The nurse is planning care for the patient who is on a protocol of bleomycin. Since bleomycin is an antitumor antibiotic, which intervention should the nurse add to the care plan?
a. Assess hearing acuity.
b. Measure urinary output.
c. Weigh daily to assess fluid retention.
d. Monitor for cardiac arrhythmias.
D
Bleomycin is cardiotoxic and can cause cardiac arrhythmias; therefore, this would be the highest priority intervention. Chemotherapies that are ototoxic would warrant a hearing test; urinary output and fluid retention should be assessed with most chemotherapy drugs, and especially for those that are nephrotoxic.
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