C HAPTER 46: A NTINEOPLASTIC D RUGS
P ART 2: C ELL C YCLE –N ONSPECIFIC
D RUGS AND M ISCELLANEOUS D RUGS
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. 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?
a. Let it dry, and then mop the floor.
b. Wipe the area with a disposable paper towel.
c. Use a spill kit to clean the area.
d. Ask the housekeeping department to clean the floor.
ANS: C
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.
DIF: Cognitive Level: Appl ying (Application )
TOP: Nursing Process: Implementation
MSC: NC LEX: Safe and Effective Care Environment: Safet y and
Infection Control
, 2. Just before the second course of chemotherapy, the laboratory calls to
report that the patient‘s neutrophil count is 450 cells/mm3. The nu rse
expects that the oncologist will follow which course of treatment?
a. Chemotherapy will continue as scheduled.
b. Chemotherapy will resume with a lowered dosage.
c. Chemotherapy will resume after a transfusion of neutrophils.
d. Chemotherapy will be withheld until the neutrophil count returns
toward normal levels.
ANS: D
The normal range for neutrophils is above 1500 cells/mm3. If
neutrophils are decreased to levels of less than 500 cells/mm3
(neutropenia), there is risk for severe infection. Chemotherapy will be
held until the count returns toward normal levels.
DIF: Cognitive Level: Anal yzing (Anal ysis)
TOP: Nursing Process: Evaluation
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
3. A female patient is receiving palliative therapy w ith 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?
a. Hirsutism and acne
b. Weight gain
c. Flushing and hot flashes
d. Alopecia and body odor
ANS: A
P ART 2: C ELL C YCLE –N ONSPECIFIC
D RUGS AND M ISCELLANEOUS D RUGS
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. 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?
a. Let it dry, and then mop the floor.
b. Wipe the area with a disposable paper towel.
c. Use a spill kit to clean the area.
d. Ask the housekeeping department to clean the floor.
ANS: C
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.
DIF: Cognitive Level: Appl ying (Application )
TOP: Nursing Process: Implementation
MSC: NC LEX: Safe and Effective Care Environment: Safet y and
Infection Control
, 2. Just before the second course of chemotherapy, the laboratory calls to
report that the patient‘s neutrophil count is 450 cells/mm3. The nu rse
expects that the oncologist will follow which course of treatment?
a. Chemotherapy will continue as scheduled.
b. Chemotherapy will resume with a lowered dosage.
c. Chemotherapy will resume after a transfusion of neutrophils.
d. Chemotherapy will be withheld until the neutrophil count returns
toward normal levels.
ANS: D
The normal range for neutrophils is above 1500 cells/mm3. If
neutrophils are decreased to levels of less than 500 cells/mm3
(neutropenia), there is risk for severe infection. Chemotherapy will be
held until the count returns toward normal levels.
DIF: Cognitive Level: Anal yzing (Anal ysis)
TOP: Nursing Process: Evaluation
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
3. A female patient is receiving palliative therapy w ith 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?
a. Hirsutism and acne
b. Weight gain
c. Flushing and hot flashes
d. Alopecia and body odor
ANS: A
