When the client complains of increased fatigue following radiotherapy, the nurse knows this is most likely to be related to which factor?
A) The cancer is spreading.
B) The cancer cells are dying in large numbers.
C) Fighting off infection is an exhausting venture.
D) Radiation can result in myelosuppression.
D
Feedback:
Fatigue results from anemia associated with myelosuppression and decreased RBC production. The spreading of cancer can cause many symptoms dependent on location and type of cancer but not a significant factor to support fatigue with radiotherapy. The production of healthy cells can increase metabolic rate, but death of cancer cells does not support fatigue in this case. Fighting infection can cause fatigue, but there is no evidence provided to support presence of infection in this client.
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