Question

During her orientation, a graduate nurse is assigned to work with the staff of a large oncology unit. Which client is best assigned to the new graduate? A. A client receiving chemotherapy via central line for breast cancer B. A client receiving linear acceleration therapy for lung cancer C. A client receiving brachytherapy for cervical cancer D. A client receiving experimental therapy for malignant melanoma

Short answer

Answer: A client receiving chemotherapy via central line for breast cancer.

Step-by-step solution

Understand the different treatments

First, get familiar with the four different treatments mentioned in the exercise: A. Chemotherapy via central line for breast cancer B. Linear acceleration therapy for lung cancer C. Brachytherapy for cervical cancer D. Experimental therapy for malignant melanoma

Analyze the complexity and safety of each treatment

In this step, evaluate the complexity and safety aspects of each treatment by considering factors such as the administration method, patient monitoring requirements, and potential complications. A. Chemotherapy via central line: This involves administering strong medications through a central venous catheter. It requires careful monitoring of the access site for any signs of infection, inflammation, or leakage. B. Linear acceleration therapy: This treatment uses high-energy X-rays or electrons to target and kill cancer cells. It's a noninvasive procedure but requires accurate patient positioning and alignment with the radiation source. C. Brachytherapy: A form of radiation therapy where radioactive sources are placed inside or near the tumor. It requires expertise in handling radioactive materials and accurate placement of radiation sources. D. Experimental therapy: As this is an experimental treatment, the exact procedures, risks, and outcomes may not be well-established, potentially requiring close supervision and collaboration with research teams.

Consider the level of supervision and experience required for each treatment

Assess the level of supervision and experience needed for the new graduate nurse to safely administer and manage each treatment. A. Chemotherapy via central line: Requires skills in managing central venous catheters but can be performed under supervision. B. Linear acceleration therapy: Less hands-on involvement for the nurse, but requires knowledge of radiation safety and accurate patient positioning. C. Brachytherapy: Requires more specialized skills in handling radioactive materials and may not be suitable for a new graduate nurse. D. Experimental therapy: High level of uncertainty and complexity, requiring close collaboration with research teams and experienced healthcare professionals.

Determine the most suitable client for the new graduate nurse

Based on the analysis of complexity, safety, and level of supervision required for each treatment, the most suitable client for the new graduate nurse would be: A. A client receiving chemotherapy via central line for breast cancer This is because the new graduate nurse can learn to manage central venous catheters under supervision while ensuring patient safety. The other options involve more advanced skills, specialized knowledge, or a higher level of uncertainty, which may not be suitable for a new graduate nurse.