Nursing Management in Cancer Care
Nursing Management in Cancer Care
Nursing Management in Cancer Care
Emanuel Jones, 60 years of age, is male patient diagnosed with small cell carcinoma. He
underwent surgery in the past to remove the left lower lobe of his lung. He is receiving
chemotherapy. Two weeks before a round of chemotherapy, a complete blood count with
differential, and a renal and metabolic profile are obtained for the patient. The patient presents to
the oncology clinic for chemotherapy with a temperature of 101°F. Further assessment reveals
decreased breath sounds in the right base of the right lung, and a productive cough expectorating
green colored mucus. The patient is short of breath and has a pulse oximetry reading that is SaO2
of 85% on room air. The patient has a history of benign prostate hypertrophy (BPH) and has
complaints of urinary frequency and burning upon urination. The patient is admitted to the
oncology unit in the hospital. The oncologist orders the following: blood, sputum, and urine
cultures; and a chest x-ray. An x-ray of the kidneys, ureters, bladder (KUB) is ordered. An
arterial blood gas (ABG) on room air, CBC with differential, and renal and metabolic profile are
ordered. Oxygen is ordered to begin with nasal cannula at 2 L/min and titrate to keep SaO2
greater than 90%. A broad-spectrum antibiotic, levofloxacin 500 mg in 100 mL of NS is ordered
to be administered IV over 60 minutes once daily. (Learning Objective 8)
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