The nurse, working on an oncology unit, directs care to reduce the growth of cancer cells and support normal cell function when including which of the following interventions? (Select all that apply)
1. Increasing calorie intake
2. Encouraging increased rest and sleep
3. Reducing oxygen supply to retard growth of cancer cells
4. Assessing normal functioning of organ systems
5. Encouraging mobility and exercise
1. Increased calorie intake
2. Encouraging increased rest and sleep
4. Assessing normal functioning of organ systems
Rationale:
Cancer cells grow faster than normal cells so they use more nutrients for growth, resulting in wasting, which can only be counteracted by increasing the caloric intake of the client. Increased rest and sleep gives the client's body more energy to fight the cancer cell. Because cancer cells can grow in any area of the body, it is important for the nurse to assess normal functioning of all organ systems. Decreasing oxygen supply will retard cancer cell growth but it will also retard normal cell health. While clients should not be inactive, they should be taught to reduce activity to reduce weight loss and provide more energy to the healthy cells.
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