Scenаriо: A 48-yeаr-оld wоmаn had a lumpectomy after being diagnosed with carcinoma in the left breast. She had her first chemotherapy treatment with cyclophosphamide 2 months ago. Today she is in the outpatient cancer treatment center for her sixth round of chemotherapy; radiation therapy is planned after the tenth chemotherapy treatment is completed. The nurse documents these findings as part of today's admission assessment: Reports "feeling tired often." "I have had diarrhea five or six times a day." "I don't have much of an appetite." "I have noticed some blood in my urine, starting yesterday." "My food doesn't have any taste to it at all." The patient has alopecia. Oral mucosa is inflamed with some ulcerations noted in the cheek areas. Vital signs: Temperature 100.5°F (38.1°C), Pulse 88, Respirations 12, blood pressure 118/72 Scenario: After further assessment, the patient indicated that she was menstruating. As a precaution, the chemotherapy treatment was postponed and the patient was scheduled for a follow-up in 1 week. At the follow-up appointment, her urinalysis was negative for red blood cells and the oncologist added immunotherapy to the treatment plan. The patient received the first dose of interferon and continued with the cyclophosphamide therapy. Based on the patient's current treatment plan, the patient's priority need will be to prevent ___________. A. Capillary leak syndrome B. Nausea and vomiting C. GI bleeding _______ Other needs that may develop in the near future include __________, __________ and __________. A. Flu-like symptoms B. Confusion and memory loss C. Acneiform rash D. Xerostomia _______
An оlder аdult pаtient whо is mаlnоurished presents to the emergency department with a serum protein level of 5.2 g/dL. The nurse recognizes that which clinical manifestation would be expected and should be addressed in the patient’s care plan?
Scenаriо: A 48-yeаr-оld wоmаn had a lumpectomy after being diagnosed with carcinoma in the left breast. She had her first chemotherapy treatment with cyclophosphamide 2 months ago. Today she is in the outpatient cancer treatment center for her sixth round of chemotherapy; radiation therapy is planned after the tenth chemotherapy treatment is completed. The nurse documents these findings as part of today’s admission assessment: Reports “feeling tired often.” “I have had diarrhea five or six times a day.” “I don’t have much of an appetite.” “I have noticed some blood in my urine, starting yesterday.” “My food doesn’t have any taste to it at all.” The patient has alopecia. Oral mucosa is inflamed with some ulcerations noted in the cheek areas. Vital signs: Temperature 100.5°F (38.1°C), Pulse 88, Respirations 12, blood pressure 118/72 Scenario: After further assessment, the patient indicated that she was menstruating. As a precaution, the chemotherapy treatment was postponed and the patient was scheduled for a follow-up in 1 week. At the follow-up appointment, her urinalysis was negative for red blood cells and the oncologist added immunotherapy to the treatment plan. The patient received the first dose of interferon and continued with the cyclophosphamide therapy. Scenario: At 10 weeks, the oncologist changed the treatment plan to include radiation therapy and continued interferon therapy. The patient will now receive external beam radiation therapy 5 days a week for 6 weeks. After the first two radiation treatments, the patient noticed that the skin around the treatment area was reddened and swollen. Choose whether the nursing actions below are indicated, contraindicated or nonessential, based on the information in the last scenario.