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A nurse is providing care to a client. Provider Prescription…

A nurse is providing care to a client. Provider Prescriptions1100:Doxorubicin 60 mg/m2 IV infuse over 30 min, once every 21 daysOndansetron 8 mg IV push, prior to doxorubicin infusion to prevent nauseaFilgrastim 300 mcg subcutaneously, daily starting 24 hr after doxorubicin administration to stimulate WBC count productionAcetaminophen 500 mg orally every 6 hr as needed for fever greater than 38° C (100.4° F)  History and Physical55-year-old female client with a history of breast cancer, post right mastectomy, is being admitted to the oncology unit for treatment with doxorubicin, an anthracycline antineoplastic antibiotic.   Vital Signs 1100:Temperature 38.6° C (101.6° F) – orallyHeart rate 101/minRespiratory rate 20/minBlood pressure 130/80 mm HgOxygen saturation 98% on room airPain as 2 on a scale of 0 to 10  Plan of Care 1100:Regularly check the client’s temperature and WBC count.Observe for any signs of infection such as chills, increased respiratory rate, or localized symptoms.Manage anti-nausea medications as ordered.Encourage hydration to prevent kidney damage.Monitor for signs of cardiotoxicity.   Laboratory Results 1100:RBC count 4.4 x 106/µL (4.2 to 5.4 x 106/µL)WBC count 3.1/mm3 (5,000 to 10,000/mm3)Platelet 169,000/mm3 (150,000 to 400,000/mm3)Hemoglobin 11.2 g/dL (12 to 16 g/dL)Hematocrit 37% (37% to 47%)  Client Education 1400:Reinforced education about the importance of reporting any symptoms of infection immediately.Discuss potential side effects of doxorubicin, including alopecia, nausea and fatigue.  Complete the following sentence using the provided options:The nurse should first address the client’s 1. _________________ (Select one of the following: (A) temperature, (B) heart rate, (C) pain, (D) blood pressure), followed by the client’s 2. ________________(Select one of the following: (E) WBC count, (F) dietary preferences, (G) hemoglobin, (H) urine output) Write answers as 1__ 2__