A nurse is planning care for a client taking a medication with the potential to cause bone marrow toxicity. Which interventions exemplify the nurse's role in preventing complications?
1. Assess the client for signs and symptoms of infection.
2. Assess the client for signs and symptoms of anemia.
3. Monitor the client for signs and symptoms of fatigue.
4. Monitor the client for evidence of bruising.
5. Monitor the client for insomnia.
Correct Answer: 1,2,3,4
Rationale 1: Bone marrow toxic drugs can affect the production of white blood cells.
Rationale 2: Bone marrow toxic drugs can affect the production of red blood cells.
Rationale 3: Bone marrow toxic drugs can affect the production of red blood cells.
Rationale 4: Bone marrow toxic drugs can affect the production of platelets.
Rationale 5: Bone marrow toxic drugs do not affect sleep.
Global Rationale: Bone marrow toxic drugs can affect the production of white blood cells, red blood cells, and platelets. The affect on the red blood cells can cause fatigue. Bone marrow toxic drugs do not affect sleep.
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