RN230 Pharm chapter 45-49
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1. One patient has cancer of the bone; another has can- a. Sarcoma
cer in the connective tissues of the thigh muscles; a
third patient has cancer in the vascular tissues. Which
of these is the correct term for these tumors?
a. Sarcoma
b. Leukemia
c. Carcinoma
d. Lymphoma
2. A patient is receiving her third course of 5-fluorouracil d. "Be sure to exam-
therapy and knows that stomatitis is a potential ad- ine your mouth daily for
verse effect of antineoplastic therapy. What will the bleeding, painful areas,
nurse teach her about managing this problem? and ulcerations."
a. "You can take aspirin to prevent stomatitis."
b. "Be sure to watch for and report black, tarry stools
immediately."
c. "You need to increase your intake of foods contain-
ing fiber and citric acid."
d. "Be sure to examine your mouth daily for bleeding,
painful areas, and ulcerations."
3. The nurse is developing a plan of care for a patient d. The patient will main-
who is experiencing gastrointestinal adverse effects, tain a diet of small, fre-
including anorexia and nausea, after the first course quent feedings with nutri-
of antineoplastic therapy. What is an appropriate out- tion supplements during
come for this patient when dealing with this problem? therapy.
a. The patient will eat three balanced meals a day
within 2 days.
b. The patient will return to normal eating pattern
within 4 weeks.
c. The patient will maintain normal weight by consum-
ing healthy snacks as tolerated.
, RN230 Pharm chapter 45-49
Study online at https://quizlet.com/_e2a4tj
d. The patient will maintain a diet of small, frequent
feedings with nutrition
supplements during therapy.
4. A patient is receiving high doses of methotrexate and b. Leucovorin rescue
is experiencing severe bone marrow suppression. The
nurse expects which intervention to be ordered with
this drug to reduce this problem?
a. A transfusion of whole blood
b. Leucovorin rescue
c. Therapy with filgrastim (Neupogen)
d. Administration of allopurinol (Zyloprim)
5. A patient who has been on methotrexate therapy is ex- c. Aspirin can lead to
periencing mild pain. The patient is asking for aspirin methotrexate toxicity
for the pain. The nurse recognizes that which of these
is true in this situation?
a. The aspirin will aggravate diarrhea.
b. The aspirin will mask signs of infection.
c. Aspirin can lead to methotrexate toxicity.
d. The aspirin will cause no problems for the patient
on methotrexate.
6. The nurse is teaching about infection-prevention mea- b. "I will eat only fresh
sures with a patient who is receiving antineoplas- fruits and raw vegetables."
tic drug therapy. During a Teach-Back session, which
statement by the patient indicates the need for fur-
ther education?
a. "I will avoid those who have recently had a vaccina-
tion."
b. "I will eat only fresh fruits and raw vegetables."
c. "I will report a sore throat, cough, or low-grade
, RN230 Pharm chapter 45-49
Study online at https://quizlet.com/_e2a4tj
temperature."
d. "It is important for both my family and me to prac-
tice good handwashing."
7. The nurse is evaluating the laboratory results of a b. Red blood cells
patient who has received chemotherapy. The loss of
which blood cell leads to lack of energy, fatigue, intol-
erance of activity and hypoxemia?
a. White blood cells
b. Red blood cells
c. Platelets
d. Albumin
8. A patient is receiving irinotecan (Camptosar), along c. Delayed-onset choliner-
with other antineoplastic drugs, as treatment for ovar- gic diarrhea
ian cancer. The nurse will monitor for which potentially
life-threatening adverse effect that is associated with
this drug?
a. Severe stomatitis
b. Bone marrow suppression
c. Delayed-onset cholinergic diarrhea
d. Immediate and severe nausea and vomiting
9. The nurse is monitoring a patient who has severe a. Fever
bone marrow suppression following antineoplastic
drug therapy. Which is considered a principal early
sign of infection?
a. Fever
b. Diaphoresis
c. Tachycardia
d. Elevated white blood cell count
10.
Study online at https://quizlet.com/_e2a4tj
1. One patient has cancer of the bone; another has can- a. Sarcoma
cer in the connective tissues of the thigh muscles; a
third patient has cancer in the vascular tissues. Which
of these is the correct term for these tumors?
a. Sarcoma
b. Leukemia
c. Carcinoma
d. Lymphoma
2. A patient is receiving her third course of 5-fluorouracil d. "Be sure to exam-
therapy and knows that stomatitis is a potential ad- ine your mouth daily for
verse effect of antineoplastic therapy. What will the bleeding, painful areas,
nurse teach her about managing this problem? and ulcerations."
a. "You can take aspirin to prevent stomatitis."
b. "Be sure to watch for and report black, tarry stools
immediately."
c. "You need to increase your intake of foods contain-
ing fiber and citric acid."
d. "Be sure to examine your mouth daily for bleeding,
painful areas, and ulcerations."
3. The nurse is developing a plan of care for a patient d. The patient will main-
who is experiencing gastrointestinal adverse effects, tain a diet of small, fre-
including anorexia and nausea, after the first course quent feedings with nutri-
of antineoplastic therapy. What is an appropriate out- tion supplements during
come for this patient when dealing with this problem? therapy.
a. The patient will eat three balanced meals a day
within 2 days.
b. The patient will return to normal eating pattern
within 4 weeks.
c. The patient will maintain normal weight by consum-
ing healthy snacks as tolerated.
, RN230 Pharm chapter 45-49
Study online at https://quizlet.com/_e2a4tj
d. The patient will maintain a diet of small, frequent
feedings with nutrition
supplements during therapy.
4. A patient is receiving high doses of methotrexate and b. Leucovorin rescue
is experiencing severe bone marrow suppression. The
nurse expects which intervention to be ordered with
this drug to reduce this problem?
a. A transfusion of whole blood
b. Leucovorin rescue
c. Therapy with filgrastim (Neupogen)
d. Administration of allopurinol (Zyloprim)
5. A patient who has been on methotrexate therapy is ex- c. Aspirin can lead to
periencing mild pain. The patient is asking for aspirin methotrexate toxicity
for the pain. The nurse recognizes that which of these
is true in this situation?
a. The aspirin will aggravate diarrhea.
b. The aspirin will mask signs of infection.
c. Aspirin can lead to methotrexate toxicity.
d. The aspirin will cause no problems for the patient
on methotrexate.
6. The nurse is teaching about infection-prevention mea- b. "I will eat only fresh
sures with a patient who is receiving antineoplas- fruits and raw vegetables."
tic drug therapy. During a Teach-Back session, which
statement by the patient indicates the need for fur-
ther education?
a. "I will avoid those who have recently had a vaccina-
tion."
b. "I will eat only fresh fruits and raw vegetables."
c. "I will report a sore throat, cough, or low-grade
, RN230 Pharm chapter 45-49
Study online at https://quizlet.com/_e2a4tj
temperature."
d. "It is important for both my family and me to prac-
tice good handwashing."
7. The nurse is evaluating the laboratory results of a b. Red blood cells
patient who has received chemotherapy. The loss of
which blood cell leads to lack of energy, fatigue, intol-
erance of activity and hypoxemia?
a. White blood cells
b. Red blood cells
c. Platelets
d. Albumin
8. A patient is receiving irinotecan (Camptosar), along c. Delayed-onset choliner-
with other antineoplastic drugs, as treatment for ovar- gic diarrhea
ian cancer. The nurse will monitor for which potentially
life-threatening adverse effect that is associated with
this drug?
a. Severe stomatitis
b. Bone marrow suppression
c. Delayed-onset cholinergic diarrhea
d. Immediate and severe nausea and vomiting
9. The nurse is monitoring a patient who has severe a. Fever
bone marrow suppression following antineoplastic
drug therapy. Which is considered a principal early
sign of infection?
a. Fever
b. Diaphoresis
c. Tachycardia
d. Elevated white blood cell count
10.
