4. Nurses should respect a client’s right not to be moved.

183. After recovery from a modified neck dissection for oropharyngeal

cancer, the client
receives external radiation to the operative site. For which most critical
reaction to the
radiation should the nurse assess the client?
1. Dry mouth
2. Skin reactions
3. Mucosal edema
4. Bone marrow suppression
184. A client expresses concern about being exposed to radiation therapy
because it can
cause cancer. What should the nurse emphasize when informing the client
about
exposure to radiation?
1. The dosage is kept at a minimum.
2. Only a small part of the body is irradiated.
3. The client’s physical condition is not a risk factor.
4. Nutritional environment of the affected cells is a risk factor.
185. A client who is to receive radiation therapy for cancer says to the nurse,
“My family
said I will get a radiation burn.” What is the nurse’s best response?
1. “Your skin will look like a sunburn.”
2. “A localized skin reaction usually occurs.”
3. “A daily application of an emollient will prevent a burn.”
4. “Your family must have had experience with radiation therapy.”
186. A nurse applies an ice pack to a client’s leg for 20 minutes. What
clinical indicator
helps the nurse determine the effectiveness of the treatment?
1. Local anesthesia
2. Peripheral vasodilation
3. Depression of vital signs
4. Decreased viscosity of blood
187. A homeless person is brought to the emergency department after
prolonged
exposure to cold weather. What clinical manifestations of hypothermia does
the nurse
anticipate? Select all that apply.
1. Stupor
2. Erythema
3. Increased anxiety
4. Rapid respirations
5. Paresthesia in affected body parts
188. An older adult is brought to the emergency department after being found
in the
street without a coat during a snowstorm. What actions should the nurse
implement?
Select all that apply.
1. Massage extremities.
2. Obtain a rectal temperature.
3. Assess the fingers for areas of frostbite.
4. Determine client’s level of consciousness.
5. Ask for identification so that the family can be notified.