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NU 300 FINAL EXAM / COMPREHENSIVE PRACTICE QUESTIONS / NEWEST ACTUAL QUESTIONS & ANSWERS (A+ GUIDE SOLUTION)

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NU 300 FINAL EXAM / COMPREHENSIVE PRACTICE QUESTIONS / NEWEST ACTUAL QUESTIONS & ANSWERS (A+ GUIDE SOLUTION)

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3/18/25, 7:53 PM NU 300 FINAL EXAM / COMPREHENSIVE PRACTICE QUESTIONS / NEWEST ACTUAL QUESTIONS & ANSWERS (A+ GUIDE …




NU 300 FINAL EXAM / COMPREHENSIVE
PRACTICE QUESTIONS / NEWEST ACTUAL
QUESTIONS & ANSWERS (A+ GUIDE SOLUTION)

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chart 22-1: care of patient with radiation


Reduced immunity and blood forming
o Cancer in the marrow suppresses WBC and RBC
production


Motor and sensory deficits
o Invasion of bone, brain, nerves
o Pain
o Bone metastasis pain, fractures, spinal cord
compression & hypercalcemia which leads to
care of patients with
decreased mobility
cancer

Fear


Peripheral Neuropathy
Decreased respiratory and cardiac function
o Compression of the airways and vasculature


Altered GI structure and function
o Increased need for nutrients (Protein and Carbs
esp.) for tumor growth
o Cachexia
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,3/18/25, 7:53 PM NU 300 FINAL EXAM / COMPREHENSIVE PRACTICE QUESTIONS / NEWEST ACTUAL QUESTIONS & ANSWERS (A+ GUIDE …


• Place the patient in a private room whenever
possible.
• Use good handwashing technique or use alcohol-
based hand rubs before touching the patient or any
of the patient's belongings.
• Ensure that the patient's room and bathroom are
cleaned at least once each day.
• Do not use supplies from common areas for patients
with myelosuppression and neutropenia. For example,
keep a dedicated box of disposable gloves in his or
her room and do not share this box with any other
patient. Provide single-use food products, individually
wrapped gauze, and other individually wrapped
items.
• Limit the number of health care personnel entering
the patient's room.
• Monitor vital signs every 4 hours, including
temperature.
• Inspect the patient's mouth at least every 8 hours.
• Inspect the patient's skin and mucous membranes
(especially the anal area) for the presence of fissures
and abscesses at least every 8 hours.
Care of the Patient with
• Inspect open areas, such as IV sites, every 4 hours
Myelosuppression and
for manifestations of infection.
Neutropenia
• Change wound dressings daily.
• Obtain specimens of all suspicious areas for culture
(as specified by the agency), and promptly notify the
physician.
• Assist the patient in coughing and deep-breathing
exercises.
• Encourage activity at a level appropriate for the
patient's current health status.
• Change IV tubing daily, or according to unit
protocol.
• Keep frequently used equipment in the room for use
with this patient only (e.g., blood pressure cuff,
stethoscope, thermometer).

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,3/18/25, 7:53 PM NU 300 FINAL EXAM / COMPREHENSIVE PRACTICE QUESTIONS / NEWEST ACTUAL QUESTIONS & ANSWERS (A+ GUIDE …


• Limit visitors to healthy adults.
• Use strict aseptic technique for all invasive
procedures.
• Monitor the white blood cell count, especially the
absolute neutrophil count (ANC), daily.
• Avoid the use of indwelling urinary catheters.
• Keep fresh flowers and potted plants out of the
patient's room - hospital policy based.
• Teach the patient to avoid eati

• Wash the irradiated area gently each day with either
water or a mild soap and water as prescribed by your
radiologist.
• Use your hand rather than a washcloth to be gentler.
• Rinse soap thoroughly from your skin.
• If ink or dye markings are present to identify exactly
where the beam of radiation is to be focused, take
care not to remove them.
• Dry the irradiated area with patting motions rather
than rubbing motions; use a clean, soft towel or cloth.
• Use only powders, ointments, lotions, or creams on
your skin at the radiation site that are prescribed by
Skin Protection During
the radiation oncology department.
Radiation Therapy
• Wear soft clothing over the skin at the radiation site.
• Avoid wearing belts, buckles, straps, or any type of
clothing that binds or rubs the skin at the radiation
site.
• Avoid exposure of the irradiated area to the sun.
•Protect this area by wearing clothing over it.
•Try to go outdoors in the early morning or evening to
avoid the more intense sun rays.
•When outdoors, stay under awnings, umbrellas, and
other forms of shade during the times when the sun's
rays are most intense (10 am to 7 pm).
• Avoid heat exposure.




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, 3/18/25, 7:53 PM NU 300 FINAL EXAM / COMPREHENSIVE PRACTICE QUESTIONS / NEWEST ACTUAL QUESTIONS & ANSWERS (A+ GUIDE …


•Avoid crowds and other large gatherings of people
who might be ill.
•Do not share personal toilet articles, such as
toothbrushes, toothpaste, washcloths, or deodorant
sticks, with others.
•If possible, bathe daily, using an antimicrobial soap. If
total bathing is not possible, wash the armpits, groin,
genitals, and anal area twice a day with an
antimicrobial soap.
•Clean your toothbrush at least weekly by either
running it through the dishwasher or rinsing it in liquid
laundry bleach (and then rinsing the bleach out with
hot running water).
•Wash your hands thoroughly with an antimicrobial
soap before you eat and drink, after touching a pet,
after shaking hands with anyone, as soon as you come
home from any outing, and after using the toilet.
•Avoid eating salads; raw fruits and vegetables;
undercooked meat, fish, and eggs; and pepper and
paprika.
•Wash dishes between use with hot, sudsy water, or
use a dishwasher.
Prevention of Infection •Do not drink water, milk, juice, or other cold liquids
that have been standing at room temperature for
longer than an hour.
•Do not reuse cups and glasses without washing.
•Do not change pet litter boxes.
•Take your temperature at least once a day and
whenever you do not feel well.
•Report any of these signs or symptoms of infection to
your physician immediately:•Temperature greater than
100° F.
•Persistent cough (with or without sputum)
•Pus or foul-smelling drainage from any open skin
area or normal body opening
•Presence of a boil or abscess
•Urine that is cloudy or foul smelling or that causes
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