Question 1

Which symptom is the patient who is receiving bleomycin (Blenoxane)therapy most likely to exhibit?

Accepted Answer

A)  Increased respiratory rate and cough 
B)  Weight gain and peripheral edema 
C)  Numbness and tingling of hands and feet 
D)  Lethargy and orthostatic hypotension 
A)  Increased respiratory rate and cough 
B)  Weight gain and peripheral edema 
C)  Numbness and tingling of hands and feet 
D)  Lethargy and orthostatic hypotension A

Question 2

What is the advantage of combination therapy using cell cycle-specific and cell cycle-nonspecific agents?

Accepted Answer

A)  Decreased expense and time needed for administration 
B)  Decreased toxicity to patients and the nurses who administer the drug 
C)  Increased cell death in various cycles and decreased toxicity 
D)  Increased rate of treatment success 
A)  Decreased expense and time needed for administration 
B)  Decreased toxicity to patients and the nurses who administer the drug 
C)  Increased cell death in various cycles and decreased toxicity 
D)  Increased rate of treatment success D

Question 3

When are cancer cells most sensitive to chemotherapy?

Accepted Answer

A)  Resting phases 
B)  Rapid division 
C)  Remission intervals 
D)  Slow replication 
A)  Resting phases 
B)  Rapid division 
C)  Remission intervals 
D)  Slow replication B

Question 4

The nurse is caring for a patient diagnosed with breast cancer.The patient reports that she has been experiencing frequent watery stools following chemotherapy treatment.When educating the patient regarding dietary guidelines to help relieve symptoms the nurse will encourage

Accepted Answer

A)  eliminating spicy foods. 
B)  eating low-protein foods. 
C)  implementing a high-roughage diet. 
D)  eating high-fat foods. 
A)  eliminating spicy foods. 
B)  eating low-protein foods. 
C)  implementing a high-roughage diet. 
D)  eating high-fat foods.

Question 5

Which sign(s)and symptom(s)assessed by the nurse would indicate thrombocytopenia?(Select all that apply.)

Accepted Answer

A)  Pinpoint red rash 
B)  Casts in urine 
C)  Brown, fatty stools 
D)  Increase in menstrual flow 
E)  Coffee-ground emesis 
A)  Pinpoint red rash 
B)  Casts in urine 
C)  Brown, fatty stools 
D)  Increase in menstrual flow 
E)  Coffee-ground emesis

Question 6

Which treatment(s)may be used alone or in combination for the treatment of cancer?(Select all that apply.)

Accepted Answer

A)  Surgery 
B)  Radiation 
C)  Chemotherapy 
D)  Immunotherapy 
E)  Phlebotomy 
A)  Surgery 
B)  Radiation 
C)  Chemotherapy 
D)  Immunotherapy 
E)  Phlebotomy

Question 7

The nurse is providing education about chemotherapy to a patient who is being discharged.Which statement by the patient indicates a need for further teaching?

Accepted Answer

A)  "I will shave with an electric razor." 
B)  "I will take aspirin for a headache." 
C)  "I will wash my laundry separate from other family members." 
D)  "I will flush the toilet twice after using." 
A)  "I will shave with an electric razor." 
B)  "I will take aspirin for a headache." 
C)  "I will wash my laundry separate from other family members." 
D)  "I will flush the toilet twice after using."

Question 8

Which assessment by the nurse would be a sign of neurotoxicity related to chemotherapy?

Accepted Answer

A)  Paresthesia 
B)  Euphoria 
C)  Nausea 
D)  Hallucinations 
A)  Paresthesia 
B)  Euphoria 
C)  Nausea 
D)  Hallucinations

Question 9

Major chemotherapeutic agents include(Select all that apply.)

Accepted Answer

A)  alkylating agents. 
B)  antineoplastic antibiotics. 
C)  hormones. 
D)  antimetabolites. 
E)  antinuclear antibodies.
F) chelating agents. 
A)  alkylating agents. 
B)  antineoplastic antibiotics. 
C)  hormones. 
D)  antimetabolites. 
E)  antinuclear antibodies.
F) chelating agents.

Question 10

The cell cycle-specific agent vincristine sulphate (Oncovin)acts in which phase of the cell's life cycle?

Accepted Answer

A)  S phase 
B)  Mitotic phase 
C)  Phase G₁ 
D)  Phase G₀ 
A)  S phase 
B)  Mitotic phase 
C)  Phase G₁ 
D)  Phase G₀

Question 11

Which nursing consideration(s)would be taken into account prior to the administration of cisplatin IV?(Select all that apply.)

Accepted Answer

A)  Review of laboratory data for presence of myelosuppression and hepatic and renal parameters 
B)  Administration of IV hydration as prescribed 
C)  Administration of epoetin alfa (Epogen) 
D)  Administration of prechemotherapy mesna (Mesnex) 
E)  Assessment for dermatologic conditions 
A)  Review of laboratory data for presence of myelosuppression and hepatic and renal parameters 
B)  Administration of IV hydration as prescribed 
C)  Administration of epoetin alfa (Epogen) 
D)  Administration of prechemotherapy mesna (Mesnex) 
E)  Assessment for dermatologic conditions

Question 12

Why are bone marrow stimulants used in the treatment of cancer?

Accepted Answer

A)  To increase uptake of the chemotherapy from the interior of the bones 
B)  To strengthen bones weakened by pathologic processes 
C)  To enhance the patient's immune system during treatment 
D)  To protect the bone marrow from destructive actions from the cancer treatment 
A)  To increase uptake of the chemotherapy from the interior of the bones 
B)  To strengthen bones weakened by pathologic processes 
C)  To enhance the patient's immune system during treatment 
D)  To protect the bone marrow from destructive actions from the cancer treatment

Question 13

The nurse is preparing to administer medroxyprogesterone acetate as prescribed to a patient diagnosed with endometrial carcinoma.When gathering supplies to provide this medication,the nurse will obtain a(n)

Accepted Answer

A)  plastic medication cup. 
B)  medicine dropper. 
C)  subcutaneous needle and syringe. 
D)  intramuscular (IM) needle and syringe. 
A)  plastic medication cup. 
B)  medicine dropper. 
C)  subcutaneous needle and syringe. 
D)  intramuscular (IM) needle and syringe.

Question 14

When educating the patient on chemotherapy regarding skin care,the nurse will include(Select all that apply.)

Accepted Answer

A)  vigorously drying the skin with a bath towel. 
B)  avoiding sunlight. 
C)  using mild soap. 
D)  avoiding moisturizer. 
E)  bathing in lukewarm water. 
A)  vigorously drying the skin with a bath towel. 
B)  avoiding sunlight. 
C)  using mild soap. 
D)  avoiding moisturizer. 
E)  bathing in lukewarm water.

Question 15

What is the intended outcome of the chemoprotective drug amifostine (Ethyol)?

Accepted Answer

A)  Decreased nausea and vomiting 
B)  Increased effectiveness of the chemotherapy 
C)  Maintenance of body weight 
D)  Decreased renal toxicity 
A)  Decreased nausea and vomiting 
B)  Increased effectiveness of the chemotherapy 
C)  Maintenance of body weight 
D)  Decreased renal toxicity

Question 16

What is the importance of correlating the dosage schedule with cell cycle-specific drug therapy?

Accepted Answer

A)  Ongoing proliferation of neoplastic tissue 
B)  The known cellular kinetics of the neoplasm 
C)  The hormonal requirements of the patient 
D)  The body's response in strengthening the immune system 
A)  Ongoing proliferation of neoplastic tissue 
B)  The known cellular kinetics of the neoplasm 
C)  The hormonal requirements of the patient 
D)  The body's response in strengthening the immune system

Question 17

Why is a patient with prostate cancer prescribed an estrogen?

Accepted Answer

A)  To achieve hormonal balance 
B)  To decrease the rate of production for malignant cells 
C)  To soften prostatic tissue 
D)  To suppress prostate gland function 
A)  To achieve hormonal balance 
B)  To decrease the rate of production for malignant cells 
C)  To soften prostatic tissue 
D)  To suppress prostate gland function

Question 18

What is the purpose of administering filgrastim (Neupogen)to a patient who is post-bowel resection resulting from cancer?

Accepted Answer

A)  Decrease the gastrointestinal (GI) toxicity resulting from chemotherapeutic agents 
B)  Suppress the immune response 
C)  Work as an antiemetic and stimulate his appetite 
D)  Increase the white blood cell (WB
C)  counts 
A)  Decrease the gastrointestinal (GI) toxicity resulting from chemotherapeutic agents 
B)  Suppress the immune response 
C)  Work as an antiemetic and stimulate his appetite 
D)  Increase the white blood cell (WB
C)  counts

Question 19

The nurse is educating a patient with cancer about combination chemotherapy.Which is an accurate statement?

Accepted Answer

A)  "Combination chemotherapy is the administration of an antineoplastic drug that will be toxic during a specific phase of cellular growth." 
B)  "Combination chemotherapy is the administration of an antineoplastic drug that is active throughout the cell cycle." 
C)  "Combination chemotherapy is the administration of antineoplastic drugs that change the way the body responds to cancer or strengthens the immune system." 
D)  "Combination chemotherapy is the administration of antineoplastic drugs, which results in cell death during different phases of the cell cycle." 
A)  "Combination chemotherapy is the administration of an antineoplastic drug that will be toxic during a specific phase of cellular growth." 
B)  "Combination chemotherapy is the administration of an antineoplastic drug that is active throughout the cell cycle." 
C)  "Combination chemotherapy is the administration of antineoplastic drugs that change the way the body responds to cancer or strengthens the immune system." 
D)  "Combination chemotherapy is the administration of antineoplastic drugs, which results in cell death during different phases of the cell cycle."

Exam 43: Drugs Used to Treat Cancer

Which symptom is the patient who is receiving bleomycin (Blenoxane)therapy most likely to exhibit?

What is the advantage of combination therapy using cell cycle-specific and cell cycle-nonspecific agents?

When are cancer cells most sensitive to chemotherapy?

The nurse is caring for a patient diagnosed with breast cancer.The patient reports that she has been experiencing frequent watery stools following chemotherapy treatment.When educating the patient regarding dietary guidelines to help relieve symptoms the nurse will encourage

Which sign(s)and symptom(s)assessed by the nurse would indicate thrombocytopenia?(Select all that apply.)

Which treatment(s)may be used alone or in combination for the treatment of cancer?(Select all that apply.)

The nurse is providing education about chemotherapy to a patient who is being discharged.Which statement by the patient indicates a need for further teaching?

Which assessment by the nurse would be a sign of neurotoxicity related to chemotherapy?

Major chemotherapeutic agents include(Select all that apply.)

The cell cycle-specific agent vincristine sulphate (Oncovin)acts in which phase of the cell's life cycle?

Which nursing consideration(s)would be taken into account prior to the administration of cisplatin IV?(Select all that apply.)

Why are bone marrow stimulants used in the treatment of cancer?

The nurse is preparing to administer medroxyprogesterone acetate as prescribed to a patient diagnosed with endometrial carcinoma.When gathering supplies to provide this medication,the nurse will obtain a(n)

When educating the patient on chemotherapy regarding skin care,the nurse will include(Select all that apply.)

What is the intended outcome of the chemoprotective drug amifostine (Ethyol)?

What is the importance of correlating the dosage schedule with cell cycle-specific drug therapy?

Why is a patient with prostate cancer prescribed an estrogen?

What is the purpose of administering filgrastim (Neupogen)to a patient who is post-bowel resection resulting from cancer?

The nurse is educating a patient with cancer about combination chemotherapy.Which is an accurate statement?

Drug Definitions, Standards, and Information Sources

Basic Principles of Drug Action and Drug Interactions

Drug Action Across the Life Span

The Nursing Process and Pharmacology

Patient Education to Promote Health

Principles of Medication Administration and Medication Safety

Percutaneous Administration

Enteral Administration

Parenteral Administration: Safe Preparation of Parenteral Medications

Parenteral Administration: Intradermal, Subcutaneous, and Intramuscular Routes

Parenteral Administration: Intravenous Route

Drugs That Affect the Autonomic Nervous System

Drugs Used for Sleep

Drugs Used for Parkinson’s Disease

Drugs Used for Anxiety Disorders

Drugs Used for Depressive and Bipolar Disorders

Drugs Used for Psychoses

Drugs Used for Seizure Disorders

Drugs Used for Pain Management

Introduction to Cardiovascular Disease and Metabolic Syndrome

Drugs Used to Treat Dyslipidemias

Drugs Used to Treat Hypertension

Drugs Used to Treat Dysrhythmias

Drugs Used to Treat Angina Pectoris

Drugs Used to Treat Peripheral Vascular Disease

Drugs Used to Treat Thromboembolic Disorders

Drugs Used to Treat Heart Failure

Drugs Used for Diuresis

Drugs Used to Treat Upper Respiratory Disease

Drugs Used to Treat Lower Respiratory Disease

Drugs Used to Treat Oral Disorders

Drugs Used to Treat Gastroesophageal Reflux and Peptic Ulcer Disease

Drugs Used to Treat Nausea and Vomiting

Drugs Used to Treat Constipation and Diarrhea

Drugs Used to Treat Diabetes Mellitus

Drugs Used to Treat Thyroid Disease

Corticosteroids

Gonadal Hormones

Drugs Used in Obstetrics

Drugs Used in Men’s and Women’s Health

Drugs Used to Treat Disorders of the Urinary System

Drugs Used to Treat Glaucoma and Other Eye Disorders

Drugs Used to Treat the Musculoskeletal System

Antimicrobial Agents

Nutrition

Herbal and Dietary Supplement Therapy

Substance Abuse

Miscellaneous Agents

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