Medical Surgical Nursing = Oncology

1200 SW 3rd Street

Pompano Beach, FL 33069

Phone: 954-532-9614

MS II: Oncology Assignment

Name:

1. Identify a priority problem and develop a plan of care (care plan uploaded in required assignment) for a patient receiving chemotherapy or radiation therapy.

2. A 40-year-old woman was admitted to the oncology unit for severe dehydration from nausea and vomiting associated with chemotherapy 10 days ago. She has had two adjuvant treatments for breast cancer with doxorubicin (Adriamycin) and cyclophosphamide (Cytoxan). She has a Groshong port that was inserted 2 months ago for chemotherapy administration.

The health care provider’s orders include

Strict I&O every 12 hours

May use port for blood draws and IV fluids

Call for vomiting or temp of 100º F or greater

D5½NS at 125 mL/hr

Ondansetron (Zofran) 8 mg IV every 8 hours

Clear liquid diet and progress as tolerated

CBC, Ca level, and basic metabolic panel in AM

Bed rest with bathroom privileges

Knee-high support stockings

What does the nurse understand to be the rationale for each of the provider’s orders?

Match each chemotherapy side effect below with the correct intervention.

SIDE EFFECTS

a. Anemia

b. Neutropenia

c. Thrombocytopenia

INTERVENTIONS

1. Inspect IV sites every 4 hours for signs of infection.

2. Avoid IM injections and venipunctures.

3. Administer epoetin alfa subcutaneously once a week.