Question 1

A nurse suspects that the IV line infusing vincristine (Oncovin) has infiltrated. The nurse discontinued the line. Which other actions are indicated?

Accepted Answer

The answer of A nurse suspects that the IV line...

Question 2

A client is prescribed methotrexate (Rheumatrex) for treatment of osteogenic sarcoma. The client says, "My friend took methotrexate, but she has never had cancer." How should the nurse respond to this statement?

Accepted Answer

Methotrexate is used to treat certain types of cancer, such as osteogenic sarcoma, as well as autoimmune disorders like rheumatoid arthritis.

Question 3

A nurse has just initiated a patient's first dose of doxorubicin (Adriamycin). Which assessment finding would cause the nurse to stop the infusion and seek immediate collaboration with the oncologist?

Accepted Answer

The answer of A nurse has just initiated a patient's...

Question 4

A client is diagnosed with a small lipoma on his arm and is being discharged from the clinic. The client says, "I have a tumor, but I am not being treated with anything. I don't understand." How should the nurse respond?

Accepted Answer

The answer of A client is diagnosed with a small...

Question 5

What is the nurse's priority when preparing to administer intravenous vesicant chemotherapy?

Accepted Answer

The nurse's priority is to know the protocol for extravasation because vesicant chemotherapy can cause severe tissue damage if it leaks from the vein. Being prepared to manage extravasation is crucial for patient safety.

Question 6

A nurse is managing the care of a patient who is approaching nadir during the first round of chemotherapy. The nurse evaluates that neutropenia has occurred when the patient's white blood cell count reaches _________ cells/mL.

Accepted Answer

The answer of A nurse is managing the care of...

Question 7

The patient has been prescribed interferon as treatment against cancer. What information should the nurse provide?

Accepted Answer

Interferons are proteins that help to inhibit cancer cell division and enhance the immune system's ability to fight cancer cells.

Question 8

A student visits the college health nurse and asks, "I am concerned about when I should start getting Pap tests." What questions should the nurse ask?

Accepted Answer

The nurse should ask about the student's age and sexual activity, as Pap tests are recommended starting at age 21 or within three years of becoming sexually active.

Question 9

A client with pancreatic cancer is receiving chemotherapy even though prognosis is grim. How does the nurse explain the rationale for this treatment?

Accepted Answer

Chemotherapy can reduce tumor size, alleviate pain, and potentially improve quality of life, even if it does not cure the cancer.

Question 10

A client's dosage schedule includes chemotherapy for each of 5 days and then no chemotherapy for 5 days. The client says, "Why don't they just keep giving me the chemo? I want to kill this cancer and get on with my life." How should the nurse respond?

Accepted Answer

The answer of A client's dosage schedule includes chemotherapy for...

Quiz 38: Drugs for Neoplasia