The nurse is caring for a patient who has been diagnosed with late Hodgkin's lymphoma and is receiving palliative care. To monitor the patient for bleomycin (Blenoxane) toxicity, the nurse will want to keep a close watch primarily on
a. bone marrow aspiration results.
b. pulmonary function studies.
c. echocardiogram results.
d. renal function studies.
ANS: B
The major dose-limiting toxicity with bleomycin is injury to the lungs, which may manifest as pneumonitis and can progress to severe pulmonary fibrosis and death.
Bleomycin is not known to cause bone marrow suppression, cardiotoxicity, or renal dysfunction.
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