A patient receiving an immune checkpoint inhibitor develops yellow skin, dark urine and marked loss of appetite. Which action is most appropriate?
Correct answer: B. Report the findings promptly for liver-function assessment
- A. Document the symptoms as expected treatment fatigue
- B. Report the findings promptly for liver-function assessment
- C. Encourage a high-fat diet to restore liver energy stores
- D. Give the next treatment early to control the cancer
Explanation
Jaundice and dark urine may indicate immune-related hepatitis, a potentially serious complication of checkpoint inhibitors. The treatment may need to be withheld and corticosteroid therapy considered after medical assessment, so prompt reporting is required.
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About Oncology Nursing
Covers cancer biology, tumour staging, common malignancies and nursing care during surgery, chemotherapy, radiotherapy, immunotherapy and palliative treatment. It includes managing nausea, pain, fatigue, mucositis, neutropenia and extravasation, while distinguishing expected treatment effects from dangerous complications requiring urgent action.
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