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A 28 year old female patient asks you when it is best to perform a self breast exam. Your
response is the following: - (answer)Self breast exams should be performed 7 to 10 day after the
start of menses (the patient's period...this is the first day of bleeding). Breast tissue is soft at this
time due to hormone levels.
You are educating a group of young men on preventing testicular cancer. What is a correct
statement by a participant regarding a testicular exam? - (answer)The best time to perform a self
testicular exam is after a shower when the scrotum is descended and the tissue is soft. This
makes it easier to feel for lumps or masses. All the other options are incorrect.
As a shift leader making out patient assignments for the oncoming shift, how would you assign
care of a patient that has had a sealed radiation source placed? - (answer)Sealed radiation therapy
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patients are radioactive for 4-8 hours. Staff should be rotated out and never required to provide
care for more than on patient at a time. This 的”中文文章
decreases radiation exposure.
A patient who has underwent a bone marrow transplant is at most risk for what? -
(answer)Patients who have underwent a bone marrow transplant are at major risk for bleeding
and infection. The bone marrow is responsible for producing infection and bleeding fighting
agents such as WBCs and platelets. Therefore, when a patient receives this from a donor it takes
time for the body to build up normal levels.
A patient with leukemia is entering the period known as "the nadir". As the nurse, you know the
following about this period: - (answer)During this period, bone marrow suppression is the
greatest, therefore, the platelet count may be extremely low. This is the nadir period.
On assessment of a patient with leukemia, how would the patient present clinically? -
(answer)Clinically the patient will present with the following: Decreased hgb and hct, decreased
platelets, and elevated or normal WBCs with enlarged lymph nodes. This is because leukemia