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Chapter 23: Problem 109

A client with stage III-B Hodgkin's disease is started on chemotherapy. What should the nurse reinforce for the client to report immediately? A. A sore mouth B. A fever of \(99^{\circ} \mathrm{F}\) C. Moderate diarrhea D. Transient nausea

Short Answer

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A) A sore mouth B) A fever of \(99^{\circ} \mathrm{F}\) C) Moderate diarrhea D) Transient nausea Answer: B) A fever of \(99^{\circ} \mathrm{F}\).

Step by step solution

01

Option A: A sore mouth

A sore mouth can be a common side effect of chemotherapy as it can cause oral mucositis. Though this symptom may cause discomfort to the client, it is not a medical emergency that requires immediate reporting.
02

Option B: A fever of \(99^{\circ} \mathrm{F}\)

A fever is an important sign to watch for during chemotherapy as it may indicate an infection, which can be life-threatening for clients with a weakened immune system. Even a mild fever of \(99^{\circ} \mathrm{F}\) should be reported immediately so that the healthcare team can assess the situation and administer appropriate treatment if necessary.
03

Option C: Moderate diarrhea

Moderate diarrhea might be a side effect of chemotherapy, and while it can be uncomfortable and should be addressed, it is not a medical emergency that requires immediate reporting. The client should consult their healthcare team for advice on managing this side effect.
04

Option D: Transient nausea

Transient nausea is also a common side effect of chemotherapy. Although it can be very unpleasant, it is not a medical emergency that necessitates immediate reporting. The client should talk with their healthcare team about strategies to alleviate nausea and any medications that might help.
05

Conclusion

The correct answer is Option B, "A fever of \(99^{\circ} \mathrm{F}\)." The nurse should reinforce to the client with stage III-B Hodgkin's disease undergoing chemotherapy to report a fever immediately, as this might indicate a potentially life-threatening infection that requires prompt attention and treatment.

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Most popular questions from this chapter

A client with Hodgkin's disease is scheduled for a cyclophosphamide (Cytoxan) infusion. Which of the following manifestations causes the nurse the most concern? A. Blood in the urine B. Reports of a feeling of nausea C. White patches on the tongue D. Client weight gain

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A client with lung cancer has an order for cisplatin (Platinol). Which laboratory result would cause the nurse to be concerned about the administration of this drug? A. White blood cells \(7000 / \mathrm{mm}\) B. Platelet count 700,000 C. Serum creatinine level \(3.0 \mathrm{mg} / \mathrm{dL}\) D. Total LDH 250IU/L

The nurse would instruct clients with iron deficiency anemia to add foods high in iron to their diets. Which of the following foods would be included? A. Nuts B. Egg whites C. Carrots D. Oranges
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