The nurse is teaching a client about the adverse effects of anticancer drugs. Which topics should the nurse include in the teaching session?(Select all that apply.)

1. Fatigue
2. Increase appetite
3. Alopecia
4. Anemia
5. Weight gain


1, 3, 4

Rationale 1: All anticancer drugs have the potential to cause serious toxicity. Often, these drugs are given at their maximum dosages to obtain the greatest tumor kill. Such high dosages always result in adverse effects. Because these drugs primarily affect rapidly growing cells, those tissues that are still dividing in the adult are most susceptible to adverse effects.
Rationale 2: All anticancer drugs have the potential to cause serious toxicity. Often, these drugs are given at their maximum dosages to obtain the greatest tumor kill. Such high dosages always result in adverse effects. Because these drugs primarily affect rapidly growing cells, those tissues that are still dividing in the adult are most susceptible to adverse effects.
Rationale 3: All anticancer drugs have the potential to cause serious toxicity. Often, these drugs are given at their maximum dosages to obtain the greatest tumor kill. Such high dosages always result in adverse effects. Because these drugs primarily affect rapidly growing cells, those tissues that are still dividing in the adult are most susceptible to adverse effects.
Rationale 4: All anticancer drugs have the potential to cause serious toxicity. Often, these drugs are given at their maximum dosages to obtain the greatest tumor kill. Such high dosages always result in adverse effects. Because these drugs primarily affect rapidly growing cells, those tissues that are still dividing in the adult are most susceptible to adverse effects.
Rationale 5: All anticancer drugs have the potential to cause serious toxicity. Often, these drugs are given at their maximum dosages to obtain the greatest tumor kill. Such high dosages always result in adverse effects. Because these drugs primarily affect rapidly growing cells, those tissues that are still dividing in the adult are most susceptible to adverse effects.

Global Rationale: All anticancer drugs have the potential to cause serious toxicity. Often, these drugs are given at their maximum dosages to obtain the greatest tumor kill. Such high dosages always result in adverse effects. Because these drugs primarily affect rapidly growing cells, those tissues that are still dividing in the adult are most susceptible to adverse effects. Due to these factors, fatigue, alopecia, and anemia are common. Increased appetite and weight gain are not common adverse effects that occur with anticancer drugs and should not be included in the teaching session.

Nursing

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