A patient will be receiving busulfan (Myleran) as treatment for leukemia. Which interventions should the nurse include in the patient's plan of care? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Assess for infection.
2. Monitor for hearing loss.
3. Monitor for a decrease in BUN level.
4. Institute fall precautions.
5. Reduce the amount of sodium in the patient's diet.
1,2,4
Rationale 1: Busulfan will likely cause suppression of immunity, so the patient should be monitored for the development of infection.
Rationale 2: Busulfan is otoxic and may cause hearing loss.
Rationale 3: Busulfan may cause dehydration, which will result in an increased BUN level.
Rationale 4: The patient taking busulfan may develop peripheral neuropathy as well as anemia, so fall precautions are indicated.
Rationale 5: There is no specific reason to alter the patient's diet unless electrolyte measurements indicate a need.
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