A patient diagnosed with breast cancer is receiving 5-fluorouracil (5-FU)
Based on anticipated adverse effects or side effects of this medication, which interventions should the nurse perform? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Test stool for occult blood.
2. Monitor for electrocardiogram changes.
3. Administer antiemetics as needed.
4. Instruct the patient to drink extra fluids prior to treatment.
5. Encourage the patient to wear sunscreen.
1,3,4,5
Rationale 1: The nurse should monitor this patient for signs of bleeding. Testing stools for blood is one method.
Rationale 2: Electrocardiogram changes are not an expected effect of this regimen.
Rationale 3: This regimen may cause nausea and vomiting, so early use of antiemetics is indicated.
Rationale 4: This regimen may be dehydrating, so the patient should be encouraged to increase fluid intake.
Rationale 5: This regimen may make the patient sensitive to the sun, so sunscreen should be applied whenever the patient is outside.
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