OCN practice test B

OCN practice test B 1. A patient with breast cancer who is 14-weeks pregnant presents for teaching prior to beginning chemotherapy. She is concerned about the potential effects of treatment on her baby. What information should the nurse provide to the patient? Chemotherapy given after the first trimester has minimal fetal toxicities. Doses will be decreased to ensure safety. A spontaneous abortion will most likely occur. Treatment will be held until after the delivery of the child. - ANSWER-Chemotherapy started after the first trimester has less complications, and poses less risk to the fetus. 2. Which of the following is a risk factor for treatment-related pneumonitis? Less than 60 years of age Mantle field radiation Concomitant use of steroids Oxygen therapy at low concentrations - ANSWER-The risk of pneumonitis is increased when having a large volume of lung included in the treatment field. 3. A patient receiving chemotherapy continues to have nausea and vomiting before each treatment, despite the use of antiemetics. The patient is crying and wishes to stop treatment. What is an appropriate nursing intervention? Explain that everyone experiences nausea and vomiting. Recommend that the healthcare provider reduce the dosage. Suggest the healthcare provider stop treatment. Discuss integrative therapy options. - ANSWER-Complementary or integrative therapy, such as massage, music therapy, or acupuncture can help with anticipatory nausea. 4. A patient with intractable dyspnea at the end of life has not experienced any relief with traditional interventions. Which of the following should the nurse next consider? Calling anesthesia to int