A patient is prescribed cyclophosphamide (Cytoxan) for treatment ...

[Marty]

A patient is prescribed cyclophosphamide (Cytoxan) for treatment of lymphoma. What should the nurse instruct to maximize the health status of the patient while receiving this medication?
 
  Select all that apply.
 
  1. Avoid eating spicy foods.
  2. Discuss approaches to manage hair loss.
  3. Identify approaches to reduce bone pain.
  4. Brainstorm ways to manage constipation.
  5. Ingest 2 to 3 liters of fluid during treatment.

Question 2

After cytologic examination a patient is diagnosed with a tumor that is staged as TIS, N1a, M0. What does this staging classification indicate to the nurse about the patient's tumor?
 
  Select all that apply.
 
  1. TIS means the tumor is in situ.
  2. M0 means that it has metastasized.
  3. M0 means that it has not metastasized.
  4. N1a means one lymph node is involved.
  5. N1a means that no lymph nodes are involved.

[stillxalice]

Answer to Question 1

Correct Answer: 1, 2, 5
Adverse effects of cyclophosphamide (Cytoxan) include hemorrhagic cystitis, renal failure, alopecia, stomatitis, and liver dysfunction. The nurse should encourage a daily fluid intake of 2 to 3 liters during treatment and offer suggestions to manage hair loss. However, spicy foods are not recommended for patients with stomatitis.

Answer to Question 2

Correct Answer: 1, 3, 5
TIS means that the tumor is in situ. M0 means there is no evidence of distant metastasis. N1a means there is no metastasis to regional lymph nodes.

[Marty]

Thanks for the timely response, appreciate it

[debra928]

Excellent