A patient receiving pembrolizumab develops six watery stools in 24 hours with abdominal cramping. Which nursing action is the priority?
Correct answer: C. Report the symptoms promptly to the oncology team
- A. Document it as an expected mild treatment effect
- B. Administer an antidiarrhoeal without further assessment
- C. Report the symptoms promptly to the oncology team
- D. Advise the patient to continue treatment without changes
Explanation
Immune checkpoint inhibitors can cause immune-mediated colitis, which may become severe and require corticosteroid treatment. New or worsening diarrhoea should be reported promptly rather than treated as an ordinary chemotherapy effect.
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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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