The nurse is teaching a client with stage IV ovarian cancer. Which statement by the client indicates the need for further teaching?

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.

Stage IV ovarian cancer is an advanced stage, and it is unlikely that the cancer can be cured. While treatment may help manage the symptoms and slow down the progression of the disease, it is essential to have realistic expectations and understand the limitations of treatment options.

Option b, "My type of cancer has spread to other tissues" is a correct understanding of the situation and indicates the client has understood their diagnosis.

Option c, "I have chemotherapy after my hysterectomy" is an accurate statement about treatment and indicates the client has understood the plan of care.

Option d, "I may need to talk with my family about hospice" is also an appropriate statement, as clients with stage IV ovarian cancer may need to consider end-of-life care and hospice services