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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
This statement shows that the client understands that gonorrhea is a sexually transmited infection that requires treatment for both sexual partners to prevent reinfection. Options a and b are incorrect because douching and over-the-counter medications are not recommended for the treatment of gonorrhea. Option c is also incorrect because while penicillin used to be the recommended treatment for gonorrhea, many strains of the bacteria have developed resistance to it, and other antibiotics are now used instead.
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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