The nurse is delegating ambulation for a client to an experienced Patient Care Technician (PCT).Which teaching will the nurse provide to the PCT? (Select all that apply.)

Chemotherapy is a treatment modality used to target and destroy rapidly dividing cells, including cancer cells. It works by interfering with the cell division process, which is a characteristic of cancer cells. However, it is important to note that chemotherapy drugs can also affect normal, healthy cells in the body that undergo rapid division, such as cells in the bone marrow, hair follicles, and gastrointestinal lining. This is why chemotherapy can be associated with side effects like bone marrow suppression, hair loss, and gastrointestinal disturbances. While the molecular structure of DNA can be altered by certain chemotherapeutic drugs, this explanation is not comprehensive enough to encompass the overall mechanism of action of chemotherapy.

The statement that "cancer cells are susceptible to drug toxins" is partially true, as cancer cells are generally more vulnerable to the cytotoxic effects of chemotherapy drugs compared to normal cells.

Chemotherapy aims to disrupt the division and growth of cancer cells rather than promoting their division.

Ensure the client receives adequate amounts of fluids: This is important to maintain hydration and thin respiratory secretions, making it easier for the client to cough and clear the airways. Check the client's mouth for stomatitis: Methylprednisolone can increase the risk of developing oral candidiasis (thrush) or stomatitis, which can cause discomfort and interfere with oral intake. Regular mouth checks can help identify these conditions early for appropriate management. Assess the client's mental status: Pneumonia, particularly in individuals with pre-existing lung disease like COPD, can lead to hypoxemia, which may affect mental status. It is important to monitor the client's mental status, as changes in cognition or confusion can be indicators of hypoxia and require prompt intervention.

Monitor for signs of hypokalemia: Methylprednisolone, like other corticosteroids, can cause electrolyte imbalances, including hypokalemia (low potassium levels). Hypokalemia can have various effects on the body, including muscle weakness and cardiac dysrhythmias. Regular monitoring of potassium levels and signs of hypokalemia is important for timely management. Monitor the client's blood glucose levels: Methylprednisolone can increase blood glucose levels, particularly in individuals with pre-existing diabetes or impaired glucose tolerance. Regular monitoring of blood glucose levels is necessary to ensure proper glycemic control and prevent hyperglycemia-related complications.

Monitor the client's blood pressure for hypotension: Corticosteroids like methylprednisolone can cause fluid retention, leading to an increase in blood pressure. However, sudden withdrawal of corticosteroids can result in adrenal insufficiency and hypotension. Close monitoring of blood pressure is necessary to identify any significant changes and adjust the medication regimen accordingly.