The nurse is caring for a 78-year-old male with Hodgkin's disease who has received both chemotherapy and radiation. He was admitted to the hospital to evaluate an unexplained increasing fatigue and inability to care for himself
What nursing interventions are indicated? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Limiting oral intake
2. Spacing activities to allow for periods of rest
3. Suggesting a consult with a nutritionist
4. Assessing hemoglobin and hematocrit
5. Encouraging the patient to move about in bed every hour.
2,3,4
Rationale 1: There is no reason to limit oral intake with this patient. If fatigue is due to dehydration from vomiting, increasing fluids may help alleviate the problem.
Rationale 2: Cancer and cancer treatment can both cause fatigue. Clustering patient care activities together will allow for prolonged periods of rest for patients who are experiencing fatigue.
Rationale 3: Because anorexia is such a common problem with cancer patients, having a nutrition consult would be beneficial.
Rationale 4: Both cancer and cancer treatments cause bone marrow suppression, which decreases the hemoglobin and hematocrit. It is essential to assess these values to determine when replacement treatment is necessary.
Rationale 5: Fatigue is common with cancer patients, so having the patient expend energy every hour would be contraindicated.
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