Deck 14: Antineoplastic Medications

Question 1

With which of the following conditions should the nurse take special care in an older patient?

A) Anorexia and diarrhea
B) Dry eyes when taking chemotherapy
C) Edema in the joints
D) Pain at injection site

Answer 1

Anorexia and diarrhea

Question 2

Which of the following people is qualified to prepare and administer antineoplastic drugs?

A) Any trained drug representative
B) Any medical assistant
C) An advanced practice nurse
D) An oncology nurse

Answer 2

An oncology nurse

Question 3

Which of the following over-the-counter medications might a patient on chemotherapy use to control nausea?

A) Zinc and honey
B) Vitamin C and honey
C) Herbal preparations
D) Vanilla extract

Answer 3

Herbal preparations

Question 4

Chemotherapeutic agents act on which of the following?

A) Slowing cell growth
B) Only malignant cells
C) The bacterial cell wall
D) Helper T-cell production

Question 5

In observing a chemotherapy patient,an LPN/LVN must be aware of adverse effects from other products.The patient tells the nurse that he has found an herbal preparation to help control his nausea.Which of the following represents the nurse's best response?

A) "That sounds wonderful,and it's inexpensive."
B) "Stop taking this product;it is toxic."
C) "Tell me the name of the herbal preparation you are taking."
D) "Follow the instructions on how to take that preparation."

Question 6

Dactinomycin (Cosmegen)is an antibiotic used in the treatment of which of the following types of cancer? (Select all that apply. )

A) Pancreatic carcinoma
B) Testicular carcinoma
C) Uterine carcinoma
D) Wilms tumor

Question 7

Common adverse reactions associated with antineoplastic drugs include which of the following?

A) Alopecia and bone marrow depression
B) Bone marrow stimulation and nausea
C) Diarrhea and blurred vision
D) Anorexia and rhinorrhea

Question 8

Nurses administering antineoplastic preparations should use which of the following precautions?

A) Standard precautions as always
B) Proper hand hygiene after use
C) Preparation of medication in special areas
D) Preparation in direct light under a hood

Question 9

The effectiveness of antineoplastic agents can be best evaluated by which of the following means?

A) Physical exam
B) Laboratory studies
C) Return of appetite
D) Subjective report of increased strength

Question 10

Which of the following healthy cells in the body are commonly affected by antineoplastic agents?

A) Myocardial
B) Gastrointestinal
C) Vascular
D) Cerebral

Question 11

For which of the following reasons must a patient keep his or her chemotherapy medications in a locked cabinet?

A) These medications are very costly.
B) These medications are very toxic.
C) These medications have narcotic effects.
D) These medications are hard to replace monthly.

Question 12

Which of the following terms refers to a medication that interferes with metabolic functions in cells?

A) Antibiotic
B) Alkylating agent
C) Antimetabolite
D) Mitotic inhibitor

Question 13

The nurse may include which of the following nursing diagnoses for a patient taking an antineoplastic medication?

A) Decreased cardiac output
B) Deficient fluid volume
C) Social isolation
D) Imbalanced nutrition: more than body requirements

Question 14

Antioxidants are viewed as helpful in the prevention and treatment of cancer because they have which of the following effects?

A) They stimulate platelet production.
B) They minimize the toxic effects of other antineoplastics.
C) They eliminate free radicals.
D) They alleviate nausea.

Question 15

Hormones may be prescribed for a patient with cancer of which of the following organs?

A) Bone
B) Prostate
C) Brain
D) Liver

Question 16

A chemotherapy patient should be instructed to report which of the following signs or symptoms to his or her health care provider? (Select all that apply. )

A) Sleeping 10 hours at night
B) Uncontrollable nausea
C) Constipation
D) Oral temperature of 98° F

Question 17

A patient is being treated for ovarian carcinoma with carboplatin,an alkylating agent.Which of the following are actions of this medication? (Select all that apply. )

A) It interferes with normal cell division.
B) Malignant cells convert to normal.
C) Its effects occur in both normal and malignant cells.
D) Cell division is totally controlled with this medication.

Question 18

A patient taking Mustargen is suffering from alopecia.The nurse should include which of the following interventions in the care plan?

A) Provide ice chips.
B) Maintain IV hydration.
C) Use emollients on the affected area.
D) Offer the use of a scarf.

Question 19

A patient in treatment for multiple myeloma is on Mesnex (ifosfamide).She reports to the nurse that she is having bouts of nausea and has been unable to eat.Which of the following would be the best advice to give her?

A) Take nothing by mouth until this passes.
B) Replace fluid losses right away.
C) Only eat nonsalty foods.
D) Hold ice chips in your mouth.

Question 20

Onxol (paclitaxel)is used to treat testicular cancer.This drug directly interferes with or stops cell division.The nurse knows that this medication is which of the following preparations?

A) Mitotic agent
B) Chemotherapy agent
C) Hormone
D) Neoplasm