A patient is receiving carboplatin. The nurse would expect to administer this drug
by which route? - Intravenous
The nurse may be asked to administer
... [Show More] which medications to a client to counteract
the increase in uric acid and subsequent hyperuricemia resulting from the
metabolic waste buildup from rapid tumor lysis? - allopurinol
A nurse should understand which adverse effects of antineoplastic drugs are related
to the death of rapidly growing cells? (Select all that apply.) - *Alopecia
*Leukopenia
*Stomatitis
*Thrombocytopenia
A client has been prescribed treatment with antineoplastic drugs, which have a
depressing effect on the bone marrow. What pre-administration assessment should
the nurse perform for this client with respect to the depressing effect of the bone
marrow? - Complete blood count
A patient is to start with chemotherapy. The patient is worried about going bald in
the course of the treatment. How can the nurse assist the patient in being
comfortable with his or her body image? - Suggest the use of a wig or cap
A nurse educator who coordinates the staff education on an oncology unit is
conducting an inservice on targeted therapies. What potential benefit of targeted
therapies should the nurse highlight in this education session? - Targeted therapies
have the potential to damage cancerous cells while leaving normal body cells less
affected.
A 51-year-old female patient has been receiving doxorubicin (Adriamycin) for
metastatic breast cancer. Her medical record indicates she has cardiomyopathy and
a cumulative dose of 300 mg/m2of doxorubicin. Which measure would help limit
the severity of the cardiomyopathy in this client? - The use of dexrazoxane in
conjunction with doxorubicinA female patient is taking oral cyclophosphamide therapy for breast cancer.
Because of possible adverse effects of the drug, the nurse will instruct the patient
to: - drink a lot of water
A 54-year-old received a diagnosis of breast cancer several weeks ago and her
current treatment regimen includes tamoxifen, a cell cycle-nonspecific
antineoplastic drug. What is a characteristic of a cell cycle-nonspecific drug? - The
drug is effective regardless of whether a cancerous cell is proliferating.
An elderly man has been admitted to a residential care facility and the nurse has
conducted a medication reconciliation. The man has taken numerous drugs in the
past, including a course of bicalutamide (Casodex) several years earlier. The nurse
recognizes this drug as being an antiandrogen and is consequently justified in
presuming that the man has a history of what disease? - Prostate cancer
A patient having chemotherapy is losing her hair. She asks the nurse if her hair will
come back as it originally was. What is the best response by the nurse? - "Your
hair will grow back, but the new hair may be a different color or texture."
A client received an injection of doxorubicin and is now observing a reddish urine.
The client reports blood in the urine to the nurse. How should the nurse respond? -
"The reddish urine is an expected response to the drug."
The nurse understands that when administering cisplatin, the drug has a high
potential for causing severe nausea and vomiting. What term is used to describe
this group of antineoplastic drug? - Emetogenic
A client is receiving bleomycin as part of a chemotherapy regimen. Which would
be most important for the nurse to monitor? - Chest x-ray
A client on the oncology unit has begun chemotherapy with a regimen that
includes bendamustine. The client has begun to experience alopecia. The nurse
should prioritize assessments related to what potential nursing diagnosis? -
Disturbed body image
lung cancer. What effect will this regimen likely have on the client's hemostatic
function? - The client's platelet count will decline.
A 79-year-old woman has recently moved to a long-term care facility, and the
nurse at the facility is conducting a medication reconciliation. The nurse notes thatthe woman has recently been taking tamoxifen. The nurse is justified in concluding
that the woman has a history of what malignancy? - breast cancer
What is the defining characteristic of a sarcoma? - originate from connective tissue
The nurse should encourage the client to implement which intervention in order to
minimize the risk of developing chemotherapy-triggered mucositis? - thoroughly
rinse the mouth often, especially before and after meals
The client is instructed to return to the clinic after calling and reporting various
concerns. The nurse alerts the primary health care provider after noting which
signs on the assessment? Select all that apply. - *Bleeding gums
*Petechiae
*Hematuria
Which of the following instructions would be most appropriate for a patient who is
receiving temsirolimus? - Avoiding grapefruit juice
After teaching a group of students about antineoplastic agents and their effect on
cancer and healthy cells, the instructor determines that the teaching was successful
when the students identify which drug as having the least effect on healthy cells? -
Getitinib
An antineoplastic extravasates, and the antidote is administered. The nurse would
apply warmth to the site if extravasation involved which drug? - Teniposide
During which phase of the cell cycle would a nurse expect a mitotic inhibitor to
act? - M
Cancer is considered the second leading cause of death in the United States. - True
Cancer cells can rapidly develop a resistance to alkylating agents. - False
A female client will soon begin targeted therapy as a component of her treatment
plan for chronic leukemia. The nurse is conducting health education about this new
aspect of the client's drug regimen and the client has asked about the potential side
effects of treatment. How should the nurse best respond? - "Both classes of drugs
have adverse effects, but targeted therapies tend to have less of an effect on healthy
body cells."An adult client who has been diagnosed with a rectal tumor is scheduled to begin
treatment with cisplatin. The nurse has conducted client teaching about the
possibility of nausea and vomiting. In order to reduce the client's risk of severe
nausea, the nurse should: - administer a combination of antiemetics prior to the
administration of the drug.
A nurse is providing client education to a 50-year-old woman who is taking
methotrexate (MTX) for breast cancer. The nurse will instruct the client to avoid
which drug? - Salycilates
When describing the process of cancer cell growth to a client, the nurse addresses
angiogenesis. Which description would the nurse include? - The process of
creating new blood vessels to supply oxygen and nutrients to the cells [Show Less]