A nurse is caring for a child who has acute lymphocytic leukemia and has been treated with doxorubicin (Adriamycin). Which assessment finding would the nurse report immediately?
A.
Loss of appetite
B.
Low WBC count
C.
Peripheral edema
D.
Temperature of 100.6 °F (38.1 °C), once
ANS: C
Doxorubicin and other anthracycline drugs are known to cause heart damage. Peripheral edema may signal heart failure and should be reported right away. Loss of appetite and low WBC count are common findings for a child on chemotherapy. A single temperature of 100.6 °F does not need to be reported.
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