Antineoplastic Medications

The clinic nurse prepares a teaching plan for the client receiving an antineoplastic medication. When implementing the plan, the nurse tells the client: 1. The take aspirin as needed for headache 2. The drink beverages containing alcohol in moderate amounts each evening 3. To consult with health care providers before receiving immunizations 4. That is it not necessary to consult health care providers before receiving a flu vaccine at the local health fair.

To consult with health care providers before receiving immunizations

The client with acute myelocytic leukemia is being treated with busulfan. Which laboratory value would the nurse specifically monitor during treatment with this medication? 1. Clotting time 2. Blood glucose level 3. Uric acid level 4. Potassium level

Uric acid level

The nurse is monitoring the laboratory results of a client receiving an antineoplastic medication by intravenous route. The nurse plans to initiate bleeding precautions if which laboratory result is noted? 1. A clotting time of 10 minutes 2. An ammonia level of 20 mcg/dL 3. A platelet count of 50,000/mm 4. A white blood cell count of 5,000/mm

A platelet count of 50,000/mm

The nurse is providing medication instructions to a client with breast cancer who is receiving cyclophosphamide. The nurse tells the client to: 1. Take the medication with food 2. Increase fluid intake to 2000 to 3000 mL daily 3. Decrease sodium intake while taking the medication 4. Increase potassium intake while taking the medication

Increase fluid intake to 2000 to 3000 mL daily

The nurse is analyzing the laboratory results of a client with leukemia who has received a regimen of chemotherapy. Which laboratory value would the nurse specifically note as a result of the massive cell destruction that occurred from chemotherapy? 1. Anemia 2. Decreased platelets 3. Increased uric acid levels 4. Decreased leukocyte count

Increased uric acid levels

Megestrol acetate, an antineoplastic medication, is prescribed for the client with metastatic endometrial carcinoma. The nurse reviews the client's history and contacts the physican if which diagnosis is documented in the client's history? 1. Gout 2. Asthma 3. Thrombophlebitis 4. Myocardial infarction

Thrombophlebitis

The client with metastatic breast cancer is receiving tamoxifen. The nurse specifically monitors which laboratory value while the client is taking this medication. 1. Glucose level 2. Calcium level 3. Potassium level 4. Prothrombin time

Calcium level

Tamoxifen is prescribed for the client with metastatic breast carcinoma. The nurse administering the medication understands that the primary action of this medication is to: 1. Increase DNA and RNA synthesis 2. Promote the biosynthesis of nucleic acids. 3. Increase estrogen concentration and estrogen response 4. Compete with estradiol for binding to estrogen in tissues containing high concentrations of receptors.

Compete with estradiol for binding to estrogen in tissues containing high concentrations of receptors.

The client with non-Hodgkin's lymphoma is receiving daunorubician. Which of the following would indicate to the nurse that the client is experiencing an adverse effect related to the medication? 1. Fever 2. Diarrhea 3. Complaints of nausea and vomiting 4. Crackles on auscultation of the lungs

Crackles on auscultation of the lungs.

The client with ovarian cancer is being treated with vincristine. The nurse monitors the client, knowing which of the following indicates a side effect specific to this medication? 1. Diarrhea 2. Hair loss 3. Chest pain 4. Numbness and tingling in the fingers and toes

Numbness and tingling in the fingers and toes

The client with small cell lung cancer is being treated with etoposide. The nurse monitors the client during administration, knowing that which side effect is specifically associated with the medication? 1. Alopecia 2. Chest Pain 3. Pulmonary fibrosis 4. Orthostatic hypotension

Orthostatic Hypotension

The nurse is reviewing the history and physical examination of a client who will be receiving asparaginase, and antineoplastic agent. The nurse contacts the physician before administering the medication if which of the following is documented in the client's history? 1. Pancreatitis 2. Diabetes mellitus 3. Myocardial infarction 4. COPD

Pancreatitis

The client with squamous cell carcinoma of the larynx is receiving bleomycin intravenously. The nurse caring for the client anticipates that which diagnostic study will be prescribed? 1. Echocardiography 2. Electrocardiography 3. Cervical radiography 4. Pulmonary function studies

Pulmonary function studies

The nurse is monitoring the IV infusion of an antieoplastic medication. During the infusion, the client complains of pain at the insertion site. On inspection of the site, the nurse notes redness and swelling and that the infusion of the medication has slowed in rate. The nurse should take which actions? Select all that apply 1. Stop the infusion 2. Notify the physician 3. Prepare to apply ice or heat to the site 4. Restart the IV at a distal part of the same vein 5. Prepare to administer a prescribed antidote into the site 6. Increase the flow rate of the solution to flush the skin and subcutaneous tissue

Stop the infusion Notify the physician Prepare to apply ice or heat to the site Prepare to administer a prescribed antidote into the site.

Chemotherapy dosage is frequently based on total body surface area, so it is important for the nurse to do which of the following before administering chemotherapy? 1. Measure abdominal girth 2. Calculate body mass index 3. Ask the client about his or her height and weight 4. Weigh and measure the client on the day of medication administration

Weigh and measure the client on the day of medication administration