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
The nurse is teaching a class about the various chemotherapy drugs. Which of these statements explains why alkylating drugs are also called 'cell cycle-nonspecific drugs'?
Correct Answer: B
Rationale: Cell cycle-nonspecific drugs kill cancer cells during any phase of the growth cycle, whereas cell cycle-specific drugs kill cancer cells during specific phases of the cell growth cycle.
Question 2 of 5
What is the nurse's priority action if extravasation of an antineoplastic drug occurs during intravenous (IV) administration?
Correct Answer: C
Rationale: If extravasation is suspected, administration of the drug must be stopped immediately but the IV catheter left in place and the appropriate antidote instilled through the existing IV tube, after which the needle may be removed.
Question 3 of 5
A patient is receiving a third session of chemotherapy with daunorubicin. The nurse will assess the patient for which signs of a potential severe toxic effect of this drug?
Correct Answer: C
Rationale: Cardiac toxicity may occur, so frequent checking of heart and breath sounds is necessary and daily weights need to be recorded (with reporting of an increase of 2 pounds or more in 24 hours or 5 pounds or more in 1 week).
Question 4 of 5
The nurse is hanging a new infusion bag of a chemotherapy drug, but the tubing becomes disconnected and a small amount of the solution drips onto the floor. Which action by the nurse is appropriate?
Correct Answer: C
Rationale: Special spill kits are required to clean up even the smallest chemotherapy spills. These precautions are necessary to protect the health care provider from the cytotoxic effects of these drugs.
Question 5 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.