Oncology and Hematology

The nurse would counsel a pregnant client to take her iron supplement at which time of the day for efficient absorption? A. Bedtime B. After lunch C. Dinnertime D. Before breakfast

D. Before breakfast

An adolescent is prescribed an antineoplastic agent. Which instruction would the nurse give to the parents before discharge? A. Limit contact with all peers and family members. B. Withhold medications when nausea occurs to prevent vomiting. C. Schedule laboratory blood tests to evaluate response to the medication. D. Return weekly for a bone marrow aspiration to monitor effectiveness of therapy

C. Schedule laboratory blood tests to evaluate response to the medication.

What do you know about Doxorubicin "Red hearted devil "

1. Cardiotoxicity is a huge problem 2. Red urine is an expected outcome 3. Oral hygiene is necessary

Chemo in general

1. Combo drugs are used to target cellular growth at different stages 2. Greatest concern is a low WBC count 3. Nursing concerns : Weight loss and nausea

What do you know about Vincristine "vine to wine for carbs/cancer"

1.Constipation ; slows peristalsis 2. Must monitor for Peripheral paresthesia 3. Push fluids to prevent constipation

What do you know about iron ?

1.Orange & Cranberry juice are great for absorption 2. Milk hinders absorption 3. Use a straw if taking in liquid form because it will stain teeth!

A client is receiving epoetin for the treatment of anemia associated with chronic renal failure. Which client statement indicates to the nurse that further teaching about this medication is necessary? A. 'I realize it is important to take this medication because it will cure my anemia.' B. 'Because I am at risk for seizures, I need to avoid hazardous activities.' C. 'I recognize that I may still need blood transfusions if my hemoglobin is very low.' D. 'I understand that I will still have to take supplemental iron therapy with this medication.'

A. 'I realize it is important to take this medication because it will cure my anemia.'

A client with Hodgkin's disease is to receive the cyclic antineoplastic vincristine as part of a therapy protocol. Which mechanism of action would the nurse associate with this medication? A. Arresting mitosis in metaphase B. Inhibiting the synthesis of thymidine C. Alkylating nucleic acids needed for mitosis D. Inactivating DNA while inhibiting RNA synthesis

A. Arresting mitosis in metaphase

The nurse is assessing a child receiving chemotherapy for treatment of leukemia. Which side effect would the nurse anticipate? A. Epistaxis B. Tachycardia C. Flushed skin D. Increased temperature

A. Epistaxis

Which intervention would the nurse take to improve nutrition after identifying that a client receiving chemotherapy has lost weight? Select all that apply. One, some, or all responses may be correct. A. Provide low-carbohydrate meals. B. Decrease fluid intake at mealtime. C. Encourage the intake of preferred foods. D. Promote the intake of small, frequent meals E. Administer prescribed antiemetics before meals

C. Encourage the intake of preferred foods. D. Promote the intake of small, frequent meals E. Administer prescribed antiemetics before meals

A nurse is teaching a parent how to administer oral iron supplements to a 2-year-old child. Which intervention should be included in the teaching? A. Stop the medication if the stools become tarry green B. Add the medicine to a bottle of formula C. Give the medicine with orange juice and through a straw D. Administer the iron with your child's meals

C. Give the medicine with orange juice and through a straw

The nurse is caring for a client who recently received an allogeneic bone marrow transplant for the treatment of leukemia. Which nursing intervention is a priority for this client? A. Provide education on infection prevention in the community B. Assist the client with ambulation every 2 hours C. Monitor the client for signs of infection D. Introduce the client to another bone marrow recipient

C. Monitor the client for signs of infection

Which drink would the nurse instruct a client with iron deficiency anemia to choose to drink with the supplement for efficient absorption? A. Water B. Skim milk C. Orange juice D. A strawberry milkshake

C. Orange juice

A child with Wilms tumor is prescribed doxorubicin hydrochloride. Which common side effect unique to doxorubicin would the nurse expect to observe in the child? A. Hair loss B. Vomiting C. Red urine D. Stomatitis

C. Red urine

A client develops severe bone marrow suppression related to cancer treatment. Which instruction is important for the nurse to include in the client's teaching? A. Be prepared to experience alopecia. B. Increase fluids to at least 3 liters per day. C. Use a soft toothbrush for oral hygiene. D. Monitor your intake and output of fluids

C. Use a soft toothbrush for oral hygiene.

Which action would the nurse take when administering iron dextran? A. Use a transdermal needle. B. Massage the injection site. C. Use the Z-track method. D.Apply a local anesthetic first

C. Use the Z-track method.

A school-age child diagnosed with acute lymphocytic leukemia (ALL) becomes constipated after receiving induction therapy with prednisone, vincristine, and asparaginase. Which would the nurse suspect as the cause? A. Diet, which lacks bulk B. Inactivity, which results from illness C. Vincristine, which decreases peristalsis D. Prednisone, which causes gastric irritability

C. Vincristine, which decreases peristalsis

A 3-year-old child is prescribed a liquid iron preparation. The nurse would include which intervention when teaching the parent about the administration of this medication? A. 'Monitor the stools for diarrhea.' B. 'Administer with meals to improve absorption.' C. 'Avoid giving the child orange juice with the iron preparation.' D. 'Have the child drink the diluted iron preparation through a straw.'

D. 'Have the child drink the diluted iron preparation through a straw.'

Which side effect would the nurse assess for in a child receiving vincristine? A. Hemolytic anemia B. Irreversible alopecia C. Hyperglycemia D. Neurological complications

D. Neurological complications

Which nursing action is the priority when administering chelation therapy for a toddler? A. Assessing vital signs B. Monitoring urine output C. Conducting a behavioral assessment D. Providing education to reduce lead exposure

B. Monitoring urine output

The hospice nurse is visiting a client diagnosed with end-stage lung cancer and metastases to the bone. What should the nurse keep in mind when planning for effective pain management? A. High doses of opioid analgesics will be required. B. Pain therapy is based on the client's report of pain. C. Relief of pain will be achieved quickly. D. The client will most likely become addicted.

B. Pain therapy is based on the client's report of pain.

The alkylating agent cyclophosphamide is prescribed for a school-age child with cancer. Which clinical manifestation would the nurse be alert for while the child is receiving this medication? A. Irritability B. Pain with urination C. Unpredictable nausea D. Hyperplasia of the gums

B. Pain with urination

Which nursing care will be included for a client who is receiving doxorubicin for acute myelogenous leukemia? A. Increasing citrus foods B. Providing frequent oral hygiene C. Encouraging activity D. Administering medications parenterally

B. Providing frequent oral hygiene

A client is receiving chemotherapy with doxorubicin. Which development will the nurse teach the client to report immediately? A. Nausea B. Sore throat C. Loss of hair D. Constipation

B. Sore throat

Which toxic effect would a nurse monitor for in a client who is prescribed vincristine? A. Peripheral paresthesia B. Anginal-type chest pain C. Ophthalmic papilledema D. Bilateral crackles in the lung

A. Peripheral paresthesia

A client who is immunosuppressed is receiving filgrastim. When monitoring effectiveness, the nurse will check for an increase in which blood component? A. Platelets B. Erythrocytes C. Lymphocytes D. White blood cells

D. White blood cells

A client is diagnosed with multiple myeloma. Which intervention would the nurse expect the plan of care to include? A. Radiotherapy on an outpatient basis B. Human leukocyte interferon therapy C. Surgery to remove the invasive lesions D. Chemotherapy employing a combination of medication

D. Chemotherapy employing a combination of medication

The nurse instructs a postpartum client on the administration of an iron supplement. Which drink selected by the client indicates the teaching was effective? A. Milk B. Water C. Cream soda D. Cranberry juice

D. Cranberry juice

Leucovorin calcium is prescribed and is to be administered immediately after an infusion of methotrexate. Which result of laboratory testing indicates that leucovorin has been effective? A. Potassium level normalizes B. Folic acid level within normal limits C. Improved white blood cell count D. Decreased methotrexate level

D. Decreased methotrexate level

For which side effects will the nurse assess a client with cancer who is being treated with chemotherapeutic agents? Select all that apply. One, some, or all responses may be correct. A. Diarrhea B. Leukocytosis C. Bleeding tendencies D. Lowered sedimentation rate E. Increased hemoglobin levels

A. Diarrhea C. Bleeding tendencies

A 5-year-old child is receiving dactinomycin and doxorubicin therapy after nephrectomy for Wilms tumor. Which intervention would the nurse include when planning care? A. Adding citrus juices to meals B. Offering warm saline mouthwash C. Scheduling booster immunizations D. Reporting red-orange colored urine

B. Offering warm saline mouthwash

Which side effect would the nurse anticipate in a child receiving chelation therapy? A. Hypocalcemia B. Hyperkalemia C. Hypoglycemia D. Hypernatremia

A. Hypocalcemia

A nurse is administering vincristine to a client with cancer. The client asks the nurse how the medication works. Which statement by the nurse is appropriate? A. It stops the synthesis of proteins in cancer cells B. It prevents cell division of cancer cells C. It interrupts the S-phase of cancer cell reproduction D. It alters the DNA structure of cancer cells

B. It prevents cell division of cancer cells

A client with multiple myeloma who is receiving the alkylating agent melphalan returns to the oncology clinic for a follow-up visit. For which adverse effect will the nurse monitor the client? A. Hirsutism B. Leukopenia C. Constipation D. Photosensitivity

B. Leukopenia

The parent of a toddler taking methotrexate asks the nurse whether the child should be started on vitamin supplements. Which statement by the nurse is appropriate? A. 'That's a fine suggestion, and I'll ask for a prescription.' B. 'Vitamin supplements won't help him feel any better right now.' C. 'He'll benefit from a vitamin supplement and will be getting it soon.' D. 'Supplements that contain folic acid interfere with the effectiveness of chemotherapy.'

D. 'Supplements that contain folic acid interfere with the effectiveness of chemotherapy.'

An adolescent with leukemia is to be given a chemotherapeutic agent. Which time is best for the nurse to administer the prescribed antiemetic? A. As nausea occurs B. An hour before meals C. Just before each meal is eaten D. Before each dose of chemotherapy

D. Before each dose of chemotherapy

To minimize the side effects of the vincristine that a client is receiving, which diet would the nurse advise? Low in fat High in iron High in fluids Low in residue

High in fluids

The nurse is providing teaching to a client who has been prescribed cyclophosphamide for breast cancer treatment. Which of the following statements made by the client would indicate that additional teaching is needed? A. "I will probably need to plan on using a wig to cover my hair loss." B. "I should limit the amount of fluids I drink while taking this medication." C. "I will need to stay away from children when my white blood cell count is low." D. "I may have trouble getting pregnant due to the damaging effects of the medication."

B. "I should limit the amount of fluids I drink while taking this medication."

A 9-month-old infant with iron-deficiency anemia has been getting supplements but shows no improvement. The nurse recognizes which action by the parents as the reason for the lack of improvement? A. Administering iron supplements through a straw B. Administering iron supplements with whole cow's milk C. Administering iron supplements along with orange juice D. Administering iron supplements at the back of the mouth

B. Administering iron supplements with whole cow's milk

A client is receiving doxorubicin as part of a chemotherapy protocol. The nurse will assess the client for which system toxicity? A. Neurotoxicity B. Cardiotoxicity C. Ototoxicity D. Nephrotoxicity

B. Cardiotoxicity

A client is diagnosed at stage IV Hodgkin disease. Which therapy option is indicated? A. Radiation therapy B. Combination chemotherapy C. Radiation with chemotherapy D. Surgical removal of the affected nodes

B. Combination chemotherapy

A client with cancer is receiving leucovorin as part of a chemotherapy protocol. Which purpose does leucovorin serve? A. Potentiating the effect of alkylating agents B. Diminishing toxicity of folic acid antagonists C. Limiting vomiting associated with chemotherapy D. Preventing alopecia

B. Diminishing toxicity of folic acid antagonists

A client receives doxorubicin as part of a chemotherapy protocol. The nurse would assess the client for signs and symptoms of which adverse effect? A. Toxic epidermal necrolysis B. Heart failure C. Pulmonary fibrosis D. Ototoxicity

B. Heart failure

A client is being discharged with a prescription for an iron supplement. Which client statement indicates the need for further teaching by the nurse? A. "I will have greenish-black stools from the medication." B. "I will not take antacids with my iron supplement." C. "I will take the iron supplement with a full glass of milk." D. "I will take vitamin C along with the iron supplement."

C. "I will take the iron supplement with a full glass of milk."

A child receiving methotrexate and undergoing cranial radiation is very weak. The mother asks the nurse if she should give her child vitamins. Which response by the nurse is most appropriate? A. 'That's an excellent idea. I'll try to get a prescription for her.' B. 'Unfortunately, vitamins won't make her feel any better now.' C. 'That won't be possible. Vitamins interfere with the action of methotrexate.' D. 'After we receive the laboratory reports, your daughter will be getting vitamins.'

C. 'That won't be possible. Vitamins interfere with the action of methotrexate.'

A client with severe iron-deficiency anemia is prescribed a parenteral form of iron. Which intervention does the nurse prepare to implement before administering the medication? A. Obtain the client's vital signs. B. Use the Z-track administration method. C. Administer a small test dose. D. Obtain informed consent.

C. Administer a small test dose.

A client with adenocarcinoma receives doxorubicin intravenously (IV) to reduce the tumor mass. Which clinical finding indicates that doxorubicin toxicity may have occurred? A. Fever B. Blue tinge to the urine C. Alteration in cardiac rhythm D. Increasing anxiety

C. Alteration in cardiac rhythm

Which clinical finding indicates that doxorubicin toxicity may have occurred? A. Fever B. Blue tinge to the urine C. Alteration in cardiac rhythm D. Increasing anxiety

C. Alteration in cardiac rhythm

Which instructions would the nurse include when teaching parents how to administer liquid iron to their child? Select all that apply. One, some, or all responses may be correct. A. Protect the child from sunlight. B. Administer the medication with food. C. Anticipate that stools tend to be blackish-green. D. Give the medication with a glass of orange juice. E. Have the child drink it through a straw.

C. Anticipate that stools tend to be blackish-green. D. Give the medication with a glass of orange juice. E. Have the child drink it through a straw.

Which laboratory test result would alert the nurse that fluid intake would need to be increased in a child receiving vincristine? A. Urine pH of 6 B. Urine specific gravity of 1.020 C. Blood uric acid level of 7.5 mg/dL D. Blood urea nitrogen level of 15 mg/dL

C. Blood uric acid level of 7.5 mg/dL

A client diagnosed with breast cancer is prescribed doxorubicin. Which assessment finding would the nurse recognize as a toxic effect of this medication? A. Paralytic ileus B. Red-tinged urine C. Cardiac dysrhythmias D. Increased serum magnesium

C. Cardiac dysrhythmias

A client with upper gastrointestinal (GI) bleeding develops mild anemia. Which agent is indicated for treatment of this condition? A. Dextran B. Iron salts C. Vitamin B 12 D. Erythropoietin

B. Iron salts

A child with iron-deficiency anemia is prescribed oral iron therapy. Anticipatory guidance regarding which side effect would the nurse provide? A. Bloody stool B. Orange urine C. Greenish-black stool D. Staining of the mouth

C. Greenish-black stool

Which concept is important to teach a client in relation to why medication cocktails are more effective than a single medication in cancer therapy? A. Medication resistance B. Tumor doubling time C. Cellular growth cycle D. Retained radioactive particles

C. Cellular growth cycle

What do you know about Methotrexate "mess with folic"

1. Leucovorin rescues the healthy cells from methotrexate 2. Damges liver = No alcohol 3. Deprives fast growing cells of Folic acid which is needed to survive

A nurse is reviewing laboratory data prior to administering methotrexate to a client with breast cancer. Which clinical finding will the nurse report to the healthcare provider before administering the medication? A. ALT of 55 IU/mL B. WBC of 12,000/mm³ C. AST of 34 U/L D. HGB of 11.5 g/dL

A. ALT of 55 IU/mL

An adolescent who has been prescribed prednisone and vincristine for leukemia tells the nurse that he is constipated. Which reason would the nurse cite as the probable cause of the constipation? A. It is a side effect of the vincristine. B. The spleen is compressing the bowel. C. It is a toxic effect from the prednisone. D. The leukemic mass is obstructing the bowel.

A. It is a side effect of the vincristine.

A child with plumbism is prescribed edetate calcium disodium (calcium EDTA). Which assessment would be the most appropriate for the nurse to conduct before administering EDTA? A. Reviewing laboratory results for hypocalcemia B. Checking for protein in the urine C. Looking for signs of bone marrow depression D. Monitoring for increased intracranial pressure

B. Checking for protein in the urine

Which common side effect will the nurse address in the care plan of a client with cancer receiving the plant alkaloid vincristine? A. Color-blindness B. Anuria C. Constipation D. Hyperphosphatemia

C. Constipation

A child is prescribed dactinomycin and doxorubicin therapy after a nephrectomy for Wilms tumor. Which intervention would the nurse include in the plan of care? A. Administering aspirin for pain B. Offering citrus juices with meals C. Ensuring meticulous oral hygiene D. Eliminating spicy foods from the diet

C. Ensuring meticulous oral hygiene

What do you know about Chelation therapy with calcium EDTA

1. Monitor I&Os along with kidney function 2. Hypokalemia : it removes calcium along with metals 3.Check for protein un urine ; can be a sign of renal failure

What do you know about Cyclophosphamide "Cystitis"

1. Monitoring I&Os is critical 2.Push fluids to clear the drug out of system 3. Cystitis ; painful urination , need to call DR

What do you know about Epoetin(RBC maker)

1. expect an increase in Hematocrit 2. Does not cure anemia 3. Decreases pallor(unhealthy pale appearance )

A client with anemia has a new prescription for ferrous sulfate. When teaching the client about diet and iron supplements, what should the nurse emphasize about taking an iron supplement? A. Lie down for about 10 minutes after taking the pill B. Take the iron tablet with a glass of orange juice C. Take an antacid with the iron supplement to reduce stomach upset D. Take the iron tablet with a glass of low-fat milk

B. Take the iron tablet with a glass of orange juice

A client with stage III Hodgkin's disease is started on a multiple-drug regimen of doxorubicin, bleomycin, vinblastine, and dacarbazine. Why are so many drugs necessary? A. Using smaller doses of several drugs reduces the likelihood of serious side effects. B. Each drug destroys the cancer cell at a different time in the cell cycle. C. Several drugs are used to destroy cells that are not susceptible to radiation therapy. D. Because there are stages of Hodgkin's disease, if one drug is ineffective, another will work.

B. Each drug destroys the cancer cell at a different time in the cell cycle.

A nurse is preparing to administer doxorubicin to a client with bladder carcinoma. How will the nurse prepare this medication? A. While wearing sterile gloves B. In a biological safety cabinet C. Inside a temperature-controlled room D. By withdrawing into a syringe undiluted

B. In a biological safety cabinet

Which intervention would the nurse include in the plan of care for a client with breast cancer who received doxorubicin and cyclophosphamide 12 days ago and now has a white blood cell (WBC) count of 1.4 cells/mm 3 and reports shortness of breath and activity intolerance? Select all that apply. One, some, or all responses may be correct. A. Use an electric razor when shaving. B. Institute neutropenic precautions. C. Place client on airborne precautions. D. Transfuse two units of packed red blood cells (RBCs). E. Instruct nursing staff to wear a dosimeter badge.

B. Institute neutropenic precautions.

The oncology nurse is preparing to administer the initial dose of vincristine to a child diagnosed with acute lymphocytic leukemia. Which interventions should the nurse include in the plan of care? Select all that apply. A. Apply pressure to the injection site if extravasation occurs. B. Monitor liver function tests regularly. C. Monitor for numbness or tingling in the fingers and toes. D. Select the appropriate catheter for intrathecal administration. E. Verify blood return before, during and after intravenous administration.

B. Monitor liver function tests regularly. C. Monitor for numbness or tingling in the fingers and toes. E. Verify blood return before, during and after intravenous administration.

The nurse is caring for a child who is receiving vincristine. Which body systems are most important for the nurse to assess after medication administration? Select all that apply. One, some, or all responses may be correct. A. Respiratory B. Neurological C. Reproductive D. Hematologic E. Gastrointestinal

B. Neurological D. Hematologic E. Gastrointestinal

The nurse receives an order to administer intravenous (IV) iron sucrose to a client with anemia. Which statement best describes the purpose of administering this medication using the IV route? A. To ensure that the entire dose of medication is given B. To prevent the drug from causing tissue irritation C. To provide more even distribution of the drug D. To enhance absorption of the medication

B. To prevent the drug from causing tissue irritation

A client with Hodgkin's disease adds doxorubicin to current therapy. Which advice will the nurse provide about this medication? A. Cease taking any medication that contains vitamin D. B. Keep the doxorubicin in a dark place protected from light. C. Expect urine to turn red for a few days after taking this medication. D. Take the doxorubicin on an empty stomach with large amounts of fluids

C. Expect urine to turn red for a few days after taking this medication.

Which systemic side effect would the nurse monitor for in a client receiving combination chemotherapy for the treatment of metastatic carcinoma? A. Ascites B. Nystagmus C. Leukopenia D. Polycythemia

C. Leukopenia

Which information would the nurse include when teaching parents about the side effects of iron supplements? A. The urine may turn red. B. The skin will turn yellow. C. The teeth may become stained. D. The stools will take on a clay color.

C. The teeth may become stained.

A client receives doxorubicin infusions for treatment of acute lymphocytic leukemia. Which clinical finding indicates that toxicity has occurred? A. Alopecia B. Dyspnea C. Metallic taste to food D. Cardiac rhythm abnormalities

D. Cardiac rhythm abnormalities

Which nursing assessment is most important for a child receiving cyclophosphamide? A. Extent of alopecia B. Changes in appetite C. Hyperplasia of gums D. Daily intake and output

D. Daily intake and output

The nurse is developing a plan of care for a client who has developed blisters and sores in the mouth after receiving chemotherapy. Which interventions should the nurse include? Select all that apply. A. Examine your mouth frequently. B. Use strong mouthwashes to kill bacteria. C. Drink 2 or more liters of water per day. D. Suck on ice chips during chemotherapy. E. Visit a dental hygienist weekly. F. Avoid spicy or acidic foods

A. Examine your mouth frequently. C. Drink 2 or more liters of water per day. D. Suck on ice chips during chemotherapy. F. Avoid spicy or acidic foods

A client with leukemia who is receiving vincristine reports lower leg numbness. Which statement about vincristine explains this occurrence? A. Vincristine acts on enlarged lymph nodes in the groin. B. Vincristine affects peripheral vascular circulation. C. Vincristine increases the risk for vascular occlusion. D. Peripheral neuropathies can result from vincristine chemotherapy.

D. Peripheral neuropathies can result from vincristine chemotherapy.

Which technique would the nurse use to administer ferrous sulfate to a 12-month-old infant? A. Through a straw B. Crushed in applesauce C. In an intramuscular injection D. Syringe directed toward the back of the mouth

D. Syringe directed toward the back of the mouth

A complete blood count is prescribed before each round of a client's cancer chemotherapy. Which component of the complete blood count is of greatest concern to the nurse? A. Platelets B. Hematocrit C. Red blood cells (RBCs) D. White blood cells (WBCs)

D. White blood cells (WBCs)

What do you know about -gastrin "grow WBC"

Need to monitor WBCs

Which nursing intervention is a priority for a school-age child with lead poisoning undergoing chelation therapy? A. Scrupulous skin care B. Provision of a high-protein diet C. Careful monitoring of intake and output D. Daily blood sampling for liver function tests

C. Careful monitoring of intake and output

Parents of a child with sickle cell anemia ask about their child taking iron supplements to help treat the anemia. How will the nurse respond? A. Taking supplements will not help with this condition. B. It is advised that iron be taken with orange juice to aid in absorption. C. An over-the-counter multivitamin with iron should meet the needs of the child. D. It is advised that liquid iron supplements be given through a straw to prevent staining the teeth.

A. Taking supplements will not help with this condition.

A client with laryngeal cancer is receiving chemotherapy. Which laboratory report is most important for the nurse to monitor when considering the effects of chemotherapy? A. Platelets B. Hemoglobin level C. Red blood cell count D. White blood cell count

D. White blood cell count

A client is scheduled to begin chemotherapy 2 weeks after surgery for colon cancer. Which explanation would the nurse give to explain the delay after surgery? A. Chemotherapy interferes with cell growth and delays wound healing. B. Because chemotherapy causes vomiting, it endangers the integrity of the incisional area. C. Chemotherapy decreases red blood cell production, and the resultant anemia will add to postoperative fatigue. D. Chemotherapy increases edema in areas distal to the incision by blocking lymph channels with destroyed lymphocytes.

A. Chemotherapy interferes with cell growth and delays wound healing.

Which medications would the nurse plan to use when administering chelation therapy to a toddler-age client to decrease the pain associated with intramuscular administration? Select all that apply. One, some, or all responses may be correct. A. LMX-4 B. Fentanyl C. Procaine D. Ibuprofen E. Acetaminophen

A. LMX-4 C. Procaine

The nurse is reviewing the laboratory results for a client with cancer who is being treated with chemotherapy and recently started prescribed filgrastim. Which laboratory value indicates the treatment is effective? A. Hemoglobin level of 9.8 g/dL B. White blood cell count (WBC) of 5,200/mm3 C. Platelet count of 200,000/mm D. Red blood cell count (RBC) of 4 million/mm

B. White blood cell count (WBC) of 5,200/mm3

Which anticipatory guidance would the nurse include when teaching an adolescent about side effects of dactinomycin and doxorubicin therapy? A. Wear a baseball cap. B. Eat three meals daily. C. Avoid dairy products. D. Dress in light clothing

A. Wear a baseball cap.

An adolescent with leukemia is receiving vincristine. The mother reports that the child is complaining of feeling 'tingles' all over. Which response by the nurse is most appropriate regarding the effect of this medication? A. 'It is a neurological side effect.' B. 'It is caused by an autoimmune reaction.' C. 'The skin becomes sensitive with chemotherapy.' D. 'The central nervous system has become hyperactive

A. 'It is a neurological side effect.'

A client receiving doxorubicin (Adriamycin) intravenously (IV) complains of pain at the insertion site, and the nurse notes edema at the site. Which intervention is most important for the nurse to implement? A. Assess for erythema. B. Administer the antidote. C. Apply warm compresses. D. Discontinue the IV fluids.

D. Discontinue the IV fluids.