Question 1

Which should the nurse identify as pharmacotherapy with natural products that have antineoplastic activity? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

The answer of Which should the nurse identify as pharmacotherapy...

Question 2

A client with a benign tumor on his arm asks the nurse why he is not being treated with anything. Which response should the nurse provide? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

The answer of A client with a benign tumor on...

Question 3

For which should the nurse monitor the older adult receiving chemotherapy? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

The answer of For which should the nurse monitor the...

Question 4

A client with cancer that has not responded to treatment asks the nurse why he is being offered palliative chemotherapy. Which information should the nurse include in the discussion? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

The answer of A client with cancer that has not...

Question 5

Which should the nurse understand can be used to minimize bone marrow toxicity? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

The answer of Which should the nurse understand can be...

Question 6

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

Accepted Answer

Understanding the protocol for extravasation is the nurse's priority when preparing to administer intravenous vesicant chemotherapy. Vesicant drugs have the potential to cause severe tissue damage if they leak into the surrounding tissues. The nurse should be familiar with the proper procedure for administering these drugs, as well as the signs and symptoms of extravasation in case it does occur. While notifying the healthcare provider for a central line placement or placing the client in reverse isolation may be important considerations based on the specific situation, understanding the protocol for extravasation takes priority in this case. Wearing gloves when drawing up the medication is a standard procedure for all medication administration and is not specific to intravenous vesicant chemotherapy.

Question 7

A client asks the nurse when she should start having Pap tests to help detect cervical cancer?

Accepted Answer

According to current guidelines from the American College of Obstetricians and Gynecologists, women should begin receiving Pap tests at age 21 regardless of their sexual activity, family history or use of alcohol or tobacco.

Question 8

Which describes the action of aromatase inhibitors?

Accepted Answer

Aromatase inhibitors work by blocking an enzyme called aromatase, which is involved in the final step of estrogen synthesis. By inhibiting this enzyme, less estrogen is produced in the body, which can help to slow the growth of estrogen receptor-positive (ER-positive) tumors.

Question 9

Which topics should the nurse include in the education of the client prescribed testosterone treatment for cancer? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

Testosterone treatment can lead to several side effects including weight gain due to fluid retention, increased sweating, and nervousness or anxiety. Hair loss and constipation are not commonly associated side effects of testosterone therapy.

Question 10

Which action should the nurse take after discontinuing an intravenous infusion of vincristine (Oncovin) that has extravasated? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

Injecting hyaluronidase and applying warm compresses are appropriate actions to help disperse the drug and minimize tissue damage after vincristine extravasation.

Quiz 38: Drugs for Neoplasia