Correct Answer: D

Rationale: In cases where a patient does not respond appreciably to therapy, it is crucial to identify and respect the patient's choices regarding treatment, including preferences for end-of-life care. Option A is incorrect because it focuses on spiritual support rather than the patient's care preferences. Option B is incorrect as it assumes non-adherence to treatment without evidence. Option C is incorrect as it suggests an alternative treatment approach without considering the patient's wishes for end-of-life care.

Correct Answer: A

Rationale: The correct answer is monitoring for infection. In patients with acute leukemia, the most common cause of death is usually infection or bleeding. By closely monitoring for signs of infection, such as fever, altered mental status, or elevated white blood cell count, healthcare providers can intervene promptly. Monitoring nutritional status (choice
B) is important but does not directly address the most common cause of death among leukemia patients. Monitoring electrolyte levels (choice
C) and liver function (choice
D) are also important assessments in cancer patients; however, they are not the most direct assessment to address the leading cause of death in patients with leukemia.

Correct Answer: A

Rationale: Assisting the client in pre-planning for alopecia is the best method to help them manage the psychosocial impact of the issue. By helping clients anticipate and prepare for the challenges associated with alopecia, they can cope better with the psychological impact. Reassuring the client that alopecia is temporary (choice
B) may provide false hope as some types of alopecia are permanent. Teaching ways to protect the scalp (choice
C) is important but not the most effective method for managing the psychosocial impact. Telling the client that there are worse side effects (choice
D) is dismissive of the client's feelings and not helpful in addressing the psychosocial impact of alopecia.

Correct Answer: A

Rationale: The correct answer is A: The client's pain rating. Pain assessment should primarily rely on the client's self-report for the most accurate determination of pain intensity. Nonverbal cues from the client (choice
B) can provide additional information but should not replace the client's self-report. The nurse's impression of the client's pain (choice
C) may be subjective and less reliable than the client's self-assessment. Pain relief after appropriate nursing intervention (choice
D) is an important outcome but does not replace the initial assessment of the client's pain.

Correct Answer: C

Rationale: The correct answer is C: 'Brachytherapy is an internal radiation therapy.' Brachytherapy involves the placement of radioactive sources inside or next to the area requiring treatment. This differs from teletherapy, which is external radiation therapy.
Choice A is incorrect as pregnant individuals should avoid exposure to radiation.
Choice B is incorrect because teletherapy does not make the patient radioactive; the radiation source is external.
Choice D is incorrect as feces is not a significant source of radiation during teletherapy.