Chapter 14 NCLEX-Style Review Questions

The nurse should encourage the client to implement which intervention in order to minimize the risk of developing chemotherapy-triggered mucositis?

thoroughly rinse his or her mouth often, especially before and after meals

In caring for clients undergoing chemotherapy, the nurse should monitor for what adverse effective triggered by the cytotoxic effect of the antineoplastic medication therapy?

1. diarrhea 2. nausea 3. mucositis

What rationale should the nurse provide to the client when describing the necessity of recovery periods between treatment cycles of chemotherapy?

Time is needed to replace many of the healthy body cells killed by chemotherapy.

When assessing a client for adverse effects related to methotrexate (MTX) therapy, the nurse should prioritize what laboratory findings?

creatinine clearance (CrCl)

A nurse educator is discussing the role of protooncogenes in the pathophysiology of cancer. What typically triggers protooncogenes to differentiate into oncogenes?

exposure to carcinogens

What is the defining characteristic of a sarcoma?

originate from connective tissue

Among the multiple genetic abnormalities that are characteristic of cancer cells, which gene mutation results in more than 90% of small cell lung cancers and more than 50% of breast and colon cancers?

p53

A recent nursing graduate is receiving special training to become certified in handling and administrating chemotherapy drugs. This special training is necessary because of what nursing diagnosis among clients receiving chemotherapy?

risk for injury related to chemotherapy

What health education topic should the community health nurse emphasize when planning care for a client who will be prescribed an oral chemotherapy drug for the next several months while recovering at home?

techniques for safely handling the drug

The dosages of the chemotherapy agents that will be administered are based primarily on what client variable?

weight