The client with Wilms' tumor is scheduled to receive vincristine (Oncovin). Which would the nurse contribue to the teaching plan? A. Report any kind of colon disturbances such as diarrhea B. Report neurological symptoms, such as tingling or numb fingers or hands C. Report any urinary symptoms, such as burning on urination D. Report any pulmonary symptoms, such as a hacking cough

Chemotherapy is a form of treatment used to combat cancer by using chemical substances, particularly one or more anti-cancer drugs. It operates on the premise of inhibiting cancer cells' ability to grow and divide.

A critical aspect of understanding chemotherapy involves recognizing the balance between eradicating cancerous cells and minimizing damage to normal cells. This balance is pivotal, as the drugs employed in chemotherapy cannot always differentiate between cancerous cells and rapidly dividing normal cells, leading to a range of side effects.

Patients undergoing chemotherapy are educated about these potential side effects, which can impact various systems of the body, including the gastrointestinal tract, the immune system, and the nervous system. Understanding the mechanism and effects of chemotherapy aids patients and healthcare providers in managing and mitigating its side effects.

Wilms' tumor, or nephroblastoma, is a type of kidney cancer that primarily affects children. Treatment for this tumor typically involves a combination of surgery, radiation, and chemotherapy, with the goal to remove and destroy cancer cells while preserving as much kidney function as possible.

Chemotherapy for Wilms' tumor often includes drugs like vincristine, which interfere with the cell division of tumors. Treatment strategies are tailored based on the stage of the disease and the specific needs of the patient. It's paramount to monitor the patient throughout treatment for both effectiveness and potential side effects.

Healthcare teams create comprehensive teaching plans to inform patients and families about the medications used, their purposes, any potential side effects, and the importance of reporting symptoms indicative of complications or drug toxicity.

Peripheral neuropathy refers to the damage or dysfunction of the peripheral nerves, which can result in symptoms like pain, tingling, and numbness, usually in the hands and feet.

Chemotherapy-induced peripheral neuropathy (CIPN) can occur when anti-cancer drugs, such as vincristine, affect the normal function of these nerves. Patients experiencing CIPN may report difficulties in performing everyday tasks, which can significantly impact their quality of life.

Educating patients about the signs of peripheral neuropathy is critical so that they can report these symptoms to their healthcare provider early. Early intervention can help manage symptoms and potentially prevent the progression of nerve damage. Strategies to manage peripheral neuropathy include dose adjustments of chemotherapy drugs, symptomatic treatments, and physical therapy to maintain muscle strength and function.