Oncology

When assessing a client for adverse effects related to Methotrexate therapy, the nurse should prioritize what laboratory findings? A.) Cardiac enzymes B.) Creatinine clearance C.) White blood cell count D.) Hemoglobin & hematocrit

B.) Creatinine clearance

A nurse on the oncology unit is preparing to administer Asparaginase intravenously as prescribed. The nurse is aware that a potential side effect of Asparaginase is anaphylaxis. Which of the following nursing interventions should the nurse implement before administration? A.) Pre-medicate with an antihistamine. B.) Place the crash cart nearby. C.) Transfer the patient to the critical care unit. D.) Pre-medicate with a corticosteroid.

B.) Place the crash cart nearby.

Which action is most important for the nurse to implement to prevent nausea and vomiting in a client who is prescribed to receive the first round of IV chemotherapy? A.) Assess the client for manifestations of dehydration hourly during the infusion period. B.) Keep the client NPO during the time chemotherapy is infusing. C.) Administer antiemetic drugs before administering chemotherapy. D.) Ensure that the chemotherapy is infused over a 4- to 6-hour period.

C.) Administer antiemetic drugs before administering chemotherapy.

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? A) "You may have hemorrhagic cystitis." B) "We need to notify the health care provider because this is a complication of the medication." C) "Let's get a urinalysis to confirm a urinary tract infection." D) "The reddish urine is an expected response to the drug."

D) "The reddish urine is an expected response to the drug."

A client is taking Cyclophosphamide (Cytoxan) for the treatment of lymphoma. The nurse is very cautious in administering the medication because this drug poses the fatal side effect of: A.) Myeloma B.) Alopecia C.) CNS toxicity D.) Hemorrhagic cystitis

D.) Hemorrhagic cystitis

A client with ovarian cancer is being treated with Vincristine (Vincasar). The nurse monitors the client, knowing that which manifestation indicates an adverse effect specific to this medication? A.) Diarrhea B.) Chest pain C.) Hair loss D.) Peripheral neuropathy

D.) Peripheral neuropathy