Nursing Interventions
Nursing Interventions ( 4 Questions)
A nurse is caring for a patient who has leukemia and is receiving chemotherapy that causes bone marrow suppression. The nurse should assess the patient for which of the following manifestations that indicate bone marrow suppression?
These are common side effects of chemotherapy, but they are not directly related to bone marrow suppression. Nausea, vomiting, and diarrhea can occur due to the effects of chemotherapy on the digestive system or the brain. They can also cause dehydration and electrolyte imbalance, which can affect the blood cells. The nurse should assess the patient for nausea, vomiting, and diarrhea and provide antiemetics, fluids, and electrolytes as ordered.
These are signs of infection, which can occur when the bone marrow is suppressed and cannot produce enough white blood cells to fight off germs. White blood cells are part of the immune system and help protect the body from infections. A low white blood cell count is called neutropenia, and it increases the risk of developing serious infections that may require hospitalization or antibiotics. The nurse should assess the patient for fever, chills, sore throat, or any other symptoms of infection and report them to the provider immediately³.
These are also common side effects of chemotherapy, but they are not directly related to bone marrow suppression. Hair loss, dry skin, and brittle nails can occur due to the effects of chemotherapy on the cells that produce hair and skin. They can also affect the patient's selfesteem and body image. The nurse should assess the patient for hair loss, dry skin, and brittle nails and provide supportive care and education.
These are signs of a cardiac problem, such as a heart attack or an arrhythmia. They are not directly related to bone marrow suppression. However, some chemotherapy drugs can affect the heart and cause cardiotoxicity, which can lead to heart failure or damage. The nurse should assess the patient for chest pain, dyspnea, and palpitations and report them to the provider immediately.
Choice B reason:
These are signs of infection, which can occur when the bone marrow is suppressed and cannot produce enough white blood cells to fight off germs. White blood cells are part of the immune system and help protect the body from infections. A low white blood cell count is called neutropenia, and it increases the risk of developing serious infections that may require hospitalization or antibiotics. The nurse should assess the patient for fever, chills, sore throat, or any other symptoms of infection and report them to the provider immediately³.
Choice A reason:
These are common side effects of chemotherapy, but they are not directly related to bone marrow suppression. Nausea, vomiting, and diarrhea can occur due to the effects of chemotherapy on the digestive system or the brain. They can also cause dehydration and electrolyte imbalance, which can affect the blood cells. The nurse should assess the patient for nausea, vomiting, and diarrhea and provide antiemetics, fluids, and electrolytes as ordered.
Choice C reason:
These are also common side effects of chemotherapy, but they are not directly related to bone marrow suppression. Hair loss, dry skin, and brittle nails can occur due to the effects of chemotherapy on the cells that produce hair and skin. They can also affect the patient's selfesteem and body image. The nurse should assess the patient for hair loss, dry skin, and brittle nails and provide supportive care and education.
Choice D reason:
These are signs of a cardiac problem, such as a heart attack or an arrhythmia. They are not directly related to bone marrow suppression. However, some chemotherapy drugs can affect the heart and cause cardiotoxicity, which can lead to heart failure or damage. The nurse should assess the patient for chest pain, dyspnea, and palpitations and report them to the provider immediately.
