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Ms X is a 76 year-old woman with breast cancer. She had a primary lumpectomy and recently completed her final chemotherapy treatment. She has had a...

Ms X is a 76 year-old woman with breast cancer. She had a primary lumpectomy and recently completed her final chemotherapy treatment. She has had a poor appetite and lost 22 pounds since diagnosis. She was seen in her physician's office earlier today with a complaint of malaise and low-grade fever. Her blood pressure on the non-operative arm was 90/50 and pulse was 110 and irregular. She has complained of intermittent diarrhea over the past few days. Upon ambulation, you note that she is a bit unsteady. She did not seek medical attention earlier because she knew she had an appointment scheduled today. Her ambulatory complete blood count (CBC) revealed WBC 2,000 cells/ cu mm. Differential included segs 46%, bands 1%, lymphocytes 16%, monocytes 15% and eosinophils 5%. Ms. X's physician decided to admit her to the hospital and she comes to your unit.

  1. What are your primary nursing diagnoses and what intervention would you institute?
  2. Which of her lab results are significant and require interventions?
  3. What safety concerns are present?
  4. Which teaching issues should be addressed?
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