A neonate born to a mother who was abusing heroin is exhibiting signs and symptoms of withdrawal. Which signs would the nurse assess? (Select All that Apply.)

A. Fatigue - Fatigue is a common side effect of chemotherapy and can significantly impact a patient's quality of life. While it can be debilitating and affect daily activities, it is not typically considered as serious as myelosuppression. Fatigue usually improves over time after completion of chemotherapy treatment.

B. Hair loss - Hair loss, or alopecia, is another common side effect of chemotherapy. It can be distressing for many patients, but it is generally not considered medically serious. Hair typically grows back after the completion of chemotherapy treatment.

C. Vomiting - Nausea and vomiting are common side effects of chemotherapy, known as chemotherapy-induced nausea and vomiting (CINV). While they can cause discomfort and affect a patient's well-being, they are usually manageable with antiemetic medications. In severe cases, dehydration and electrolyte imbalances may occur, but they are generally reversible and not as serious as myelosuppression.

D. Myelosuppression - Myelosuppression, also known as bone marrow suppression, is a serious side effect of chemotherapy. It can lead to a decrease in the production of blood cells (white blood cells, red blood cells, and platelets) by the bone marrow. This can increase the risk of infections, anemia, and bleeding, which can be life-threatening if not managed promptly. Myelosuppression requires close monitoring and may necessitate treatment adjustments or supportive care measures to prevent complications.

A. Social isolation related to feelings about appearance:

Social isolation refers to a state in which an individual lacks social interaction or feels disconnected from others. This can occur when individuals feel self-conscious or ashamed about their appearance and may withdraw from social situations as a result. In this scenario, the woman's feelings about her appearance may indeed lead to social isolation. However, while social isolation is a significant concern, it may not be the most immediate priority compared to addressing the woman's feelings of low self-esteem.

B. Ineffective peripheral tissue perfusion related to effects of disease on vasculature:

Ineffective peripheral tissue perfusion refers to inadequate blood flow to the peripheral tissues, which can lead to impaired tissue oxygenation and nutritional deficits. While PCOS can have metabolic and cardiovascular implications, such as insulin resistance and dyslipidemia, leading to potential vascular issues, there is no indication in the scenario provided that the woman is experiencing acute vascular compromise. Therefore, this nursing diagnosis is less relevant in this context.

C. Risk for suicide related to effects of condition and fluctuating hormone levels:

PCOS is associated with an increased risk of mental health issues, including depression and anxiety, which can contribute to an elevated risk of suicidal ideation or behavior. The woman's distress over the physical manifestations of PCOS and feelings of diminished femininity could certainly exacerbate such psychological issues. However, while suicide risk is a serious concern, there is no explicit indication in the scenario that the woman is actively expressing suicidal thoughts or behaviors. Therefore, while it's important to monitor for signs of depression and suicidal ideation, this nursing diagnosis may not be the most immediate priority at this stage.

D. Situational low self-esteem related to masculinization effects of the disease:

This nursing diagnosis addresses the woman's feelings of low self-esteem specifically related to the physical manifestations of PCOS, such as hirsutism, alopecia, breast atrophy, and increased muscle mass, which are affecting her sense of femininity and self-identity. Given her distress and negative perception of her appearance, addressing her low self-esteem and providing support and interventions to help improve her self-image would likely be the most immediate priority in her care.