This topic contains a solution. Click here to go to the answer

Author Question: A client with breast cancer is receiving 5-Fluorouracil (5-FU). Based on knowledge of this ... (Read 53 times)

APUS57

  • Hero Member
  • *****
  • Posts: 571
A client with breast cancer is receiving 5-Fluorouracil (5-FU). Based on knowledge of this medication and its anticipated adverse effects or side effects, which nursing action should the nurse perform?
 
  1. Monitor ECG
   2. Assess lung sounds
   3. Test stool for occult blood
   4. Encourage daily fluid intake of 23 liters

Question 2

A nurse assesses a client with cirrhosis who is experiencing hypertension, edema, and shortness of breath. For which diagnosis should the nurse develop a plan of care?
 
  1. Deficient Fluid Volume
   2. Ineffective Tissue Perfusion
   3. Excess Fluid Volume
   4. Impaired Skin Integrity



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

dudman123

  • Sr. Member
  • ****
  • Posts: 304
Answer to Question 1

3. Test stool for occult blood

Rationale:
The possible adverse effects or side effects associated with 5-FU are stomatitis, alopecia, nausea and vomiting, gastritis, enteritis, diarrhea, anemia, leucopenia, and thrombocytopenia. Assessing for bleeding by checking stool for occult blood is recommended in this client. Monitoring the ECG is recommended in clients receiving antitumor antibiotics. Assessing lung sounds is recommended in clients receiving alkylating agents, due to the potential for developing pulmonary fibrosis. Encouraging a daily fluid intake of 23 liters is recommended also for clients receiving alkylating agents because they could potentially develop renal failure.

Answer to Question 2

3. Excess Fluid Volume

Rationale:
The client experiencing shortness of breath, edema, and hypertension should have a care plan for fluid volume excess. Hypertension, shortness of breath, and edema are manifestations of fluid excess. Hypotension and dry mucous membranes are associated with deficient fluid volume. Ineffective tissue perfusion would be the appropriate diagnosis for a client experiencing cyanosis or tissue necrosis. Edema can cause an alteration in skin integrity, but there is no evidence of such problems with this client.




APUS57

  • Member
  • Posts: 571
Reply 2 on: Jul 22, 2018
Wow, this really help


mjenn52

  • Member
  • Posts: 351
Reply 3 on: Yesterday
Gracias!

 

Did you know?

Cyanide works by making the human body unable to use oxygen.

Did you know?

Liver spots have nothing whatsoever to do with the liver. They are a type of freckles commonly seen in older adults who have been out in the sun without sufficient sunscreen.

Did you know?

The Babylonians wrote numbers in a system that used 60 as the base value rather than the number 10. They did not have a symbol for "zero."

Did you know?

Anti-aging claims should not ever be believed. There is no supplement, medication, or any other substance that has been proven to slow or stop the aging process.

Did you know?

The word drug comes from the Dutch word droog (meaning "dry"). For centuries, most drugs came from dried plants, hence the name.

For a complete list of videos, visit our video library