The nurse is caring for a client receiving chemotherapy for multiple myeloma. The client reports increased fatigue and is having difficulty completing their activities of daily living. Which of the following actions should the nurse perform?A. obtain laboratory orders to assess the client for hyperthyroidismB. place a surgical mask on the clientC. obtain an order to collect blood culturesD. review the client's most recent serum hemoglobin and hematocrit
Question
The nurse is caring for a client receiving chemotherapy for multiple myeloma. The client reports increased fatigue and is having difficulty completing their activities of daily living. Which of the following actions should the nurse perform?A. obtain laboratory orders to assess the client for hyperthyroidismB. place a surgical mask on the clientC. obtain an order to collect blood culturesD. review the client's most recent serum hemoglobin and hematocrit
Solution
D. review the client's most recent serum hemoglobin and hematocrit
The client's symptoms of increased fatigue and difficulty completing daily activities could be due to anemia, a common side effect of chemotherapy. Anemia is a condition characterized by a decrease in the number of red blood cells, which can be detected by a decrease in serum hemoglobin and hematocrit levels. Therefore, the nurse should review the client's most recent lab results to determine if anemia is the cause of the client's symptoms. If the client is anemic, the healthcare provider may need to adjust the chemotherapy regimen or provide supportive treatment for the anemia.
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