a. Sarcoma - One patient has cancer of the bone; another has cancer in the
connective tissues of the thigh muscles; a third patient has cancer in the
... [Show More] vascular
tissues. Which of these is the correct term for these tumors?
a. Sarcoma
b. Leukemia
c. Carcinoma
d. Lymphoma
d. Be sure to examine your mouth daily for bleeding, painful areas, and ulcerations
- A patient is receiving her third course of 5-fluorouracil therapy and knows that
stomatitis is a potential adverse effect of antineoplastic therapy. What will the
nurse teach her about managing
this problem?
a. ―You can take aspirin to prevent stomatitis.‖
b. ―Be sure to watch for and report black, tarry stools immediately
c. ―You need to increase your intake of foods containing fiber and citric acid
d. ―Be sure to examine your mouth daily for bleeding, painful areas, and
ulcerations
d. The patient will maintain a diet of small, frequent feedings with nutrition
supplements within 2 weeks. - The nurse is developing a plan of care for a patient
who is experiencing gastrointestinal adverse effects, including anorexia andnausea, after the first course of antineoplastic therapy. What is an appropriate
outcome for this patient when dealing with this problem?
a. The patient will eat three balanced meals a day within 2 days.
b. The patient will return to normal eating pattern within 4 weeks.
c. The patient will maintain normal weight by consuming healthy snacks as
tolerated.
d. The patient will maintain a diet of small, frequent feedings with nutrition
supplements within 2 weeks.
b. Leucovorin rescue - A patient is receiving high doses of methotrexate and is
experiencing severe bone marrow suppression. The nurse expects which
intervention to be ordered with this drug to reduce this problem?
a. A transfusion of whole blood
b. Leucovorin rescue
c. Therapy with filgrastim (Neupogen)
d. Administration of allopurinol (Zyloprim)
c. Aspirin can lead to methotrexate toxicity. - A patient who has been on
methotrexate therapy is experiencing mild pain. The patient is asking for aspirin
for the pain. The nurse recognizes that which of these is true in this situation?
a. The aspirin will aggravate diarrhea.
b. The aspirin will masks signs of infection.
c. Aspirin can lead to methotrexate toxicity.
d. The aspirin will cause no problems for the patient on methotrexate.
b. I will eat only fresh fruits and vegetables - The nurse is reviewing infectionprevention measures with a patient who is receiving antineoplastic drug therapy.
Which statement by the patient indicates the need for further teaching?a. ―I will avoid those who have recently had a vaccination
b. ―I will eat only fresh fruits and vegetables
c. ―I will report a sore throat, cough, or low-grade temperature
d. ―It is important for both my family and me to practice good hand washing
b. Increased cancer-cell killing will occur. - The nurse is administering a
combination of three different antineoplastic drugs to a patient who has metastatic
breast cancer. Which statement best describes the rationale for combination
therapy?
a. There will be less nausea and vomiting.
b. Increased cancer-cell killing will occur.
c. The drugs will prevent metastasis.
d. Combination therapy reduces the need for radiation therapy.
b. The chemotherapy will be given along with supportive measures to treat a
possible allergic reaction. - A patient, diagnosed with lymphoma, has an allergy to
one of the proposed chemotherapy drugs. The tumor has not responded to other
types of treatment. The nurse expects the oncologist to follow which course of
treatment?
a. The physician will choose another drug to use.
b. The chemotherapy will be given along with supportive measures to treat a
possible allergic reaction.
c. The patient will receive reduced doses of chemotherapy for a longer period of
time.
d. The chemotherapy cannot be given because of the patient's allergy
a. The lowest level of neutrophils reached during therapy - During treatment of a
patient who has brain cancer, the nurse hears the oncologist mention that thepatient has reached the ―nadir.‖ The nurse knows that this term means which of
these?
a. The lowest level of neutrophils reached during therapy.
b. The highest level of neutrophils reached during therapy.
c. The point at which the adverse effects of chemotherapy will stop.
d. The point at which the cytotoxic action against cancer cells is the highest
ANS: A, C, D, E - Methotrexate is ordered for a patient with a malignant tumor,
and the nurse is providing education about self-care after the chemotherapy is
given. Which statements by the nurse are appropriate for the patient receiving
methotrexate? (Select all that apply.)
a. Report unusual bleeding or bruising.
b. Hair loss is not expected with this drug.
c. Prepare for hair loss.
d. Avoid areas with large crowds or gatherings.
e. Avoid foods that are too hot or too cold or rough in texture.
f. Restrict fluid intake to reduce nausea and vomiting. [Show Less]