This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A client with breast cancer is receiving 5-Fluorouracil (5-FU). Based on knowledge of this ... (Read 55 times)

APUS57

  • Hero Member
  • *****
  • Posts: 571
on: Jul 22, 2018
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
Reply #1 on: Jul 22, 2018
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

ASDFGJLO

  • Member
  • Posts: 335
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

« previous next »
 

Did you know?

Signs and symptoms that may signify an eye tumor include general blurred vision, bulging eye(s), double vision, a sensation of a foreign body in the eye(s), iris defects, limited ability to move the eyelid(s), limited ability to move the eye(s), pain or discomfort in or around the eyes or eyelids, red or pink eyes, white or cloud spots on the eye(s), colored spots on the eyelid(s), swelling around the eyes, swollen eyelid(s), and general vision loss.

Did you know?

Drug abusers experience the following scenario: The pleasure given by their drug (or drugs) of choice is so strong that it is difficult to eradicate even after years of staying away from the substances involved. Certain triggers may cause a drug abuser to relapse. Research shows that long-term drug abuse results in significant changes in brain function that persist long after an individual stops using drugs. It is most important to realize that the same is true of not just illegal substances but alcohol and tobacco as well.

Did you know?

A serious new warning has been established for pregnant women against taking ACE inhibitors during pregnancy. In the study, the risk of major birth defects in children whose mothers took ACE inhibitors during the first trimester was nearly three times higher than in children whose mothers didn't take ACE inhibitors. Physicians can prescribe alternative medications for pregnant women who have symptoms of high blood pressure.

Did you know?

Intradermal injections are somewhat difficult to correctly administer because the skin layers are so thin that it is easy to accidentally punch through to the deeper subcutaneous layer.

Did you know?

In the ancient and medieval periods, dysentery killed about ? of all babies before they reach 12 months of age. The disease was transferred through contaminated drinking water, because there was no way to adequately dispose of sewage, which contaminated the water.

Breast Palpation Methods, Concentric Circles Breast Palpation Methods, Concentric Circles
CXR of lung cancer with right phrenic nerve paralysis CXR of lung cancer with right phrenic nerve paralysis
Vial Washing System - Risk Based Approach Vial Washing System - Risk Based Approach
Nursing Care Plan Process: Client with High Blood Lipid Levels Nursing Care Plan Process: Client with High Blood Lipid Levels
Genomic sequencing has identified hundreds of mutations in many classes of genes in both breast canc Genomic sequencing has identified hundreds of mutations in many classes of genes in both breast canc
Cladogram Based On DNA Sequence Cladogram Based On DNA Sequence
Video: Introduction to Human Immunodeficiency Virus (HIV)

For a complete list of videos, visit our video library