The client receives cisplatin (Platinol) as therapy for cancer. Which assessment finding would prompt the nurse to contact the client's physician immediately?
1. A temperature greater than 101°F
2. An elevation in blood glucose
3. Nausea and projectile vomiting
4. A complaint of painful leg cramps
1
Rationale 1: A temperature greater than 101°F can indicate an infection, which can be life threatening because low WBCs are an adverse effect of cisplatin.
Rationale 2: An elevation in blood glucose could be related to pancreatitis, which is not an adverse effect of cisplatin.
Rationale 3: Nausea and vomiting are common side effects and are not life threatening.
Rationale 4: Painful leg cramps are not an adverse effect of cisplatin.
Global Rationale: A temperature greater than 101°F can indicate an infection, which can be life threatening because low WBCs are an adverse effect of cisplatin. An elevation in blood glucose could be related to pancreatitis, which is not an adverse effect of cisplatin. Nausea and vomiting are common side effects and are not life threatening. Painful leg cramps are not an adverse effect of cisplatin.
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