What is the nurse's priority intervention to reduce the risk of cystitis caused by cyclophosphamide (Cytoxan)?
A) Encourage the patient to drink cranberry juice.
B) Promote adequate rest and sleep.
C) Encourage fluids to maintain hydration.
D) Instruct the patient to wear only cotton underwear.
C
Feedback:
Hemorrhagic cystitis is a potentially fatal adverse effect. Ensure that the patient is well hydrated. Drinking cranberry juice or milk helps to hydrate the patient, but what he or she drinks is less important than that he or she drinks adequate amounts of fluid. Wearing cotton underwear is not an intervention the nurse would teach the patient.
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