The nurse is caring for a client who is receiving doxorubicin (Adriamycin). Which serious side effects will the nurse monitor this client for during the assessment?
1. Delayed cardiac toxicity
2. Leaking from injection site
3. Vomiting
4. Decreased white blood cells
Correct Answer: 1
Rationale 1: The most serious dose-limiting adverse effect of doxorubicin is delayed cardiac toxicity that can result in irreversible heart failure.
Rationale 2: Leaking from injection site is incorrect because the most serious dose-limiting adverse effect of doxorubicin is delayed cardiac toxicity that can result in irreversible heart failure.
Rationale 3: Vomiting is incorrect because the most serious dose-limiting adverse effect of doxorubicin is delayed cardiac toxicity that can result in irreversible heart failure.
Rationale 4: Decreased white blood cells is incorrect because the most serious dose-limiting adverse effect of doxorubicin is delayed cardiac toxicity that can result in irreversible heart failure.
Global Rationale: The most serious dose-limiting adverse effect of doxorubicin is delayed cardiac toxicity that can result in irreversible heart failure. Leaking from injection site is incorrect because the most serious dose-limiting adverse effect of doxorubicin is delayed cardiac toxicity that can result in irreversible heart failure. Vomiting is incorrect because the most serious dose-limiting adverse effect of doxorubicin is delayed cardiac toxicity that can result in irreversible heart failure. Decreased white blood cells is incorrect because the most serious dose-limiting adverse effect of doxorubicin is delayed cardiac toxicity that can result in irreversible heart failure.
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