the client is already at risk for anemia.
Rationale 3: Aspirin is not indicated because it can precipitate bleeding, and the client is already at risk for anemia.
Rationale 4: Acetaminophen is the drug of choice for chemotherapy clients because it does not precipitate bleeding.
Global Rationale: The patient taking chemotherapy is at risk for bleeding and should avoid drugs that compound the risk. Acetaminophen does not precipitate bleeding.

Answer to Question 2

Correct Answer: 3
Rationale 1: This is not a therapeutic response.
Rationale 2: This is not a therapeutic response.
Rationale 3: This is the best therapeutic response.
Rationale 4: This is not the best response.
Global Rationale: The therapeutic response is to allow the patient to discuss concerns. The other responses are not therapeutic.

[CORALGRILL2014]

Thanks

[IRincones]

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