The nurse is caring for a patient receiving cyclophosphamide (Cytoxan). What is the priority nursing action for this patient?
A) Monitor urinalysis results.
B) Provide small, frequent meals.
C) Administer an antiemetic when needed.
D) Provide oral care.
A
Feedback:
The priority nursing action would be to monitor the patient's urinalysis results because hemorrhagic cystitis is a potentially fatal adverse effect of cyclophosphamide. Providing small frequent meals, and oral care and administering an antiemetic are necessary to maintain nutrition when GI effects are severe but, assessments come before interventions and these interventions are of lower priority than monitoring for hemorrhagic cystitis.
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This relationship constitutes which component of the proposal's background section? A) Outcome B) Hypothesis C) Projection D) Result