The nurse is creating a plan of care for a patient newly admitted to the oncology unit. What nursing actions would be considered priority for a patient undergoing extended chemotherapy treatment? (Select all that apply.)
a. Monitor the patient's temperature.
b. Instruct the patient about a neutropenic diet.
c. Monitor the neutrophil count.
d. Administer erythropoietin for fatigue.
e. Order a wig to manage the patient's alopecia.
ANS: A, C
Because of a lack of neutrophils as a result of chemotherapy, signs of infection may be masked. A slight temperature may be a sign of infection. The nurse should monitor the neutrophil count to prevent infection, and also should prevent exposure of the patient to individuals with infectious illness.
There is no such thing as a neutropenic diet.
Erythropoietin is given for anemia, not for fatigue.
Alopecia is a concern, but not the most pressing concern for this patient.
You might also like to view...
The nurse caring for a nine-year-old child with extensive burns needs to prepare the child for going to whirlpool therapy for the first time. The most effective response to promote communication with this child would be:
1. "Have you been to the playroom yet? Maybe when you get back from whirlpool we can check it out together." 2. "Before you leave for whirlpool, I will give you a shot that will relax you, and you probably won't even remember going downstairs at all." 3. "I am going to be taking you downstairs to whirlpool. Do you have any questions?" 4. "Some of the children I have worked with have told me that they worried about the whirlpool hurting them."
A patient was taken to surgery for a left lung resection earlier today. The patient has been in the postoperative care unit for 30 minutes
When you are completing your assessment, you notice that the chest tube has drained 125 cc of red fluid in the past 30 minutes. The nurse contacts the physician and suspects that the patient has developed a. pulmonary edema. c. acute lung failure. b. hemorrhage. d. bronchopleural fistula.
The nurse is caring for a patient with cryptorchidism who is 28 years old and taking testosterone to treat his condition. What statement by this patient would lead the nurse to believe that he has understood the teaching provided about the drug?
A) "My body hair may increase." B) "My sexual desire may increase." C) "My voice may become higher." D) "My skin may become clear and soft."
Which of the following conditions is considered a urologic emergency?
A. Balanitis B. Paraphimosis C. Phimosis D. None of the above