The RN is caring for a client receiving chemotherapy for breast cancer. The client states that he has a sore mouth, nausea and vomiting, and anorexia. Which of the following reflects appropriate client teaching by the nurse?
1. "These are the expected side effects of your chemotherapy, and the health care provider has already ordered some medications that will help."
2. "You may be allergic to the chemotherapy; I will place a call to the health care provider."
3. "You may be developing the flu, and I can give you an antinausea medication."
4. "These are symptoms of your cancer, and more frequent oral care will help."
"These are the expected side effects of your chemotherapy, and the health care provider has already ordered some medications that will help."
Rationale: A sore mouth, nausea and vomiting, and anorexia are common side effects of cancer. Typically, health care providers write orders for medications and treatments for these clinical manifestations. These clinical manifestations are not an indication that the client is allergic to the chemotherapy, and therefore that would be an incorrect answer. These symptoms do mimic the flu, but they are more than likely from the chemotherapy. These are not typical cancer symptoms.
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