Cancer medication Prepu Ch 14

Question 8 See full question 4m 52s When describing the use of the various agents for combating chemotherapy-induced nausea and vomiting, the nurse understands that the majority of these agents block:

Chemoreceptor trigger zone The majority of agents used to control nausea and vomiting secondary to chemotherapy directly block the CTZ. They do not affect neurotransmitters, gastric acidity, or the gag reflex.

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 ***The physiologic consequences of alopecia are usually inconsequential. This adverse effect does not have a major effect on thermoregulation or tissue integrity. However, many clients find it distressing and experience a disturbance to their body image due to the significant and unwanted change in their appearance. The nurse should choose assessments and interventions accordingly.

Combination drug therapy is superior to single-drug therapy because of:

Higher tumor response rates

While receiving etoposide IV, extravasation occurs. Which agent would the nurse expect to be used?

Hyaluronidase

Which antineoplastic drugs are classified as antimetabolites? (Select all that apply.)

Mercaptopurine (Purinethol) Capecitabine (Xeloda) Fluorouracil (Adrucil)

A patient with non-Hodgkin's lymphoma (NHL) will be starting a course of doxorubicin shortly. When planning this patient's care, what nursing diagnosis should the nurse prioritize?

Risk for Ineffective Airway Clearance related to decreased neurological function

The effect of cytotoxic chemotherapy regimen for the treatment of stage III lung cancer

The client's platelet count will decline.

the necessity of recovery periods between treatment cycles of chemotherapy?

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

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

Weight

The nurse may be asked to administer 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 The nurse may be asked to administer allopurinol to a client to counteract the increase in uric acid and subsequent hyperuricemia resulting from the metabolic waste buildup from rapid tumor lysis. Amifostine binds with metabolites of cisplatin to protect the kidneys from nephrotoxic effects, reduces xerostomia. Mesna binds with metabolites of ifosfamide to protect the bladder from hemorrhagic cystitis. Leucovorin provides folic acid to cells after methotrexate administration.

A client is receiving tamoxifen. Which adverse effect would be most specific to the action of this drug?

menopausal effects

Tamoxifen achieves a therapeutic effect by which means?

slowing the growth of cancer cells

A patient who will begin chemotherapy voices concern to the nurse about the accompanying nausea and vomitting. What is the best response by the nurse?

"We can relieve your nausea and vomiting with antiemetic drug therapy. You should ask for these medications whenever you need them."

A patient who will begin chemotherapy voices concern to the nurse about the accompanying nausea and vomitting. What is the best response by the nurse?

"We can relieve your nausea and vomiting with antiemetic drug therapy. You should ask for these medications whenever you need them." **Reassure patients that nausea and vomiting can be relieved with antiemetic drug therapy and emphasize that they should request these agents when needed.