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A nurse on the oncology unit is caring for a client with an astrocytoma. The client has just been told that the tumor is growing very fast. The client asks the nurse how these tumors grow. What would be the nurse's best response? "Brain tumors grow by invading the surrounding white matter." "Brain tumors infiltrate the surrounding tissue." "Brain tumors grow by invading the surrounding grey matter." "Brain tumors spread down the spinal cord."

"Brain tumors infiltrate the surrounding tissue."

A young man asks the nurse about the goal of the cancer therapy his mother is receiving. What would be the nurse's best response? "The goal is to kill the cancer cells so your mother will be well again." "The goal is to keep the cancer cells from spreading all over your mother's body." "The goal is to limit the cancer cells so the immune system can respond without causing too much toxicity to your mother." "The goal is to control the spread of the cancer."

"The goal is to limit the cancer cells so the immune system can respond without causing too much toxicity to your mother."

The nurse is caring for a client newly diagnosed with a primary brain tumor. The client asks the nurse where the tumor came from. What would be the nurse's best response? "Your tumor originated from somewhere outside the CNS from a cell just like other cells." "Your tumor is pituitary in origin." "Your tumor is from nerve tissue somewhere in your body." "Your tumor originated from a single cell that is genetically different from other cells in the surrounding tissue."

"Your tumor originated from a single cell that is genetically different from other cells in the surrounding tissue."

A patient will be receiving floxuridine (FUDR) for treatment of colorectal cancer that has metastasized to the liver. What will the patient require prior to administration? A chest tube for instillation An intravenous central line An epidural catheter A hepatic arterial pump for instillation

A hepatic arterial pump for instillation

The oncology nurse is administering 5-fluourouricil (5-FU) to the patient with colon cancer. What rare but severe adverse effect should the nurse monitor for 72 hours after administration? Skin rash Nephrotoxicity Cardiotoxicity Hepatotoxicity

Cardiotoxicity

After the instillation of an intrapleural chemotherapeutic agent, what should the oncology nurse do for the medication to reach optimal absorption? Clamp the tube for 18 hours and then connect to suction. Clamp the tube for 1 hour and unclamp for 1 hour. Infuse the medication, allow it to dwell, and then drain the solution. Clamp the tube and reposition the patient every 10 to 15 minutes for 2 hours.

Clamp the tube and reposition the patient every 10 to 15 minutes for 2 hours.

What nursing diagnoses is a priority for 87-year-old Mrs. Quinn, who has stomatitis secondary to the administration of Methotrexate? Impaired skin integrity High risk for bleeding Imbalanced nutrition High risk for infection

Impaired skin integrity

A patient with bladder cancer is to have intravesicular instillation of a chemotherapeutic agent into the bladder. What is a priority intervention of the oncology nurse? Keep the catheter unclamped. Attache the tubing to suction. Insert a Foley catheter. Assist the physician to place a thoracotomy tube.

Insert a Foley catheter.

The oncology nurse is preparing to administer 5-fluorouracil to a patient with colon cancer. To potentiate the action of the 5-fluorouracil, what other medication may be administered with the drug? Paclitaxel Etoposide Hydroxyurea Leucovorin

Leucovorin

The oncology nurse is aware that skin and mucous membrane absorption and inhalation of chemotherapeutic agents can occur during which of the following activities? (Select all that apply.) Disposing of the body excreta of patients who have received these drugs within the past 48 hours Disposing of intravenous bags, bottles, syringes, and tubing used in administration of chemotherapeutic agents Eliminating air from a syringe filled with a chemotherapy agent Disposing of linens that a patient that received chemotherapy was laying on Opening a chemotherapy vial or ampule

Opening a chemotherapy vial or ampule Eliminating air from a syringe filled with a chemotherapy agent Disposing of intravenous bags, bottles, syringes, and tubing used in administration of chemotherapeutic agents Disposing of the body excreta of patients who have received these drugs within the past 48 hours

The nurse is administering vincristine to a patient, and the container that the medication is in breaks open, resulting in the medication spraying over the patient and the nurse. The nurse follows the proper hospital procedures for cleaning up a chemotherapy spill. Afterward, what should the nurse be monitoring the patient for closely? Motor, sensory, and autonomic neuropathies Skin rash Severe eye irritation GI distress

Severe eye irritation

What is the first action by the oncology nurse when observing extravasation with the patient receiving vincristine? Consult the physician. Stop the infusion. Obtain a photograph of the site. Apply warm compresses.

Stop the infusion

The cell cycle consists of 5 phases. Each cell goes through these phases. How would cell phase G1 be defined? Protein synthesis occurs. Mitosis occurs. The resting phase of the cell The cell increases in size and synthesis of RNA.

The cell increases in size and synthesis of RNA.

The nurse should exercise caution when administering antimetabolites to a patient with: bone marrow suppression. diabetes mellitus. hypertension. seizure activity.

bone marrow suppression.

A client has been started on vincristine as part of treatment for cancer. What factor will the nurse need to assess with regard to interactions with this medication? Alcohol intake Sensory, motor, and perceptual functions Exposure to sunlight Cigarette smoking

sensory, motor, and perceptual functions