1300 – Client is here for a prescribed chemotherapy infusion (four of eight infusions). Client receiving treatment for stage IV breast cancer with metastasis to the liver. Client reports significant fatigue, which has caused her to nap more and procrastinate on her activities of daily living. She reports that no matter how much she sleeps, she never feels rested. The client stated that her hands and feet feel like 'pins and needles' and have worsened since the previous treatment. She reports using topical ointments and creams with no relief. Finally, the client reports experiencing night sweats that started last night and feeling 'hot' today. On assessment, the client is alert and completely oriented. Lung sounds are clear bilaterally, and respirations are unlabored. Skin hot and pale pink in tone; peripheral pulses 2+ and regular. Capillary refill is 3 seconds. Vital signs: T 101.1° F (38.4° C), P 92, RR 18, BP 133/76, pulse oximetry reading 95% on room air.