Oncology NCLEX/ATI questions
A client with carcinoma of the breast is admitted to the hospital for treatment with intravenously administered doxorubicin. The client relates that friends have warned about hair loss. What is the most appropriate nursing response?
"Hair loss may occur, and it will grow back, but it may have a different color or texture."
The nurse is reviewing medical record notes of a client with bladder cancer who is prescribed concentrations of methotrexate followed by leucovorin (citrovorum factor, folic acid). The nurse would include in the client's education which information about the anticipated therapeutic effect of leucovorin?
"It will help to preserve normal cells."
Tamoxifen citrate is prescribed for a client with metastatic breast carcinoma. The client asks the nurse if a family member with bladder cancer can also take this medication. The nurse most appropriately responds by making which statement?
"This medication can be taken to prevent and treat clients with breast cancer."
A nurse is caring for a client who has a new prescription for cisplatin to treat testicular cancer. The nurse should instruct the client to report which of the following adverse effects? (Select all that apply.)
-Paresthesia -Sore throat -Flank pain -Tinnitus
A nurse is teaching a client who has a new diagnosis of breast cancer about the drug tamoxifen. The nurse should tell the client that which of the following conditions is a contraindication for taking tamoxifen?
DVT (deep-vein thrombosis)
The nurse is monitoring a client with leukemia who is receiving doxorubicin by intravenous infusion. The nurse would monitor for which finding that would indicate doxorubicin toxicity?
Electrocardiogram (ECG) changes
The client with breast cancer has been given a prescription for cyclophosphamide. The nurse determines that the client understands the proper use of the medication if the client states to take which measure?
Increase fluid intake to 2 to 3 L/day.
The nurse is providing medication instructions to a client with breast cancer who is receiving cyclophosphamide. The nurse would tell the client to take which action?
Increase fluid intake to 2000 to 3000 mL daily.
A client who has been diagnosed with breast cancer is to receive chemotherapy with both cisplatin and vincristine. The client asks the nurse why both medications must be given together. The nurse would explain to the client that the combination of two chemotherapeutic medications is used for which reason?
Increase the destruction of tumor cells
A client with ovarian cancer is being treated with vincristine. The nurse monitors the client, knowing that which manifestation indicates an adverse effect specific to this medication?
Peripheral neuropathy
A client with a diagnosis of breast cancer is taking cyclophosphamide. The client calls the health care clinic and tells the nurse that the medication is upsetting the stomach. Which instruction would the nurse provide to the client?
Take the medication with food.
A client with testicular cancer is receiving cisplatin. The nurse assesses for which finding as a toxic effect of this medication?
Tinnitus
A primary health care provider prescribes cisplatin and vincristine to a client with bladder cancer. The nurse would explain to the client that two medications are administered together for which reason?
To increase the therapeutic response
A nurse is considering drug therapy options for a client who has metastatic breast cancer that is positive for human epidermal growth factor receptor 2 (HER2). Which of the following drugs should the nurse expect the provider to prescribe?
Trastuzumab
A nurse is caring for a client who is receiving vincristine to treat lung cancer. The nurse should monitor the client and recognize which of the following manifestations as an indication that the client is experiencing an adverse effect of the drug.
Weak hand grasps
A client with lung cancer is receiving a high dose of methotrexate. A primary health care provider also prescribes leucovorin to the client. The nurse would explain to the client that leucovorin is prescribed for which reason?
"It helps to preserve normal cells."
A nurse is assessing a client following a trastuzumab infusion to treat metastatic breast cancer. Which of the following findings should the nurse recognize as an indication that the client is experiencing an adverse reaction to the drug? (Select all that apply.)
-Wheezing -Dysrhythmias -Hypotension -Fever
A client with metastatic breast cancer is receiving tamoxifen. The nurse specifically monitors which laboratory value while the client is taking this medication?
Calcium level Rationale: Tamoxifen may increase calcium, cholesterol, and triglyceride levels. Before the initiation of therapy, a complete blood count, platelet count, and serum calcium level should be assessed. These blood levels, along with cholesterol and triglyceride levels, need to be monitored periodically during therapy. The nurse would assess for hypercalcemia while the client is taking this medication. Signs of hypercalcemia include increased urine volume, excessive thirst, nausea, vomiting, constipation, hypotonicity of muscles, and deep bone and flank pain.
The nurse caring for a client receiving vincristine is monitoring the client for toxicity. The nurse interprets that the client is experiencing a toxic effect of this medication on the basis of which assessment finding?
Weakness and sensory loss in the legs
