“I will drink 500mL of fluid or less each day.”
“I will wear support hose when I am up.”
“I will use an electric razor for shaving.”
“I will eat foods low in iron.”
The client collects stamps as a hobby.
The client recently lost his job as a postal worker.
The client had radiation for treatment of Hodgkin’s disease as a teenager.
The client’s brother had leukemia as a child.
The soles of the feet
“Have you noticed a change in sleeping habits recently?”
“Have you had a respiratory infection in the last 6 months?”
“Have you lost weight recently?”
“Have you noticed changes in your alertness?”
Oral mucous membrane. altered related to chemotherapy
Risk for injury related to thrombocytopenia
Fatigue related to the disease process
Interrupted family processes related to life-threatening illness of a family member
Sexual dysfunction related to radiation therapy
Anticipatory grieving related to terminal illness
Tissue integrity related to prolonged bed rest
Fatigue related to chemotherapy
White blood cell count
Partial prothrombin time (PTT)
Prevention of falls
Conservation of energy
Place the client in Trendelenburg position for postural drainage
Encourage coughing and deep breathing every 2 hours
Elevate the head of the bed 30°
Encourage the Valsalva maneuver for bowel movements
Measure the urinary output
Check the vital signs
Encourage increased fluid intake
Weigh the client