MEDizzy - A nurse is providing information to parents whose 3-year-old

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Pharmacological and Parentral Therapy

A nurse is providing information to parents whose 3-year-old child has been treated with vincristine sulfate for the diagnosis of Wilms’ tumor. In teaching the parents, the nurse should inform the parents to immediately notify the health-care provider if:

ExplanationDysphagia and paresthesias are central nervous system adverse effects from vincristine that can result in injury to the child. Hair loss is a common adverse reaction to the medication and is reversible. Both diarrhea and severe constipation are adverse effects of vincristine, and prophylactic treatment is implemented at the beginning of therapy to decrease the potential of these occurring. Three-year-olds may not show signs or symptoms of depression. If present, the signs and symptoms should be distinguished as being associated with the neoplastic disease itself or side effects of the medication.