47. When a client is on chemotherapy, for which manifestations of bone marrow depression should a nurse continuously assess?
47. When a client is on chemotherapy, for which manifestations of bone marrow depression should a nurse continuously assess?
. Night sweats and fatigue.
. Loss of skin turgor and weight loss.
. Low urine output and elevated BUN levels.
. Ecchymosis, weakness, and fatigue.
Test-Taking Tip
Think: blood-related symptoms. Review the role of the bone marrow in the production of red blood cells.
Content Area: Adult Health, Oncological; Integrated Process: Nursing Process, Assessment; Cognitive Level: Comprehension; Client Need/Subneed: Physiological Integrity/Pharmacological and Parenteral Therapies/Adverse Effects/Contraindications/Interactions
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Answer 1 is incorrect because night sweats would not be a symptom of bone marrow depression. Answer 2 is incorrect because these signs are consistent with dehydration, which may result from vomiting or diarrhea from chemotherapy if untreated. Answer 3 is incorrect because this would indicate nephrotoxicity and renal dysfunction as a result of chemotherapy. Answer 4 is correct because myelosuppression decreases WBCs, RBCs, and platelets. The anemia reduces oxygen-carrying capacity, leading to fatigue and weakness. The reduced platelets increases bruising and bleeding tendencies.