evolve CELLULAR REGULATION

Question 10 of 10 Which statement is most important for a nurse to include in patient teaching for a patient who is discharged after receiving high-dose methotrexate [Rheumatrex]? "Leucovorin (folinic acid) must be taken daily at the same time." "Consume extra fluids to minimize any injury to the kidneys." "Nausea and loss of appetite may last for several more days." "You may notice mouth soreness and ulcers in several weeks."

A

Question 11 of 12 Which cytotoxic anticancer drug does the nurse identify as being the least emetogenic agent? Bleomycin Carboplatin Methotrexate Cisplatin

A

Question 2 of 12 A patient with cancer who is neutropenic is hospitalized. Which action by the nursing assistant requires the supervising nurse to intervene? The nursing assistant delivers a fresh fruit basket to the patient's room. The nursing assistant obtains the patient's temperature at frequent intervals. The nursing assistant maintains isolation protocol for the patient. The nursing assistant assists the patient in basic hygiene as needed.

A

Question 3 of 12 A patient who has cancer requires considerable assistance and frequent medical care. The nurse would rate this patient's Karnofsky Performance Scale as what? 90 80 50 20

A

Question 6 of 12 Which statement explains why cancer treatment is more effective when multiagent chemotherapy is used? Drug resistance occurs less frequently. The intervals between dosages are shorter. Normal cell repopulation is not necessary. The effect occurs during the mitotic phase of the cell cycle.

A

Question 8 of 10 A nurse is preparing to administer the first dose of intravenous cetuximab [Erbitux]. To prevent a complication, the nurse has which medication readily available? Epinephrine Furosemide [Lasix] Calcium gluconate Phytonadione (vitamin K)

A

Question 7 of 12 Which statement(s) regarding treatment modalities for treating cancer does the nurse identify as true? Select all that apply. Surgery is the most common treatment for solid cancers. Drug therapy is the treatment of choice for disseminated cancers. Drug therapy is not effective in treating a patient with cancer who has had surgery. Drug therapy is effective as an adjunct therapy in treating a patient who has had irradiation. Irradiation is the treatment of choice for leukemias.

A,B,D

Question 1 of 12 A high tissue growth fraction allows chemotherapeutic medications to be more toxic to tissues in which phases of the cell cycle? Select all that apply. S G1 G0 M G2

A,B,D,E

Question 4 of 12 Chemotherapy is dose limiting primarily because of toxicity to the cells in which tissues? Select all that apply. Gastrointestinal lining Bone marrow Liver Brain Sperm-forming cells

A,B,E

Question 8 of 12 When administering anticancer drugs, the nurse identifies which intervention(s) as effective in minimizing renal injury from hyperuricemia? Select all that apply. Administration of fluids Prophylactic administration of allopurinol Premedication with dexamethasone Premedication with ondansetron Administration of rasburicase

A,B,E

Question 6 of 10 A patient receives a rituximab [Rituxan] infusion. A nurse should monitor which laboratory tests for signs of tumor lysis syndrome (TLS)? Select all that apply. Uric acid Hemoglobin Potassium Calcium Platelets

A,C,D

Question 7 of 10 What are the primary benefits to a patient who is receiving glucocorticoids as part of a chemotherapy regimen? Select all that apply. They promote appetite and weight gain. They increase long-bone rebuilding. They reduce cerebral edema after radiation. They are cytotoxic to selective cancers. They reduce the risk of pathogen invasion.

A,C,D

Question 1 of 10 A patient is given intravenous (IV) atropine for an adverse effect caused by irinotecan [Camptosar]. Which assessment does the nurse use to evaluate the effectiveness of this approach? Skin flaking on the palms Number of loose stools Decrease in dyspnea Increase in the heart rate

B

Question 10 of 12 The nurse identifies which class of anticancer drugs as used most often in the treatment of patients? Targeted drugs Cytotoxic drugs Immunomodulating agents Biologic response modifiers

B

Question 4 of 10 A patient with breast cancer is receiving trastuzumab [Herceptin] in combination with doxorubicin [Adriamycin]. The nurse monitors the patient for which of these complications? Herpes zoster (shingles) Heart failure Hyperglycemia Renal dysfunction

B

Question 5 of 12 "Unresponsiveness to feedback mechanisms that control cellular growth in healthy tissue" describes which of these characteristic of cancer cells? Invasive growth Persistent proliferation Telomerase activity Formation of metastases

B

Question 6 of 10 A patient is receiving cisplatin [Platinol-AQ]. Which finding, if noted in the patient, would indicate a complication requiring follow-up by a nurse? Difficulty sleeping Numbness in the fingers and toes Breast fullness and tenderness Heartburn and dyspepsia

B

Question 7 of 10 Which scheduling approach for the administration of phase-specific anticancer medications is used to achieve maximum therapeutic effectiveness? One day every 12 weeks Short intervals over time The first day of the month At the end of treatment

B

Question 9 of 10 A nurse is planning care for a patient who is scheduled to receive bevacizumab [Avastin]. The patient had colon surgery 3 weeks ago. Which outcome should the nurse establish on the care plan? Absence of tumor lysis syndrome No evidence of wound dehiscence Absence of hemorrhagic cystitis No increased intracranial pressure

B

Question 9 of 10 Before an infusion of paclitaxel [Taxol], a nurse should administer which medication to prevent a complication? Famotidine [Pepcid] Diphenhydramine [Benadryl] Furosemide [Lasix] Acetaminophen [Tylenol]

B

Question 3 of 10 When working with a patient receiving pemetrexed [Alimta], the nurse will do what? Select all that apply. Administer the drug by mouth on an empty stomach. Administer prophylactic doses of vitamin B12 1 week before dosing. Administer prophylactic doses of folic acid 1 week before dosing. Administer prophylactic glucocorticoids to reduce skin rash. Administer lidocaine to prevent cardiac toxicity.

B,C,D

Question 2 of 10 A nurse is preparing to administer doxorubicin [Adriamycin] intravenously (IV) to a patient who has breast cancer. Which actions should the nurse take? Select all that apply. Infuse normal saline for the preceding 24 hours. Place the patient on a cardiac monitor. Tell the patient the urine turns red. Give a diuretic after the infusion. Ensure the patency of the IV site.

B,C,E

Question 5 of 10 The nurse assesses a patient receiving fluorouracil [Adrucil] for the adverse effect of plantar erythrodysesthesia. What are the characteristics of this syndrome? Select all that apply. Hypoglycemia Tingling of the palms and soles Swelling of the palms and soles Hypertension Blistering of the palms and soles

B,C,E

Question 1 of 10 The nurse identifies which immunostimulant as most effective in the treatment of in situ bladder cancer? Aldesleukin (interleukin-2) [Proleukin] Peginterferon alfa-2b [Sylatron] BCG vaccine [TheraCys, TICE BCG] Interferon alfa-2b [Intron A]

C

Question 9 of 12 A nurse develops a plan of care for a patient receiving chemotherapy whose neutrophil count has reached the nadir. Which nursing action is the priority? Provide daily oral hygiene. Limit contact with visitors. Obtain temperature frequently. Restrict all fresh fruits and vegetables.

C

Question 2 of 10 Which statement(s) does the nurse include when teaching a patient about use of abiraterone [Zytiga] in the treatment of prostate cancer? Select all that apply. Do not take prednisone with abiraterone [Zytiga]. Restrict foods that are high in potassium content because hyperkalemia frequently results from taking this drug. You may develop hot flushes. You may develop enlargement of your breast tissue. Blood work will be obtained at regular intervals to assess the function of your liver.

C,D,E

Question 10 of 10 Which manifestation should a nurse investigate first when monitoring a patient taking tamoxifen [Nolvadex]? Sleep disruption Pedal edema Hot flushes Vaginal bleeding

D

Question 12 of 12 A nurse is caring for a patient who has thrombocytopenia after chemotherapy. Which action should the nurse take? Take the pulse before and after activity. Administer a colony-stimulating factor. Obtain blood cultures and then begin antibiotic therapy. Use minimal cuff inflation when taking the blood pressure.

D

Question 3 of 10 A patient with breast cancer has hypercalcemia owing to bone metastases. The nurse anticipates use of which drug for the treatment of hypercalcemia? Trastuzmab [Herceptin] Lapatinib [Tykerb] Bevacizumab [Avastin] Denosumab [Xgeva]

D

Question 4 of 10 The nurse identifies which cytotoxic anticancer agent as most likely to cause pulmonary toxicity in the patient? Nitrogen mustards Platinum compounds Antimetabolites Nonanthracyclines

D

Question 8 of 10 When planning care for a patient who is receiving cyclophosphamide [Cytoxan], it is most important for the nurse to include which intervention to prevent complications of cyclophosphamide [Cytoxan] therapy? Palpate for pedal pulses every 2 hours. Monitor for laryngeal stridor and tetany. Give an antidiarrheal medication. Increase the IV and oral fluid intake.

D

Question 5 of 10 The nurse identifies which drug(s) as useful for the prevention of breast cancer in women at high risk? Select all that apply. Tormifene [Fareston] Anastrozole [Arimidex] Fulvestrant [Faslodex] Raloxifene [Evista] Tamoxifen [Nolvadex]

D,E