18. Everybody must be careful in performing their respective task.

You are an oncology nurse with three patients in your unit. Select one of the following patients to focus your initial post: A patient diagnosed with ALL has been reported directly to the unit with complaints of fever of 104F, chills, and dizziness. The patient is receiving chemotherapy outpatient. You suspect the patient may be experiencing sepsis. A patient diagnosed with lymphoma is receiving immunotherapy and begins to complain that they feel anxious and that their throat is closing. They are starting to show signs of hypoxia and respiratory distress. You suspect the patient may be experiencing hypersensitivity reaction and anaphylaxis. A patient diagnosed with lung cancer is presenting with fatigue, weakness, confusion, EKG changes, headache, and abdominal pain. You suspect the patient may be experiencing hypercalcemia. Include the following in your initial post: Describe the pathological process of the oncologic emergency as it relates to the clinical manifestations and risk factors presented. You are going to have an SBARR conversation with a physician. What are your recommendations? Provide rationale for diagnostic and treatment recommendations. What priority nursing interventions can you implement without an order to assist the patient with their immediate needs? Provide rationale for selecting and prioritizing these interventions.

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