NCLEX Questions Radiation Therapy Class for Nurses
Hello guys. Good evening. So this is a free lecture sponsored by Connetics USA in partnership with Aspire RN, and we have a lecture regarding radiation therapy. So let me introduce myself first. This is Mr. Lianmuel De Guzman. I'm an RN in the Philippines, life professional teacher as well in the Philippines and as well as USRN and UKRN as well. Okay, so can you comment on your locations and the time frame in your country right now in the Philippines? It's 08:00 p.m.. For a while, I'm checking for the comments in your Facebook so that I could interact with you.
Looking at the live first. There we go. I'm looking at the live right now. Okay, so 03:00 PM. Kuwait. Who else? Right now it's in the Philippines, 08:00 P.m.. Okay, who else? No other comments regarding their places and the time frame right now in their places. Okay, I think that will be it. So let's start the lecture again. This is radiation therapy, guys. This lecture is brought to you by Connetics USA in partnership with Aspire RN RadiationTherapy guys. This is Mr. Lianmuel De Guzman, RN, USRN,UKRN. Okay, so for your NCLEX guys, the distribution of content for NCLEX RN it is a bit complicated, but can be understood.
Okay, so 14% for the physiological adaptation, reduction of risk potential would be around 12%. Pharmacological and parental therapies will be 15%. Basic care and comfort, mostly fundamentals of nursing will be 9%. Psychosocial integrity will be 9%, health promotion 9%, safety infection, 12% and management of care will be 20%. So if you would say, guys, the management of care will be the greater weight of the exam because this is more likely on prioritization and delegation.So therefore, guys, this would be all discussed and will be reviewed in Aspirer RN. Okay? So if you are willing to go for a high quality review for your NCLEX preparation, you can contact Aspire RN in connection with Connetics so that you can prepare and ace your exams.
Okay, so let's start. Our topic will be radiation therapy. I would like to have an interaction with a view where it's right now. So let's have a sample question. For example, in the exam, the question will be like this. So let's have an easy question so that we could have an ice breaker for this lecture. Which of the following is the priority nursing option for patients with teletherapy?
So, first, we use mild soap and water for the radiation site number two, use lead apron. Number three, avoid use of cream and ointment on site number four, guys, we limit exposure to pregnant and children again for this sample question that we have so that we could have an icebreaker. Regarding the topic about radiation therapy, which of the following is the priority nursing action for patients with tele therapy? The keyword of the question is telepathy. Okay, so keying your answers. I can see your answers in the chat. Go. So choose one answer.
The question is priority nursing action for this concept. So use mouth soap and water for the radiation site, use lead apron, avoid use of cream and ointments on the site, or limit exposure to pregnant and children. Okay? Okay, so someone answered already. Sir Kim Marasi, again, thank you for answering. His answer was number one. Other answers. Let's have like 30 seconds before I reveal the answer. Go. Other answers. So the keyword of the question is teletherapy. This is one of the examples of Radiation. Okay? No more other answers. Okay, so let's process the question. teletherapy, guys, is also known as external radiation. If we're talking about external radiation, guys, we're talking about a radiation from a distant source.
So distant source of radiation. So the first question would be would the patient be radioactive, yes or no? So for external region, guys, the patient is not radioactive. For that reason, guys, let apron is not applicable. This is for internal or also known as brachy therapy. Number four is also for internal or brachy therapy. So therefore we're just limited between one and three. So the best answers, number three, avoid the use of cream and ointment on the side. Why? For the radiation site, guys, you only use water. Mild soap is irritating as well. So therefore, water is only allowed and not the mild soap. Okay? So for this sample question, guys, we can see that number two and four is wrong because the concept of the question is teletherapy, which is external. Two and four is for internal or bracket therapy. Between one and three. Number one is wrong because of the word mild soap. Mild soap are not yet not already used for adjacent site because this could be irritating.
So the best answer is number three. Avoid use of cream and ointments on the site because this would cause further irritation that's number three. So if you would see this question, guys, radiation therapy can be a bit tricky in the exam if you're not familiar between the difference of external and internal registration. So that's the focus of our lecture for today. We're going to differentiate which is external and which is internal. The answer for this question is number three. Without further ado, let's continue with the lecture.
Again, this lecture is sponsored by Connetics USA in partnership with Aspire RN. Okay? So let's have a difference between internal and external. Okay? So for adjacent therapy, guys, remember, for adjacent therapy, we have two types. For adjacent therapy, we have types, it's either internal adjacent, also known as bracket therapy, and as well as external radiation, also known as teletherapy. Okay? So for that reason, guys, we have a mnemonic for this one. The mnemonic will be bites. B-I-T-E. Okay. So mnemonics are there for us to remember things easier and for us to learn things in an easier way.
So the demonic will be bite so Byte stands for what? Bracket therapy. For internal. Bracket therapy for internal. On the other hand, guys, telepathy for external, okay? So therefore, the terminologies can be alternately used in the exam. So you should be familiar on the alternate term for your bracket therapy and tele therapy. So primarily, guys, for bracket therapy, it's also known as internal rotation. On the other, antelope therapy is also known as external. Okay? So let's differentiate them in a bigger perspective.
So remember, the mnemonic for radiation therapy is bite. Brackey is also known as internal. Tel is also known as external. Okay? So let's differentiate them. And in comparison, in terms of your NCLEX concepts, in terms of nursing concepts, it's better for you to compare it hand in hand, side by side, so that we could have the difference. So let's start with bracket therapy, also known as internal, versus teletherapy, also known as external. So that's your mnemonic, right? V-I-T-E that's your bite. Mnemonic. Okay.
So remember, for broccoli therapy, it's also known as internal. teletherapy is also known as external. Okay? So therefore, what's the main difference between these two types of radiation? The main difference, guys, is the source of the registration, guys, first and foremost, the source of the radiation. For bracky or internal, the source is possible implants or possible IV or RL, making the patient radioactive, okay? So therefore, the patient is radioactive. Okay? On the other hand, teletherapy or external, your source is a distant source of radiation. So therefore, if your source of radiation is distant, the patient therefore is not radioactive. Okay?
So therefore, guys, the focus of care would differ because of that main difference. For internal adjacent, your patients will be reader active, okay? For external adjacent, your patients would not be reader active. So here your priority, guys, would be to avoid exposure of radiation not only for the healthcare workers, but also for the relatives, okay? Here in external, your priority guys, will be focused on the skin integrity. Why? Because external radiation can cause problems in terms of burns. Therefore, that's the main difference. So if you would say, guys, this main difference, this mean concept will make you differentiate the proper management for the patient, okay? So for Brocky, the patient is razor active.
On the other hand, teletherapy, the patient is not razor active. So your focus would be on the skin. So your concepts about NCLEX, you should not only be limited to knowing the main concept, but rather you should be also familiar on answering SATA questions or select all that apply. For select all that apply questions, you should be able to answer the exact number of items or options in order for to provide your best or optimal care for your patients. Okay?
So for that reason, we're going to differentiate the management for Brati and Pellets, OK? So let's start with bracket therapy first, okay? Okay, so let's go for your bracket therapy for bracket therapy guys, bracket therapy also known as internal radiation. So for bracket therapy guy or internal radiation, your nursing management will be focused on what? First and foremost guys avoid pregnant visitors. Avoid limit visitors limit visitors guys so pregnant are not allowed to visit guys are pregnant women primarily because it's teratogenic surgician is territorienic guys children because of their poor immune system, geriatric population and as well as the immunocompromised status.
Okay, so first and foremost for bracket, your focus would be the exposure of radiation because the patient is ranger active. So therefore you have to limit visitors. Next, your concept here would be the shield distance and time. Okay? So remember, the main concept is to avoid exposure of health care workers and as well as the patients to the possibility of reggae because region is potentially cancerous. If you enter the room of the client, you should wear your lead apron. For your shield, you can use your lead apron or your dosimeter guys, which is a badge to measure amount of registration.
So for the shield, before entering the room of the client, you should use your lead apron and dosimeters distance. Your distance will be 6ft away from the client, therefore you would avoid certain exposure of graduation time. You limit exposure to five minutes per exposure total of 30 minutes per shift per day. So therefore the questions could be a bit tricky in the exam. So if the question is how many minutes should be for each exposure? For example, when entering the room of the client, you should only limit yourself to five minutes at a time. But if the question is for the whole day, your answer will be 30 minutes per shift per day. So this is the best recommended limit of exposure to your radiation to also prevent chances of possibility of cancer effect of your radiation. So as healthcare workers, we would be most likely exposed to this.
Okay, so first for bracket therapy, again, internal the patient is ranger active. So your focus would be what? Limit visitors not allowed to visit will be pregnant because it's teratogenic children geriatric population immunocompromised because of their poor immune system. So those who are underlined are related to poor immune system. Okay, for pregnant it's the ratiogenic. So it's common knowledge to us for shield gay, as healthcare workers, we have to protect ourselves from the possible registration. So we use your lead apron, dosimeters and badges to measure amount of radiation.
Distance will be 6ft away, time would be five minutes per exposure or total of 30 minutes per shift per day. So, if you would see, everything is about protection of health care workers and other people to the possibility of exposure because the patient's rates are active. On the other hand, if you go for external regulation, telepathy guys is also known as external. Again, we discussed a while ago is the patient active? Yes or no, can I see an interaction from my students in the chat for tele therapy or external, the main concept is that if the patient raise your active yes or no. Okay?
So please answer primarily, guys, your patient would be not rager active. OK? So if the patient is not ranger active, guys, do you need to use your lad apron, yes or no? No. Do you need to use your dosimeter or limit your exposure to the patient? No. Do we have to limit the visitors, or the pregnant or the child immunocompromised? No. Because why? The patient is not radioactive. So, if you would see the focus of the management would shift on another perspective and the focus will be the skin integrity.Again, why skin integrity? Because for external radiation, guys, external radiation can cause your burns. It's all about your skin integrity management. So nursing considerations for this one would be what?
First and foremost, guys, do not remove the skin marker. The skin marker, guys, is your landmark. On where would the patient be, Reginated? For example, if you have two breasts, the right breast would have a skin marker here. So therefore, that will be your landmark and a reminder that you would judge the right breast. So therefore, for that reason, if that skin marker is the landmark, you cannot remove the skin marker.
Number two, for your consideration, you avoid exposure to possible sunlight or extremes of temperature. For what reason? Because it is highly irritating. So again, number one and two is all focused on the skin.So you remember, for tele therapy, the patient is not ranger active, the focus of the care will be on the skin integrity.
Number three, you clean it clean with water only. Why? Because soap and mild soap, based on recent researches and evidence based practice, are irritating already. So therefore, the option that you provided a while ago, water only would be correct. So water only, but not water and mud.
So next, avoid application of your powders cream ointment on the site, because this could cost caking and the cake is highly irritating. If you would see, guys, if you experience, if you put powder on yourself and you sweat it's just like there would be concentration of the powder on your skin, that's what you call cake. And the cake is highly irritating. So again, that will still be related to your skin. Use your hands, not washcloth. Okay? So for example, this would be your washcloth. So if you would use your hands over your washcloth on cleaning the site, this would avoid friction. Why?
Because your wash clothes can cause friction. So instead of using washcloths, you use your hands instead. And for your drying, how would you dry to prevent friction? Dry with tapping motion or rubbing motion. Try to answer in the chat though. Very good. You dry with patting motion. Again, it is avoiding friction.
Okay, next number seven, guys, in terms of the diet, we promote what high protein and vitamin C, a high protein and vitamin C because this will promote wound healing, which is really necessary for the patient because of the incidence of your brain. Okay? So diet is high protein and vitamin C. All focus on one shelling. Okay?
Number eight advice use of loose cotton clothing. The loose cotton clothing, guys, will also avoid the friction and shear on the flight patient. Avoid friction and shear. So therefore, the key word there will be loose and cotton. So therefore, guys, would jeans be allowed? Yes or no? Jeans are not allowed. Buckles and straps. Avoid your belts, buckles and straps. Because we know that these types of clothing could cause construction and can also cause pressure sewers.
Therefore, it will be advisable to use your loose cotton clothing to avoid friction and sheer and further cause irritation on our possibility of hydration burns. So, if you would see, guys, everything is about the skin. So that is your notion about it. If your notion about it is that you're familiar between the difference of bracket therapy and tele therapy guy, you will be able to answer questions regarding this concept in your NCLEX with ease. Okay?
So therefore, again, let's have a recap about what we discussed so far. So first and foremost, guys, try to answer my questions. The mnemonic is bites. So bracket therapy is also known as what? Internal or external regeneration? Answer bracket therapy is also known as internal region. So demonic is bites, B-I-T-E. Bracket therapy is also known as internal. So what's your notion so far? What did you understand from my lecture? Bracket therapy or internal? Is the patient ranger active? Yes or no?
Is the patient ranger active? Yes. The patient is razor active. So therefore, if the patient is razor active, do we have to use your lead apron, your documentary to limit visitors? Yes or no? Yes. You have to use your lead apron. You have to use your dosimeters to avoid possibility of exposure. How many minutes per day? How many minutes per day in terms of the exposure? Okay, how many minutes per day, guys? 30 minutes per day.
But if the question is how many minutes per exposure, your answer would be watts 30 or five. If it's for exposure, it's five minutes per exposure. In terms of per day, it will be 30 minutes. Why? Those are the allowed time frame to be exposed to prevent possibility of harm of the registration. Very good, I can see your answers. Thank you for participating. Now, do we have to limit visitors as well and do not allow pregnant geriatric and children in terms of the visiting of internal radiation, yes or no? Yes. Why the pregnant women? Radiation is potentially teratogenic, meaning it's harmful for the baby, for geriatric children, and as well as immunocompromised clients.
Guys, the problem is that they are highly immunocompromised, so they're more likely susceptible to the possibility of effects of your radiation. So therefore, that's bracky, also known as internal region, how many feet away again? How many feet away? That will be 6ft away. Okay, so 6ft away, guys, that will be your concept about it. But for external artillery therapy guys, what's your concept? So let's try to move the slides so that I could test if you are learning. Okay? So therefore, for teletherapy guys, it's also known as what? Internal or external?
For teletherapy guys, it's also known as external. So if it's external guys, is the patient razor active? Yes or no? Okay. Is the patient ranger active? For external, the answer is no. The patient is not raise your active. So therefore, do we have to limit the visitors? Do not allow the pregnant women to visit? Yes or no? Not anymore. Why? Because your external radiation patient or teletherapy patient, the patient won't be radioactive. So therefore, can we go for longer than 30 minutes per shift per day in exposure to the client?
Can we be exposed more than 30 minutes per day to the client? Definitely. Why? Because the patient won't be ranger active anymore. Next, in terms of the distance and the lead apron and dosimeter not needed anymore. Why? Because the concept is that tele therapy or external, is the patient rage active? Yes or no? Okay, the answer is the patient is not ranger active anymore. Okay.
So therefore, what will be your focus of care? Your focus of care would be focused on what? Your focus on skin integrity. Very good. Why skin integrity? Because external registration can cause burns. Therefore, it's all about the skin. So let's have a review about it. What will be the diet to promote wound healing? On the possible hygiene burns, would it be protein or carbohydrate? Your diet will be focused on protein and as well as what vitamin? Vitamin C. Why?
Because protein and vitamin C are all focused on wound healing. Next, can we most likely focus on removing the skin marker? Yes or no, can we remove the skin marker? Yes or no? No, we cannot remove the skin marker. Why? Because that is your potential landmark or a reminder on where the patient will be radiated. So therefore, do not remove your skin marker. Next, avoid exposure to sunlight and as well as extremes of temperature. Example, if it's too hot or too cold. Why? Because the extremes of temperature and as well as your sunlight is potentially irritating to the skin of the client. Okay. Next, your concern would be what we also consider on cleaning the site.
So therefore, for radiation burns, can we use mild soap? Yes or no, can we use mild soap? Yes or no? The answer is no. Even though it's mild, is it irritating? Yes or no? Yes, it's highly irritating. So therefore, even though it's mild soap, you cannot use mild soap. So therefore, if it's irritating, do not use the mild soap. Okay. So use your water only. So would you use your hands or wash cloth in cleaning the site? The answer is what? Hands or wash cloth?
The answer would be your hands. Why? Because using your hands will offer lesser friction and lesser friction will offer lesser irritation. In terms of drying. In terms of drying, you use path dry motion because the path dry motion will also prevent friction and shear. So next, in terms of application of your cream, ointment or powders, can we apply cream, powders, or ointment on the skin, on the radiation burn? Yes or no, can we apply any cream or ointment or powder?
The answer is no. Why? Because the cream, powders and ointments, it's highly irritating and the irritation can cause further injury on the client. Okay? Next, after all has been said and done, what is your advice for the client? Would you use your loose or tight clothing? The answer is loose clothing. You would go for loose clothing, guys. And as well as what material, guys? Cotton, wool or silk. What is your material, guys? Cotton, wool or silk?
Your concept would be cotton. So use your cotton, guys. So use your cotton for your clothing. Okay? So that's the difference of your internal and external. Actually, guys, your internal registration, guys. Again, we have bracket therapy, also known as internal. Okay? So on the other hand, guys, we also have what you call your telepathy, also known as external.
Actually, guys, bracket therapy has two types. It's either sealed or unsealed. If it's sealed, it's via implants. So you would insert it on your crevices, just like your anus or your vagina. So that will be implants for unsealed. It will be IV or Ro there for guys, if you would see, there are types of bracket therapy. So therefore, there will be certain considerations of difference for those guys, because of the limited time that I have to promote this lecture to discuss this lecture, rather, I cannot discuss this anymore.
For your bracket therapy and internal, the types are sealed and unsealed. Because of the limited time, I cannot discuss this anymore. Okay? So if you want to hear or learn more about this radiation therapy or learn more about NCLEX preparation, guys, you can highly enroll on Aspirer RN, which is a review center for your preparation for your N clocks. So if you would see, guys, these are the programs that Aspire RN can provide. The Aspire RN is highly related and works with Connetics USA, which is helpful for your US dream or your USRN career. So therefore, you can highly enroll to your Aspire RN as a review center for preparation for your NCLEX.
So we have a starter program, we have a program, and as well as plus, if you would see, guys, there will be difference in terms of the prices, but I highly advise the plus, because the plus would offer you everything that you need to prepare for your exam. Okay? So therefore, you have lecture cycle two years unlimited modules the Test Bank remember guys, test banks are really beneficial for your exam. It will most likely encourage you to answer more questions.
And answering more questions guys will practice you in terms of your familiarity on to answer high level questions like prioritization delegation and as well as concepts about SATA. So they call that apply or drag and drop. Those types of questions are really hard but can be manageable if you are able to be familiar on how to answer them. They also have our end. We also provide lecture video libraries for your benefit for your learning capacity, guys.
We have an advisor to guide you in your review, final coaching and the hit. So remember this high impact tutoring guys is highly effective because this is rationalization of your questions. So you would learn how to answer questions with regards to that. Okay? Next, you also have your considerations about your personal mentorship, surpass guarantee and as well as the UWorld access guys. UWorld is really beneficial for your preparation for an exam.
The UWorld is a question bank, guys. You pay for this but in Aspire our end, they will offer you world subscription guys included in your plus program. So therefore this is highly helpful for your preparation. So go for the plus. If you would ask me, the plus will be really helpful and beneficial in your preparation. Okay? So therefore these are your upcoming schedules for us by our end. This is Sir Paul which is a nurse practitioner in the state. Sir Paul will offer upcoming schedule. The nearest will be August 8, the 19th. That will be a ten day hit class or high impact chattering guys which will offer you guys rationalization of your questions guys regarding your end collects guys. Okay?
So you enroll for Aspirin and I just knew that Aspire RN together with Connetics will offer scholarships. So you can message regarding the scholarship programs guys. So they will help you in terms of your dream to become a USRN and to become a nurse in the states. Okay? Therefore the upcoming schedule is August 8, 19th. So 1000 questions will be rationalized by the mentor which is Sir Paul and also offering your final coaching one on one coaching so that you would be learning in a tailored fit manner guys.
So the coach will assess what are your weaknesses, what are your strengths and what are the possible improvement on your test taking strategies or possible improvement on your concepts. So that we could assure and we could guarantee that if you take the NCLEX, you will be confident that you will pass it and you will shut down at 75 items just like me. I finish at 75 items with ease and confident because I know I prepared properly and I prepared efficiently for my end clocks. Okay? So therefore guys, I would leave you hanging for this concept guys for bracket therapy internal yes, the patient is radioactive.
They are two parts, sealed and unsealed. So if you want to learn more regards to radiation therapy and NCLEX preparation as a whole, you can message Connetics USA for your scholarship programs or for enrollment, you can message Aspire RN. Thank you very much, guys, for the interactive lecture.
And do remember, guys, NCLEX is hard. Yes, it's the hardest exam that you will take as a nurse. But remember, you can and you will. Aspire will help you reach your dream to become a USRN. Together with Connetics USA, we will be your tool and your mentors to become the best nurses that you can be. Thank you very much, guys. Have a great day, guys. I hope you learned a lot from our sample lecture for radiation therapy. Thank you Aspire. Thank you, Connetics, for the opportunity to teach to our nurses. And have a great day.