The nurse on an oncology unit is caring for a patient receiving cisplatin (Platinol-AQ). In addition to managing the patient's nausea and vomiting, the nurse should monitor for which adverse reaction or reactions?
(Select all that apply.)
a. Bone marrow suppression
b. Low-frequency hearing loss
c. Neurotoxicity
d. Cushing's syndrome
e. Nephrotoxicity
ANS: A, B, E
Adverse effects of cisplatin include bone marrow suppression, neurotoxicity, and toxicity to the ear, which manifests as tinnitus and high-frequency hearing loss. In addition, a major dose-limiting side effect of cisplatin is nephrotoxicity.
The adverse effects of cisplatin do not include low-frequency hearing loss or Cushing's syndrome.
You might also like to view...
A woman is surprised to read on the Internet that certain infections can cause cancer and has sought clarification from her family physician during an office visit. How can the physician best respond to the woman's query?
A) "Though it's not particularly common, it's true that certain bacteria and viruses can lead to cancer." B) "Most cancers that cannot be attributed to family history or lifestyle are in fact associated with viruses." C) "There are many viruses, but only a very few of them have been shown to cause cancer in humans." D) "This is true; for example, HIV has been shown to cause cancer in some patients.
Which of the following publications presented the first theoretical framework for the practice of psychiatric care?
a. Interpersonal Relations in Nursing b. Perspectives in Psychiatric Care c. The Dynamic Nurse-Patient Relationship d. The Future of Nursing
A nurse cares for a client with an increased blood urea nitrogen (BUN)/creatinine ratio. Which action should the nurse take first?
a. Assess the client's dietary habits. b. Inquire about the use of nonsteroidal anti-inflammatory drugs (NSAIDs). c. Hold the client's metformin (Glucophage). d. Contact the health care provider immediately.
Risk factors for physical abuse of older adults include which of the following? Select all that apply
a. Socioeconomic status below the poverty level b. Residence in low-income housing c. Impairment of the older adult d. Frequent visits to respite care