1. After the nurse has finished teaching a client who is scheduled to receive external beam
radiation for abdominal cancer about appropriate diet, which dietary selection by the client
indicates that the teaching has been effective?
a) Fresh fruit salad
b) Whole wheat toast
c) Roasted chicken
d) Cream of potato soup correct answers c) Roasted chicken
*To minimize the diarrhea that is commonly associated with bowel radiation, the client should
avoid foods high in roughage, such as fruits and whole grains. Lactose intolerance may develop
secondary to radiation, so dairy product should also be avoided.
Which of the following information obtained by the nurse about a client with colon cancer who
is scheduled for external radiation therapy to the abdomen indicates a need for client teaching?
a) The client eats frequently during the day
b) The client has a history of dental caries
c) The client showers with dove soap daily
d) The client swims in a pool five days a week correct answers d) The client swims in a pool five
days a week
*The client is instructed to avoid swimming in salt water or chlorinated pools during the
treatment period.
A chemotherapeutic agent known to cause alopecia is prescribed for client. Which of the
following action should the nurse plan to implement to help maintain the client's self-esteem?
, a) Suggest that the client limits social contact until regrowth of hair occurs.
b) Have the client wash the hair gently with mild shampoo to minimize hair loss.
c) Encourage the client to purchase a wig or hat to wear once hair loss begins.
d) Inform the client that their hair will grow back once chemotherapy is done. correct answers c)
Encourage the client to purchase a wig or hat to wear once hair loss begins.
* The client is taught to anticipate hair loss and to be prepared with wigs, scarves, or hats.
The nurse is caring for a client with ovarian cancer who is distressed because her husband rarely
visits and tells the nurse, "He just doesn't care." The husband indicates to the nurse that "I never
know what to say to help her." Which of the following nursing diagnoses is most appropriate?
a) Dysfunctional family processes related to insufficient problem-solving skills.
b) Impaired home maintenance related to insufficient support system.
c) Disabled family coping related to chronically unexpressed feelings by support person.
d) Risk for caregiver role strain as evidenced by increase in care needs. correct answers a)
Dysfunctional family processes related to insufficient problem-solving skills.
* The data indicates that this diagnosis is most appropriate because poor communication among
the family members is affecting family processes.
The nurses came for a client who is a single mother of four school age children and his
hospitalised with metastatic ovarian cancer. The nurse finds the client crying, and she tells the
nurse that she does not know what will happen to her children when she dies. Which of the
following is the most appropriate response?
a) "For now you need to concentrate on getting well, not worry about your children."
b) "Why don't we talk about the options you have for the care of your children?"
c) "Many clients with cancer live for a long time, so there is time to plan for your children."