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Sas 38

The document discusses a patient with liver cancer and their dietary needs. It also discusses proper safety procedures and PPE for handling chemotherapeutic drugs and administering radiation therapy. Key signs of benign vs malignant tumors are outlined.

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Sistine Rose Labajo
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42 views

Sas 38

The document discusses a patient with liver cancer and their dietary needs. It also discusses proper safety procedures and PPE for handling chemotherapeutic drugs and administering radiation therapy. Key signs of benign vs malignant tumors are outlined.

Uploaded by

Sistine Rose Labajo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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SAS 38

1. B

The patient with liver cancer requires a high calore, high carbohydrate diet with moderate to low fat.
Patients with liver cancer are at risk for edema and ascites and their sodium intake should be limited.
The tomato sandwich with salt free butter best meets these requirements. Rough foods, such as
popcorn, may irritate the esophagus and stomach and lead to bleeding. Peanut butter is high in sodium
and fat, and canned chicken noodle soup is very high in sodium

2. A

The nurse should be corrected if she is only wearing mask and glove because gowns should also be worn
in handling chemotherapeutic drugs. The vials should be vent after mixing to reduce the internal
pressure. Air bubbles are expelled on wet cotton to prevent the spread of the chemotherapeutic agent
particles.

3. C

Benign: grows slowly, localized, encapsulated, well differentiated cells, no metastasis, not harmful to
host. Malignant: Grows rapidly, infiltrates surrounding tissues, not encapsulated, poorly differentiated,
metastasis present, always harmful.

4. D

Unexplained sudden weight loss is a warning signal of cancer. Letter A is wrong because the sore in
cancer does not heal. Nagging cough not dry cough and hoarseness of voice is a sign of cancer. Presence
of lump is not limited to the breast only; it can grow elsewhere that is why letter C is wrong.

5. C

No soap should be used on the skin of the client undergoing radiation. Soap and irritants and may cause
dryness of the patient’s skin. Only water should be used in washing the area.

6. A

Metochlopramide (Metozol) – antiemetic. Succimer (Chemet) – chelating agent for lead poisoning.
Anastrazole (Arimidex) – hormone regulator. Busulfan (Myleran) – alkylating agent.

7. D

The distance of at least 3 feet / 0.9 or 1 meter should be maintained when a nurse is not performing any
nursing procedures.
8. B

To promote safety to the personnel, the client will remain alone in the treatment room while the
machine is in operation. The client may voice out any concern throughout the treatment because a
technologist is just outside the room observing through a window or closed circuit TV. There is no
residual radioactivity after radiation therapy. Safety precautions are necessary only during the time of
actual irradiation. The client may resume normal activities of daily living afterwards

9. C

Principles of Radiation protection follows the DTS system. Distance (D), Time (T) and Shielding (S).
Distance – at least 3 feet should be maintained when a nurse is not performing any nursing procedures.
Time – limit contact to 5 minutes each time. Shielding – use lead shield during contact with client.

10. D

Hemorrhagic cystitis is the potentially fatal side effect of Cytoxan. Myeloma is an indication for giving
this medication. Alopecia is a common side effect.

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