Ch 14 Drug Therapy for Treatment of Cancer

A patient having chemotherapy is losing her hair. She asks the nurse if her hair will come back as it originally was. What is the best response by the nurse? "Your hair will grow back, but it will be very thin and straight." "I think you have more to worry about than if you have hair. You can buy a wig." "Your hair will grow back, but the new hair may be a different color or texture." "Your hair may not grow back, but we can refer you to a wig specialist."

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

A client has been diagnosed with cancer. The health care provider prescribes antineoplastic drug therapy to the client. How should the nurse explain the use of antineoplastic drugs? Complete relief of symptoms of cancer Destroys only cancerous cells Delays spread of cancer to other sites Leads to complete cure of cancer

Delays spread of cancer to other sites

The nurse is conducting a class for oncologic nurses. What characteristics of chemotherapy for older adults should the nurse identify? Select all that apply. Older adults may be more susceptible to the central nervous system (CNS) and GI effects of these drugs. Older adults are already somewhat immunosuppressed, so further suppression is a concern. Older clients are at risk for dehydration and diminished nutritional status. Dosage adjustments are made on the basis of the age of the older adult. Safety precautions should be instituted once administration begins.

Older adults may be more susceptible to the central nervous system (CNS) and GI effects of these drugs. Older clients are at risk for dehydration and diminished nutritional status. Older adults are already somewhat immunosuppressed, so further suppression is a concern.

The normal growth-regulating genes that are present in all cells are referred to by what name? Protooncogenes. Carcinogens Neoplastic transformations. Oncogenes.

Protooncogenes.

A 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? Explain that hair preserves body heat. Forewarn about hair loss. Explain it is not life-threatening. Suggest the use of a wig or cap.

Suggest the use of a wig or cap.

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? Encourage the client to view the hair loss as something that indicates cancer is being eradicated. Validate the client's sense of impending loss and offer guidance for getting a wig. Reassure the client that the hair loss will be temporary rather than permanent. Reassure the client that other people who are treated with cancer also experience this.

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? leucovorin amifostine allopurinol mesna

allopurinol

A 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: bradycardia. dyspnea. hypertension. increased body temperature.

dyspnea.

The community health nurse is planning care for a client who will be prescribed an oral chemotherapy drug for the next several months while recovering at home. What health education topic should the nurse emphasize? techniques for self-monitoring of liver status appropriate herbal substitutes for the chemotherapy agent ways to match the dose to the severity of the symptoms techniques for safely handling the drug

techniques for safely handling the drug