Question 1

For which adverse effect should the nurse monitor the client prescribed tamoxifen?

Accepted Answer

A)   Fatigue
B)   Cough
C)   Vaginal discharge
D)   Signs of dehydrationE) C) and D)
F) A) and C)

Question 2

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

A)   "Palliative chemotherapy can continue to help slow the growth of the cancer."
B)   "Sometimes the chemotherapy can reduce the size of the tumor."
C)   "The cancer may still respond to treatment."
D)   "Chemotherapy can sometimes reduce the pain."
E)   "Chemotherapy may well improve your quality of life."F) A) and E)
G) C) and D)

Question 3

Which finding should the nurse instruct the client receiving tamoxifen to immediately report to the healthcare provider?

Accepted Answer

A)   A temperature of 101.1°F
B)   Weight gain of 3 pounds in 1 week
C)   Size increase of the tumor
D)   Nausea and vomitingE) None of the above
F) All of the above

Question 4

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

A)   Hypotension
B)   Incontinence
C)   Peripheral neuropathy
D)   Urinary retention
E)   Reduced deep tendon reflexesF) D) and E)
G) None of the above

Question 5

Which action should the nurse take after discontinuing an intravenous infusion of doxorubicin (Adriamycin)  that has extravasated?

Accepted Answer

A)   Inspect the area for irritation.
B)   A warm, wet compress should be placed on the site.
C)   Wash the area thoroughly with soap and water.
D)   Apply ice packs to the area immediately.E) A) and B)
F) A) and C)

Question 6

A client with leukemia asks the nurse where the cancer in her body is located. Which response should the nurse provide the client?

Accepted Answer

A)   Epithelial tissue
B)   Bone marrow
C)   Connective tissue
D)   Lymphoid tissueE) None of the above
F) A) and B)

Question 7

Which describes the growth fraction ratio?

Accepted Answer

A)   The number of replicating cells to the number of active cells.
B)   The number of nonreplicating cells to the number of active cells.
C)   The number of replicating cells to the number of resting cells.
D)   The number of nonreplicating cells to the number of resting cells.E) A) and B)
F) A) and C)

Question 8

Which client should the nurse recognize has the highest risk for developing cancer?

Accepted Answer

A)   The client who consumes excessive alcohol
B)   The client who is 25 pounds overweight but exercises regularly
C)   The client who usually applies sunscreen when going outdoors
D)   The client who frequently forgets self-breast exams but has routine mammogramsE) B) and C)
F) All of the above

Question 9

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

A)   Alkylating agents
B)   Bone marrow transplantation
C)   Hormone antagonists
D)   Platelet administration
E)   Growth factor therapyF) A) and B)
G) None of the above

Question 10

A client with cancer asks the nurse how cancer occurs. Which response should the nurse provide the client?

Accepted Answer

A)   "Cancer is genetic; you inherited the predisposition for cancer."
B)   "Cancer cells are the body's cells that have lost the ability to control their growth."
C)   "Cancer is caused primarily by viruses in the environment."
D)   "Cigarette smoking and second-hand smoke are the primary causes of cancer."E) A) and D)
F) A) and C)

Question 11

Which clinical finding indicates the nurse should hold the dose of methotrexate (MTX) ?

Accepted Answer

A)   Ulcerative stomatitis
B)   Elevated serum uric acid level
C)   Deep vein thrombosis
D)   Elevated white blood cell countE) A) and B)
F) All of the above

Question 12

Which therapeutic interventions should the nurse include when teaching a client about the primary treatments for cancer? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

A)   Surgery
B)   Chemotherapy
C)   Nutrition therapy
D)   Alternative medicine
E)   Radiation therapyF) A) and D)
G) None of the above A,B,E

Question 13

Which describes the main mechanism of action of alkylating agents?

Accepted Answer

A)   The agents can become incorporated into the structures of DNA and RNA, resulting in a disruption of nucleic acid function.
B)   When cancer cells attempt to synthesize proteins, RNA, or DNA metabolic pathways are disrupted and the cancer cells die or their growth is slowed.
C)   They change the shape of the DNA double helix and prevent nucleic acid from completing normal cell division.
D)   They either directly or indirectly bind to cancer cells causing an activation of the immune response which results in the destruction of the cancer cells.E) A) and C)
F) B) and D)

Question 14

Which should the nurse include as the causes of cancer when providing client education? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

A)   "Some cancers have a strong genetic component."
B)   "Cancer can result from tissue trauma."
C)   "Cancers have a very strong environmental component."
D)   "Cancer can result from increased levels of stress."
E)   "Cancer can result from damaged tumor suppressor genes."F) D) and E)
G) B) and E)

Question 15

A client asks the nurse why he is receiving several chemotherapeutic agents as treatment for cancer. Which response should the nurse provide the client?

Accepted Answer

A)   "Using multiple drugs means a shorter treatment time."
B)   "Using multiple drugs decreases the incidence of side effects."
C)   "Using multiple drugs will help kill more of the cancer."
D)   "Using multiple drugs is more cost effective in treating cancer."E) A) and B)
F) C) and D) C

Question 16

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

Accepted Answer

A)   Notify the healthcare provider for a central line placement.
B)   Wear gloves when drawing up the medication.
C)   Understand the protocol for extravasation.
D)   Place the client in reverse isolation prior to administering the vesicant.E) All of the above
F) None of the above

Question 17

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

Accepted Answer

A)   "You should start the testing by age 21"
B)   "You should start testing by age 21 or if you begin using alcohol."
C)   "By age 21, but earlier if you have a family history of cancer."
D)   "By age 21 or earlier if you are smoking."E) A) and D)
F) B) and C) A

Question 18

Which adverse effect should the nurse monitor the client receiving doxorubicin (Adriamycin)  for?

Accepted Answer

A)   Neurotoxicity
B)   Cardiotoxicity
C)   Nephrotoxicity
D)   HepatotoxicityE) A) and B)
F) A) and C)

Question 19

Which is the most important nursing consideration for clients receiving alkylating agents?

Accepted Answer

A)   Nausea and vomiting
B)   Nutritional intake
C)   Skin integrity
D)   CBC with differentialE) C) and D)
F) A) and C)

Question 20

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

A)   Weight gain
B)   Sweating
C)   Hair loss
D)   Constipation
E)   NervousnessF) A) and E)
G) D) and E)

Exam 38: Drugs for Neoplasia

For which adverse effect should the nurse monitor the client prescribed tamoxifen?

Correct AnswerverifiedShow Answer

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.

Correct AnswerverifiedShow Answer

Which finding should the nurse instruct the client receiving tamoxifen to immediately report to the healthcare provider?

Correct AnswerverifiedShow Answer

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.

Correct AnswerverifiedShow Answer

Which action should the nurse take after discontinuing an intravenous infusion of doxorubicin (Adriamycin) that has extravasated?

Correct AnswerverifiedShow Answer

A client with leukemia asks the nurse where the cancer in her body is located. Which response should the nurse provide the client?

Correct AnswerverifiedShow Answer

Which describes the growth fraction ratio?

Correct AnswerverifiedShow Answer

Which client should the nurse recognize has the highest risk for developing cancer?

Correct AnswerverifiedShow Answer

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.

Correct AnswerverifiedShow Answer

A client with cancer asks the nurse how cancer occurs. Which response should the nurse provide the client?

Correct AnswerverifiedShow Answer

Which clinical finding indicates the nurse should hold the dose of methotrexate (MTX) ?

Correct AnswerverifiedShow Answer

Which therapeutic interventions should the nurse include when teaching a client about the primary treatments for cancer? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Correct AnswerverifiedA,B,E

Which describes the main mechanism of action of alkylating agents?

Correct AnswerverifiedShow Answer

Which should the nurse include as the causes of cancer when providing client education? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Correct AnswerverifiedShow Answer

A client asks the nurse why he is receiving several chemotherapeutic agents as treatment for cancer. Which response should the nurse provide the client?

Correct AnswerverifiedC

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedA

Which adverse effect should the nurse monitor the client receiving doxorubicin (Adriamycin) for?

Correct AnswerverifiedShow Answer

Which is the most important nursing consideration for clients receiving alkylating agents?

Correct AnswerverifiedShow Answer

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.

Correct AnswerverifiedShow Answer

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A,B,E

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C

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A

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