The health care provider prescribes topical 5-FU for a patient with actinic keratosis on the left cheek. The nurse should include which statement in the patient's instructions?
a. "5-FU will shrink the lesion so that less scarring occurs once the lesion is excised."
b. "You may develop nausea and anorexia, but good nutrition is important during treatment."
c. "You will need to avoid crowds because of the risk for infection caused by chemotherapy."
d. "Your cheek area will be painful and develop eroded areas that will take weeks to heal."
ANS: D
Topical 5-FU causes an initial reaction of erythema, itching, and erosion that lasts 4 weeks after application of the medication is stopped. The medication is topical, so there are no systemic effects such as increased infection risk, anorexia, or nausea.
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