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
Correct Answer: 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.
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