A 45-year-old patient who has testicular cancer is undergoing treatment with cisplatin (Platinol-AQ). The nurse has completed the shift assessment and has reviewed the day's laboratory results
Which development will require the nurse to notify the health care provider? 1. The patient has voided 500 cc in the past 24 hours.
2. The patient complains of nausea 2 hours after the medication is administered.
3. The patient's white blood cell count is 7,000.
4. The patient reports noticing an increase in hair loss over the past 2 days.
1
Rationale 1: Cisplatin (Platinol-AQ) may be accompanied by an impairment in renal function. Urinary output of 500 cc over a 24-hour period is inadequate and may signal a reduction in renal function.
Rationale 2: Nausea is an expected adverse effect of cisplatin.
Rationale 3: This white blood cell count is within normal limits.
Rationale 4: Alopecia is an expected effect of cisplatin.
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