ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 46 : Antineoplastic Drugs Part 2: Cell Cycle?Nonspecific Drugs and Miscellaneous Drugs Questions
Question 1 of 5
Just before the second course of chemotherapy, the laboratory calls to report that the patient's neutrophil count is 450 cells/m?³. The nurse expects that the oncologist will follow which course of treatment?
Correct Answer: D
Rationale: The normal range for neutrophils is above 1500 cells/m?³. If neutrophils are decreased to levels of less than 500 cells/m?³ (neutropenia), there is risk for severe infection. Chemotherapy will be held until the count returns toward normal levels.
Question 2 of 5
A female patient is receiving palliative therapy with androgen hormones as part of treatment for inoperable breast cancer. The nurse will discuss with the patient which potential body image changes that may occur as adverse effects?
Correct Answer: A
Rationale: Androgens used for cancer treatment, such as fluoxymesterone and testolactone, can cause menstrual irregularities, virilization of female, gynecomastia, hirsutism, acne, anxiety, headache, and nausea. The patient needs to be told of these effects before therapy begins.
Question 3 of 5
During chemotherapy, a patient develops severe diarrhea caused by a vasoactive intestinal peptide-secreting tumor (VIPoma). The nurse expects to administer which drug for this problem?
Correct Answer: C
Rationale: Octreotide (Sandostatin) is used for the management of a cancer-related condition called carcinoid crisis and treatment of the severe diarrhea caused by vasoactive intestinal peptide-secreting tumors.
Question 4 of 5
The nurse is assessing a patient who is receiving chemotherapy with an alkylating drug. Which assessment findings would be considered indications of an oncologic emergency? (Select all that apply.)
Correct Answer: A,D,E
Rationale: Dry, scratchy, or swollen throat, white patches in the mouth or throat, and a temperature of 100.7?°F or higher may indicate an oncologic emergency, such as infection or mucositis, requiring immediate attention. Loss of hair and decreased red blood cell count are common side effects but not emergencies.
Question 5 of 5
When a patient is receiving cisplatin chemotherapy, the nurse will monitor for which adverse effects? (Select all that apply.)
Correct Answer: A,C,D,E
Rationale: Cisplatin can cause nephrotoxicity, ototoxicity, and peripheral neuropathy. Nephrotoxicity is manifested by rising blood urea nitrogen and creatinine levels; ototoxicity is manifested by tinnitus, hearing loss, and dizziness; peripheral neuropathy is manifested by numbness or tingling of the extremities.