The nurse is caring for a client with ovarian cancer. The client is to receive chemotherapy consisting of paclitaxel and carboplatin. For What adverse effect of this treatment should the nurse look out for?
Leukopenia
Metabolic acidosis
Hyperphosphatemia
Respiratory alkalosis
The Correct Answer is A
A. Leukopenia: Chemotherapy with paclitaxel and carboplatin can cause myelosuppression, leading to a significant decrease in white blood cells (leukopenia). This makes the client more susceptible to infections and is a common and serious adverse effect that the nurse should monitor closely.
B. Metabolic acidosis: This condition is less commonly associated with chemotherapy agents like paclitaxel and carboplatin. It usually results from conditions like renal failure, diabetic ketoacidosis, or severe diarrhea rather than chemotherapy.
C. Hyperphosphatemia: This electrolyte imbalance is not a typical adverse effect of paclitaxel and carboplatin. It is more commonly associated with conditions like chronic kidney disease or excessive phosphate intake.
D. Respiratory alkalosis: This condition is typically caused by hyperventilation and is not a known direct adverse effect of paclitaxel and carboplatin chemotherapy. The nurse should monitor for more common side effects related to chemotherapy, such as leukopenia.
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Related Questions
Correct Answer is C
Explanation
The most recommended contraceptive method for young adults depends on various factors such as their medical history, lifestyle, preferences, and sexual behavior. However, in general, healthcare providers recommend starting with the least invasive and reversible options before considering more permanent methods.
Therefore, the most recommended contraceptive method for young adults is usually barrier methods, such as condoms or diaphragms, or hormonal contraception, such as birth control
pills, patches, or rings. These methods are highly effective when used correctly and consistently
and do not affect long-term fertility.
Abstinence is also an effective way to prevent pregnancy and sexually transmitted infections, but it may not be a realistic option for everyone. Sterilization, on the other hand, is a permanent method that should only be considered by individuals who are sure that they do not want to have children in the future.
It is important for the nurse to provide comprehensive information on all contraceptive options, their effectiveness, benefits, and risks, to help the young adult group make informed decisions about their reproductive health.
Correct Answer is C
Explanation
All the options are important for the nurse to include in their community teaching, but the most important key point for the nurse to emphasize would be option C: many people are asymptomatic and show no symptoms of the disease. This is important because individuals who have sexually transmitted infections but are asymptomatic may unknowingly spread the infection to others, including their sexual partners. It is essential for individuals to understand that they may have an infection even if they feel perfectly healthy, and to get tested regularly to prevent the spread of sexually transmitted infections.
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