Identify a priority problem and develop a plan of care (care plan uploaded in required assignment) f. Question
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Identify a priority problem and develop a plan of care (care plan uploaded in required assignment) for a patient receiving chemotherapy or radiation therapy.
2. A 40-year-old woman was admitted to the oncology unit for severe dehydration from nausea and vomiting associated with chemotherapy 10 days ago. She has had two adjuvant treatments for breast cancer with doxorubicin (Adriamycin) and cyclophosphamide (Cytoxan). She has a Groshong port that was inserted 2 months ago for chemotherapy administration.
The health care provider’s orders include
Strict I&O every 12 hours
May use port for blood draws and IV fluids
Call for vomiting or temp of 100º F or greater
D5½NS at 125 mL/hr
Ondansetron (Zofran) 8 mg IV every 8 hours
Clear liquid diet and progress as tolerated
CBC, Ca level, and basic metabolic panel in AM
Bed rest with bathroom privileges
Knee-high support stockings
What does the nurse understand to be the rationale for each of the provider’s orders?
Match each chemotherapy side effect below with the correct intervention.
SIDE EFFECTS
Anemia
Neutropenia
Thrombocytopenia
INTERVENTIONS
Inspect IV sites every 4 hours for signs of infection.
Avoid IM injections and venipunctures.
Administer epoetin alfa subcutaneously once a week.
SCIENCE
HEALTH SCIENCE
NURSING
MED SURG 116
Identify a priority problem and develop a plan of care (care plan uploaded in required assignment) f
