EMERGENCIES) EXAM QUESTIONS AND
ANSWERS WITH VERIFIED SOLUTIONS
A dexrazoxane infusion shows efficacy for treating the
extravasation of:
an anthracycline.
a nitrosourea.
an alkylating agent.
a plant alkaloid. - correct answer- an anthracycline.
Answer: Dexrazoxane is the treatment for anthracycline
extravasation.
Reference: Polovich, M., Olsen, M., & LeFebvre, K. (Eds.). (2014).
Chemotherapy and biotherapy guidelines and recommendations
for practice (4th ed.). Pittsburgh, PA: Oncology Nursing Society,
p. 159(t).
, A patient had experienced a mild hypersensitivity reaction to the
first dose of paclitaxel and now arrives for the second treatment.
Which of the following interventions should the nurse perform?
Slow the infusion rate of the medication.
Dilute the medication in additional fluid.
Administer prophylactic meperidine.
Hold the medication. - correct answer- Slow the infusion
rate of the medication.
Answer: Many patients who have experienced only mild infusion
reactions with the first administration of paclitaxel have
tolerated subsequent doses well with a decreased rate of
infusion and additional premedications.
Reference: Yarbro, C.H., Wujcik, D., & Gobel, B.H. (Eds.). (2018).
Cancer nursing: Principles and practice (8th ed.). Burlington, MA:
Jones and Bartlett, p. 915.
A patient newly diagnosed with small cell lung cancer reports
increased dyspnea and feels that her necklace is getting tighter
around her neck. Which of the following is the most likely cause?