A patient will begin receiving vincristine (Oncovin) to treat Hodgkin's lymphoma. Which side effect(s) will the nurse tell the patient to report immediately?

a. Diarrhea, nausea, and vomiting
b. Hair loss
c. Headaches
d. Tingling of the extremities


ANS: D
Peripheral neuropathy is the major dose-limiting toxicity of vincristine. Patients should be counseled to report tingling of the extremities. Diarrhea, nausea, vomiting, and hair loss may occur but are expected. Headaches are not likely.

Nursing

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