PHARM TEST TWO PART 1

middle-aged patient has received a diagnosis of GI stromal tumor following an extensive diagnostic workup. Imatinib has been recommended as a component of the patient's drug regimen. What patient education should the nurse provide to this patient?

"It's important that you let us know if you develop any significant swelling or puffiness."

patient is diagnosed with a brain tumor. The patient is told that the cancer cells proliferate. Thepatient asks the nurse what this means. What is the nurse's best response?

"The proliferation is the growth of cancer cells and the rate of growth."

patient received an injection of doxorubicin and is now observing a reddish urine. The patient states, "Do you think I am bleeding?" What is the best response by the nurse

"The reddish urine is harmless and an expected response to the drug."

patient having chemotherapy is losing her hair. She asks the nurse if her hair will come back asit originally was. What is the best response by the nurse?

"Your hair will grow back, but the new hair may be a different color or texture."

The nurse may be asked to administer which medication to a patient to counteract the increase in uric acid and subsequent hyperuricemia resulting from the metabolic waste buildup from rapid tumor lysis?

Allopurinol (Zyloprim)

When describing alkylating agents, the nurse would explain that this medication is seen as the prototype:

Chlorambucil

A patient who is receiving methotrexate is also receiving leucovorin. The nurse understands that this drug is being given for which reason?

Counteract effects of methotrexate

63-year-old male patient has just begun treatment with IV paclitaxel. About 10 minutes into the infusion, the nurse becomes concerned about a possible anaphylactic reaction to the drug because the patient is experiencing:

Dyspnea

patient is to receive doxorubicin as treatment for leukemia. The nurse would instruct the patient that the typical cycle would be repeated at which frequency

Every 3 weeks

No cancer cells have been identified that can remain dormant for more than 2 years.

False

A nurse is administering an antineoplastic extravasation occurs. How can the nurse best prevent tissue damage caused by extravasation

Inspect the site frequently for redness or swelling

Which agent would the nurse expect to be administered orally?

Methotrexate

The client asks the nurse why many chemotherapy drugs must be given IV. What is the nurse's best response?

Most chemotherapy drugs are inactivated by enzymes in the stomach.

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 has just received the first dose of imatinib and the nurse on the oncology unit is amending the patient's care plan accordingly. What nursing diagnosis is most appropriate in lightof this addition to the patient's drug regimen?

Risk for Infection related to bone marrow suppression

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

When describing the various effects of antineoplastic agents, the nurse explains that antineoplastic drugs primarily affect human cells that are rapidly multiplying, going through the cell cycle quickly. The nurse would identify which cells as an example?

Skin

patient is to start with chemotherapy. The patient is worried about going bald in the course of the treatment. How can the nurse assist the patient in being comfortable with his or her body image?

Suggest the use of a wig or cap.

A postmenopausal woman with breast cancer will most likely be treated with which anti-estrogen drug?

Tamoxifen

nurse educator who coordinates the staff education on an oncology unit is conducting an inservice on targeted therapies. What potential benefit of targeted therapies should the nurse highlight in this education session?

Targeted therapies have the potential to damage cancerous cells while leaving normal body cells less affected.

An older adult woman has been diagnosed with acute lymphoblastic leukemia (ALL) and her care team has identified potential benefits of imatinib. Which characteristic of this patient's current health status may preclude the use of imatinib?

The patient has chronic heart failure resulting in significant peripheral edema.

patient is started on chemotherapy. The chemotherapy regimen includes three agents. What is the rationale for using three different antineoplastic agents?

The use of three agents decreases the development of cell resistance.

An adverse effect of tamoxifen therapy involves menopausal symptoms.

True

adult patient who has been diagnosed with a rectal tumor is scheduled to begin treatment withcisplatin. The nurse has conducted patient teaching about the possibility of nausea and vomiting. In order to reduce the patient's risk of severe nausea, the nurse should

administer a combination of antiemetics prior to the administration of the drug.

The oncology nurse understands that chemotherapeutic agents are most effective during a particular phase of the cell cycle. This means the agents are:

cell cycle-specific

client is receiving tamoxifen. Which adverse effect would be most specific to the action of thisdrug

menopausal effects

Cancer is considered the second leading cause of death in the United States.

true

female client age 25 years is prescribed methotrexate to treat rheumatoid arthritis (RA). The nurse should teach the client to

use an effective contraceptive.