ATI Med-Surg Exit Oncology Exam

ATI Med-Surg Exit Oncology Exam A nurse is caring for a client who is receiving chemotherapy to treat cancer. Which of the following adverse effects should the nurse anticipate from the chemotherapy? - pancytopenia - bone marrow suppression, a deficiency of WBCs, RBCs, and platelet counts, is an expected adverse effect of chemotherapy - gingival hyperplasia, or overgrowth of gingival tissue in the mouth, is caused by poor oral hygiene, leading to bacterial plaque and tartar accumulation. It is not an adverse effect of chemotherapy - hirsutism, or excessive body or facial hair, is generally caused by Cushing syndrome, especially in women. The nurse should expect to see alopecia, or hair loss, when the client receives chemotherapy - the client might have an inability or lack of desire to eat, causing weight loss due to the adverse effects of chemotherapy, such as a metallic taste in the mouth, nausea and vomiting A nurse on an onclology unit is reinforcing discharge teaching for an adolescent client who received a bone marrow transplant for leukemia. Which of the following information should the nurse include? (SATA) - "You should take your temperature at least once a day." - Clients who are postoperative following bone marrow transplants are immunosuppressed and should continually monitor for manifestations of infection. A temperature that is greater than 38C (100F) should be reported immediately to the provider "Examine your feet daily." - a client who had a bone marrow transplant is immunosuppressed. The client should examine his feet daily to identify injuries that might increase the risk for infection - because of immunosuppression, the client should avoid crowds, such as those encountered at school, a mall, or a movie theater. They will also require time at home to recover and should limit their visitors to individuals who are healthy - client should not clean their toothbrush weekly with alcohol. Alcohol can cause trauma and irritation to the gums and tissues. Rinsing the toothbrush in a weak bleach solution or placing it in the dishwasher weekly are safer alternatives - fresh fruits and vegetables and as well as any other raw good can carry bacteria that may lead to an increased risk of infection A nurse is assisting in planning care for a client who is postoperative following a urinary diversion to treat bladder cancer. Which of the following interventions should the nurse include in the plan of care? - change the collection pouch in the early morning. - the nurse should plan to change the urinary collection pouch in the early morning when urine output is reduced