A patient receiving cyclophosphamide reports painful urination and notices blood in the urine. Which action should the nurse take?
Correct answer: B. Report the finding promptly to the oncology team
- A. Reassure the patient that this is an expected harmless effect
- B. Report the finding promptly to the oncology team
- C. Restrict oral fluids until the urine becomes clear
- D. Give aspirin to reduce urinary tract inflammation
Explanation
Haematuria and dysuria may indicate cyclophosphamide-induced haemorrhagic cystitis and require prompt assessment. Adequate hydration and prescribed mesna may help prevent this complication, but new bleeding should not be dismissed or treated with aspirin.
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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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