NCLEX-RN

Category - Reduction of Risk

Nerissa, who was diagnosed with cervical cancer three months ago, has been receiving internal radiation therapy. When assessing for complications of radiation, the nurse correctly informs the client that which of the following is an expected and non-serious effect of radiation?
  1. Red and irritated skin
  2. Fever
  3. Abdominal cramping
  4. Malaise
Explanation
Answer: C - Internal radiation therapy may cause abdominal cramping when the cervix is dilated. This symptom also occurs due to tissue destruction. Nausea, vomiting, fever, and malaise are systemic responses to the breakdown of cell proteins in the cervix. These are expected side effects that require further management. Red and irritated skin is a temporary effect of external radiation.
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