Q2. A 48-year-old woman had a lumpectomy after being diagnos…
Q2. A 48-year-old woman had a lumpectomy after being diagnosed with carcinoma in the left breast. She had her first chemotherapy treatment with cyclophosphamide 2 months ago. Today, she is in the outpatient cancer treatment center for her sixth round of chemotherapy; radiation therapy is planned after the tenth chemotherapy treatment is completed. The nurse documents these findings as part of today’s admission assessment: Reports “feeling tired often.” “I have had diarrhea five or six times a day.” “I don’t have much of an appetite.” “I have noticed some blood in my urine, starting yesterday.” “My food doesn’t have any taste to it at all.” The patient has alopecia. Oral mucosa is inflamed with some ulcerations noted in the cheek areas. Vital signs: Temperature 100.5°F (38.1°C), Pulse 88, Respirations 12, blood pressure 118/72 2. NGN Item Select a two nursing actions ___________, ____________ and indicate which actions listed in the left column ____________, _____________, _____________, _____________ would be included in the plan of care for this patient, (implementation). Nursing Actions Implementation A) Instruct the patient to drink small amounts of water frequently. A) Instruct the patient to drink small amounts of water frequently. B) Suggest a referral for nutritional counseling. B) Suggest a referral for nutritional counseling. C) Instruct the patient to use a firm toothbrush to ensure complete cleaning of the oral cavity. C) Instruct the patient to use a firm toothbrush to ensure complete cleaning of the oral cavity. D) Administer antiemetics when beginning chemotherapy. D) Administer antiemetics when beginning chemotherapy. E) Administer acetaminophen before treatment with interferons, and every 4 hours after treatment. E) Administer acetaminophen before treatment with interferons, and every 4 hours after treatment. F) Monitor for ECG changes and signs of heart failure. F) Monitor for ECG changes and signs of heart failure.