What should nurses monitor closely in patients receiving chemotherapy?

In patients receiving chemotherapy, close monitoring for potential infection signs is critical due to the immunosuppressive effects of the treatment. Chemotherapy can significantly reduce the bone marrow's ability to produce white blood cells, which are essential for fighting infections. As a result, patients may have a higher risk of developing infections from both common and opportunistic pathogens. Nurses play a vital role in assessing patients for signs of infection, such as fever, chills, unexplained fatigue, or changes in mental status, and ensuring prompt interventions are undertaken if any signs are observed. This proactive monitoring is crucial for patient safety and effective management during chemotherapy.

While monitoring the level of physical exercise, emotional well-being, and quality of sleep is also important in the holistic care of cancer patients, these factors do not directly correlate with the immediate and critical risks associated with chemotherapy, particularly the risk of infection.