prep U Unit 4
A female client is receiving L-asparaginase. She is at the end of her chemotherapeutic course and is concerned because her liver function tests are abnormal. What is an appropriate response by the nurse?
"Liver impairment usually subsides when chemotherapy is complete."
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?
"The reddish urine is an expected response to the drug."
A patient with chronic lymphocytic leukemia (CLL) will imminently begin a course of treatment with rituximab. In order to minimize the risk of adverse effects, what strategy for administration will be adopted?
Administering the initial doses by slow infusion while observing for adverse reactions
A nurse is caring for a patient being treated with antineoplastic drugs. The patient is at risk for thrombocytopenia due to bone marrow suppression. What should the nurse monitor for in this patient?
Bloody urine
A patient has been prescribed melphalan, an alkylating agent, for the treatment of an ovarian tumor. The patient wants to know the action of the drug in treating the tumor. Which of the following should the nurse inform the patient?
Changes the cell to a more alkaline environment.
A medical-surgical registered nurse (RN) is requested to go to the oncology unit, which is short staffed. When the RN arrives to the unit, the oncology nurse states, "We are so short today that you are going to have to administer chemotherapy to some of the clinic patients." According to the Oncology Nurses Society (ONS), of what should the oncology nurse be aware?
Chemotherapy should be administered by RNs who have successfully completed a course in chemotherapy administration.
A health care provider has prescribed an alkylating agent for a client. The nurse anticipates administering which drug(s) to the client? Select all that apply
Cyclophosphamide Ifosfamide Chlorambucil
A client's chemotherapeutic regimen includes procarbazine. What is the client's most likely diagnosis?
Hodgkin lymphoma
A female client is ending an extensive chemotherapeutic regimen that included cytotoxic antineoplastic drugs. What does the nurse understand about bone marrow toxicity in this client?
It is a common adverse effect of her treatment.
A nurse is caring for a client who is undergoing chemotherapy. The client has experienced several episodes of vomiting. Which would be appropriate for the nurse to do for this client as part of the ongoing assessment?
Measure all fluid intake and output
Which would the nurse identify as an antineoplastic antibiotic?
Mitomycin
An elderly man has been admitted to a residential care facility and the nurse has conducted a medication reconciliation. The man has taken numerous drugs in the past, including a course of bicalutamide (Casodex) several years earlier. The nurse recognizes this drug as being an antiandrogen and is consequently justified in presuming that the man has a history of what disease?
Prostate cancer
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 Infection related to suppressed bone marrow function
A 42-year-old female with breast cancer has had a radical mastectomy. She will have radiation therapy and then begin chemotherapy. Drug therapy will consist of a combination of doxorubicin, cyclophosphamide, and paclitaxel. What will the nurse include in the teaching plan concerning the drug therapy?
Take special care when shaving or brushing her teeth.
A postmenopausal woman with breast cancer will most likely be treated with which anti-estrogen drug?
Tamoxifen
When describing the process of cancer cell growth to a client, the nurse addresses angiogenesis. Which description would the nurse include?
The process of creating new blood vessels to supply oxygen and nutrients to the cells
What potential benefit is unique to biologic agent therapies?
They may affect cancer cells while leaving normal body cells unaffected.
The nurse is caring for a client who is receiving a combination of antineoplastic agents. The client has been told that alopecia is likely to occur, and the client is tearful and distraught about this. What is the nurse's best response?
Validate the client's sense of impending loss and offer guidance for getting a wig.
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
A nurse is providing education to a client who is preparing to begin chemotherapy for the treatment of cancer. What action should the nurse encourage the client to implement to minimize the effects of chemotherapy-triggered mucositis?
thoroughly rinse the mouth often, especially before and after meals
