The client receives cisplatin (Platinol) as therapy for cancer. Which assessment finding would prompt the nurse to contact the client's health care provider immediately?
1. Nausea and projectile vomiting
2. A temperature greater than 101°F
3. An elevation in blood glucose
4. A complaint of painful leg cramps
Correct Answer: 2
Rationale 1: Nausea and vomiting are common side effects and are not life threatening.
Rationale 2: A temperature greater than 101°F can indicate an infection, which can be life threatening because low WBCs are an adverse effect of cisplantin (Platinol).
Rationale 3: An elevation in blood glucose could be related to pancreatitis, which is not an adverse effect of cisplantin (Platinol).
Rationale 4: A common complaint of painful leg cramps is not an adverse effect of cisplantin.
Global Rationale: A temperature greater than 101°F can indicate an infection, which can be life threatening because low WBCs are an adverse effect of cisplantin (Platinol). Nausea and vomiting are common side effects and are not life threatening. Elevation of blood glucose and leg cramps are not associated with cisplantin.
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