A child is receiving chemotherapy induction for acute lymphocytic leukemia (ALL). Taking common side effects into consideration, which nursing diagnoses would be appropriate during the induction chemotherapy? Select all that apply
1. Risk for infection
2. Skin Integrity: Impaired mucous membrane
3. Injury, risk for: hemorrhagic cystitis
4. Fluid and electrolyte Impairment: Nausea and vomiting
5. Impaired sleep pattern
6. Patterns of Elimination, Altered: diarrhea
2, 3, 4, 6
Rationale:
1. Bone marrow suppression does not peak until 7–10 days post-induction. This nursing diagnosis would be appropriate at that time.
2. Mouth sores are a common early side effect of chemotherapy, and usually occur 2–5 days after the administration of chemotherapy.
3. Hemorrhagic cystitis is a common early side effect of chemotherapy, and is usually prevented with large amount of IV fluids to adequately protect the kidneys.
4. Nausea and vomiting are common early side effects of chemotherapy.
5. Impaired sleep patterns are not directly related to chemotherapy.
6. Diarrhea is a common early side effect of chemotherapy.
You might also like to view...
The nurse needs to pull the portion of the ear that consists of movable cartilage and skin down and back when administering eardrops. This portion of the ear is called the:
a. Auricle. b. Concha. c. Outer meatus. d. Mastoid process.
____________________ burns are the most severe burns.
Fill in the blank(s) with the appropriate word(s).
What is the process of inhaling and exhaling by breathing called??
A)Internal expiration? B) Homeostasis C) External respiration D) Thermogenesis
A nurse is evaluating patient teaching about nutrition. The nurse knows the teaching requires reinforcement when the patient states:
1. “I should take my iron half an hour before breakfast.” 2. “I should take my iron right after a meal.” 3. “I should take my iron and vitamin whenever I remember them.” 4. “Iron is best absorbed when taken with milk.”