The nurse is caring for a patient receiving intravesical bladder ...

[jazziefee]

The nurse is caring for a patient receiving intravesical bladder chemotherapy. The nurse should monitor for which adverse effect?
 
  a. Nausea
  b. Alopecia
  c. Mucositis
  d. Hematuria

Question 2

The nurse is caring for a patient who smokes 2 packs/day. To reduce the patient's risk of lung cancer, which action by the nurse is best?
 
  a. Teach the patient about the seven warning signs of cancer.
  b. Plan to monitor the patient's carcinoembryonic antigen (CEA) level.
  c. Discuss the risks associated with cigarettes during every patient encounter.
  d. Teach the patient about the use of annual chest x-rays for lung cancer screening.

[fwbard]

Answer to Question 1

ANS: D
The adverse effects of intravesical chemotherapy are confined to the bladder. The other adverse effects are associated with systemic chemotherapy.

Answer to Question 2

ANS: C
Teaching about the risks associated with cigarette smoking is recommended at every patient encounter because cigarette smoking is associated with multiple health problems. A tumor must be at least 0.5 cm large before it is detectable by current screening methods and may already have metastasized by that time. Oncofetal antigens such as CEA may be used to monitor therapy or detect tumor reoccurrence, but are not helpful in screening for cancer. The seven warning signs of cancer are actually associated with fairly advanced disease.