A nurse is caring for a client who is receiving chemotherapy for breast cancer. Which of the following precautions should the nurse perform during administration of oral chemotherapy?

A. Aggressive chemotherapy often leads to a decrease in red blood cell production due to the suppression of bone marrow activity. Therefore, we would expect a decreased hemoglobin count rather than an increased one.
B. Chemotherapy targets rapidly dividing cells, which includes not only cancer cells but also normal cells in the bone marrow, leading to a decreased leukocyte (white blood cell) count. This condition is known as leukopenia and increases the risk of infections.
C. Similar to leukocytes, platelet production is also affected by chemotherapy, resulting in a decreased platelet count (thrombocytopenia). This can lead to increased bleeding risk and bruising.
D. Chemotherapy can cause a decrease in erythrocytes (red blood cells) due to its impact on the bone marrow. This is part of the broader condition known as anemia, which is common in patients undergoing aggressive cancer treatments.
E. Following aggressive chemotherapy, we would not expect an increased platelet count. Instead, the count is typically decreased due to the effects of the treatment on the bone marrow.

A. While the ability to feel sensations may be affected depending on the level and completeness of the spinal cord injury, many individuals with spinal cord injuries can still experience arousal through touch, especially in areas above the injury level.
B. This statement is appropriate and encouraging. It promotes self-exploration and helps the client understand that their body can still respond in ways that may lead to enjoyment. It acknowledges the importance of finding what feels pleasurable, which can enhance sexual health and intimacy after an injury.
C. While promoting a positive self-image is important, this statement may come off as dismissive of the client’s feelings. While the intention is to support the client's self-esteem, it’s more important to acknowledge that feelings of desirability can be complex after an injury, and it’s okay to have mixed emotions about body image.
D. This statement is misleading and harmful. Many individuals with spinal cord injuries can and do engage in intimate relationships. While there may be challenges, such relationships are entirely possible and can be fulfilling.