A 48-year-old woman had a lumpectomy after

A 48-year-old woman 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 1. Circle the assessment findings above that require follow-up by the nurse. 2. Choose the most likely options for the information missing from the statement, below, by selecting from the list of options provided. The nurse recognizes that, based on the assessment data and patient’s history, the patient is currently at risk for complications, including __________________, ____________________, and ___________________. Options Infection Dehydration Intestinal obstruction Hemorrhagic cystitis Pneumonitis 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. 1. Choose the most likely options for the information missing from the statements below by selecting from the lists of options provided. Circle your answers in the table below. Based on the patient’s current treatment plan, the patient’s priority need will be to prevent ______1_____. Other needs that may develop in the near future include _____2_____, _____2_____, _____2_____, and _____2_____. Options for 1 Options for 2 Capillary leak syndrome Flu-like symptoms Nausea and vomiting Confusion and memory loss GI bleeding Acneiform rash Xerostomia SCIENCE HEALTH SCIENCE NURSING NSG 435

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