The nurse is teaching a patient who is receiving vincristine (Oncovin) about long-term management of the treatment regimen. Which information will the nurse provide in teaching the patient?
a. "If you experience numbness of your hands, it will eventually resolve."
b. "If your IV starts to hurt, you should pull the IV out immediately."
c. "You should ask for antinausea medication at the first sign of nausea."
d. "You should report difficulty buttoning your clothes to your provider."
ANS: D
Difficulty buttoning clothing is a sign of peripheral neuropathy and should be reported. Numbness of hands may resolve after chemotherapy is stopped, but it may never resolve. If the IV infiltrates, the infusion should be stopped and the needle left in until attempts to aspirate residual vesicant are performed. Antinausea medication should be given prior to beginning the infusion.
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