The nurse is teaching a client about the treatment of gonorrhea. Which statement by the client indicates

Lower abdominal pelvic pain is a common clinical manifestation of ovarian cancer. Ovarian cancer may not cause any noticeable symptoms in its early stages, but as the cancer grows and spreads, symptoms may develop. Pelvic pain or pressure is a common symptom, along with bloating, difficulty eating or feeling full quickly, and urinary urgency or frequency. Other symptoms may include fatigue, indigestion, back pain, constipation, and menstrual irregularities. A fish-like odor (a symptom of bacterial vaginosis) increased abdominal girth,

fever and chills, and leukocytosis are not typically associated with ovarian cancer. However, leukocytosis (an elevated white blood cell count) may be present in response to inflammation or infection. It is important for the nurse to assess the client's symptoms thoroughly and report any concerning findings to the healthcare provider.

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.