A nurse is teaching a client about the side effects of chemotherapy used in leukemia treatment. Which side effect is commonly associated with chemotherapy?

A) This choice is incorrect because peripheral neuropathy is more commonly associated with certain chemotherapy drugs, not radiation therapy.

B) This choice is incorrect because nausea and vomiting are common side effects of chemotherapy, not radiation therapy.

C) This choice is incorrect because alopecia (hair loss) is more commonly associated with chemotherapy, not radiation therapy.

D) This choice is correct. Neutropenia, which is a decrease in the number of neutrophils (a type of white blood cell), is a potential side effect of radiation therapy. This can increase the client's risk of infection, and regular monitoring of blood counts is necessary during treatment.

A) This choice is incorrect because mild redness and tenderness at the IV site are common findings and may indicate a local inflammatory response to the IV infusion.

B) This choice is incorrect because a temperature of 99.8°F (37.7°C) is slightly elevated but not a critical finding. The client's healthcare provider should be notified if the temperature is significantly elevated or if other symptoms are present.

C) This choice is incorrect because a small amount of blood in the IV tubing may be due to a minor infiltration or a common occurrence during IV administration. However, the nurse should monitor the IV site and flow rate closely.

D) This choice is correct. Crackles and decreased breath sounds on auscultation may indicate fluid overload or pulmonary edema, which could be a severe complication of IV chemotherapy. The healthcare provider should be notified immediately to assess the client's respiratory status and provide appropriate intervention.

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