A nurse is caring for a client who is receiving cisplatin to treat bladder cancer.

After several treatments, the client reports fatigue.

Which of the following actions should the nurse take?

Examine the client for hepatomegaly.

Assess the client for a hypersensitivity reaction.

Check the results of the client's most recent CBC.

Evaluate the client for hypercalcemia.

Answer and Explanation

The Correct Answer is C

Choice A rationale
Examining the client for hepatomegaly can be part of a broader assessment but does not directly address the fatigue related to chemotherapy, particularly cisplatin, which is known to cause bone marrow suppression.
Choice B rationale
Assessing for a hypersensitivity reaction is important during chemotherapy, but it does not specifically address the issue of fatigue, which is often related to blood cell counts.
Choice C rationale
Checking the results of the client's most recent CBC (complete blood count) is crucial because cisplatin can cause anemia, leukopenia, and thrombocytopenia, all of which can lead to significant fatigue.
Choice D rationale
Evaluating for hypercalcemia is not typically associated with cisplatin treatment; it is more relevant in malignancies associated with bone metastasis or overproduction of parathyroid hormone-related protein.

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Correct Answer is A

Explanation

Choice A rationale
Restricting foods containing potassium helps prevent hyperkalemia, a common metabolic imbalance in tumor lysis syndrome (TLS) due to the rapid release of intracellular potassium from lysed tumor cells.
Choice B rationale
Giving sodium polystyrene sulfonate is used to treat hyperkalemia, not hypokalemia. It works by binding potassium in the gut and helping excrete it from the body, but it is not a preventive measure for metabolic imbalances in TLS.
Choice C rationale
Keeping urine pH below 7.0 is not recommended for TLS. Alkalinizing the urine to a pH above 7.0 helps prevent uric acid crystallization and renal damage, which is crucial in managing TLS.
Choice D rationale
Restricting all oral fluids is not advisable for TLS. Adequate hydration is essential to support kidney function and enhance the excretion of electrolytes and uric acid, which helps prevent and manage TLS.

A. Provide the client with articles from the Internet that explain colon cancer stages. B. Assure the client that the provider will explain what has been planned. C. Encourage the client to write down Questions to ask the provider. D. Suggest the client wait until the next appointment for detailed explanations.

Correct Answer is C

Explanation

Choice A rationale
Providing articles from the Internet may not always be reliable and might overwhelm or confuse the client, especially at an emotionally sensitive time.
Choice B rationale
While reassuring the client is important, simply assuring them that the provider will explain later does not empower the client to be actively involved in their care.
Choice C rationale
Encouraging the client to write down questions helps them take an active role in their treatment planning, ensures they remember their concerns, and facilitates a more productive conversation with the provider.
Choice D rationale
Suggesting the client wait for the next appointment can increase anxiety and leave the client feeling unsupported during a critical time when they need information and emotional support.

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A nurse is caring for a client who is receiving cisplatin to treat bladder cancer. After several treatments, the client reports fatigue. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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A nurse is caring for a client who is receiving cisplatin to treat bladder cancer.

After several treatments, the client reports fatigue.

Which of the following actions should the nurse take?