Author Question: The nurse on an oncology unit is caring for a patient receiving cisplatin (Platinol-AQ). In addition ... (Read 84 times)

Engineer · **on:** Jul 23, 2018

The nurse on an oncology unit is caring for a patient receiving cisplatin (Platinol-AQ). In addition to managing the patient's nausea and vomiting, the nurse should monitor for which adverse reaction or reactions?

(Select all that apply.)
a. Bone marrow suppression
b. Low-frequency hearing loss
c. Neurotoxicity
d. Cushing's syndrome
e. Nephrotoxicity

Question 2

The nurse is preparing to administer medication to a patient receiving cyclophosphamide (Cytoxan). To protect against the side effect of hemorrhagic cystitis, the nurse would expect to administer

a. Decadron.
b. diphenhydramine (Benadryl).
c. mesna (Mesnex).
d. leucovorin.

ttt030911 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: A, B, E
Adverse effects of cisplatin include bone marrow suppression, neurotoxicity, and toxicity to the ear, which manifests as tinnitus and high-frequency hearing loss. In addition, a major dose-limiting side effect of cisplatin is nephrotoxicity.
The adverse effects of cisplatin do not include low-frequency hearing loss or Cushing's syndrome.

Answer to Question 2

ANS: C
Cyclophosphamide can cause acute hemorrhagic cystitis; to prevent this, the nurse should expect to administer mesna, which is a protective agent.
Decadron, diphenhydramine, and leucovorin are indicated for prevention of side effects associated with different anticancer agents.