The Point Drug Therapy for the Treatment of Cancer NCLEX Chapter Review

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The dosages of the chemotherapy agents that will be administered are based primarily on what client variable?

weight

What potential benefit is unique to biologic agent therapies?

They may affect cancer cells while leaving normal body cells unaffected

What rationale should the nurse provide to the client when describing the necessity of recovery periods between treatment cycles of chemotherapy?

Time is needed to replace many of the healthy body cells killed by chemotherapy

When assessing a client for adverse effects related to methotrexate (MTX) therapy, the nurse should priortize what laboratory findings?

creatinine clearance -MTX is nephrotoxic

A nurse educator is discussing the role of protooncogenes in the pathhophysiology of cancer. What typically triggers protooncogenes to differentiate into oncogenes?

exposure to carcinogens

In caring for client undergoing chemotherapy, the nurse should monitor for what adverse effective triggered by the cytotoxic effect of the antineoplastic medication therapy?

nausea diarrhea mucositis

What is the defining characteristic of a sarcoma?

originate from connective tissue

Among the multiple genetic abnormalities that are characteristic of cancer cells, which gene mutation results in more than 90% of small cell lung cancers and more than 50% of breast and colon cancers?

p53

A recent nursing graduate is receiving special training to become certified in handling and administering chemotherapy drugs. This special training is necessary because of what nursing diagnosis among clients receiving chemotherapy?

risk for injury related to chemotherapy

Tamoxifen achieves a therapeutic effect by which means?

slowing the growth of cancer cells

What health education topic should the community health nurse emphasize when planning care for a client who will be prescribed an oral chemotherapy drug for the next several months while recovering at home?

techniques for safely handling the drug

The nurse should encourage the client to implement which intervention in order to minimize the risk of developing chemotherapy-triggered mucositis?

thoroughly rinse his or her mouth often, especially before and after meals


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