Tom has cancer and is undergoing chemotherapy. He is 5 foot 8 inches tall and weighs 160 pounds. After his chemotherapy treatments, Tom feels nauseated and has loss of appetite. He also complains of his tongue being red, swollen, and sore.

1. Is this an expected effect of antineoplastics? Explain why or why not.
2. What suggestions do you have to help with his dietary intake?
3. Can Tom expect alopecia from all types of chemotherapy? Why or why not?
4. How do you explain to Tom what stage II carcinoma indicates?
5. The physician has ordered Tom to receive vincristine 1.2 mg/m2. Using the nomogram below, or on page 161 of your textbook, calculate the dose of vincristine that is to be given.

The nurse in a gynecology clinic is completing preoperative teaching for a patient scheduled for an abdominal hysterectomy next week. the patient states that she is currently taking 325 mg of aspirin daily for chronic joint pain, along with multivitamin. the patient has type 2 diabetes; she closely monitors her blood glucose levels. currently she is taking an oral hypoglycemic agent. the nurse advises her to ask the anesthesiologist whether she should take this medication the morning of surgery. q1. the nurse instructs the patient to stop taking the aspirin. what is the rationale for this action. q2. why is it important to assess the patient of use of herbal products prior to surgery. q3. the patient asks how surgery could affect her blood glucose; how should the nurse respond?