NURS 2207 Oncology Evolve EAQ Graded UPDATED ACTUAL Questions and CORRECT Answer
A client who has been diagnosed with acute lymphocytic leukemia will be receiving doxorubicin (Adriamycin) infusions as part of a
chemotherapy regimen. The nurse monitors the client for signs and symptoms of doxorubicin toxicity. What clinical finding indicates that
toxicity has occurred? ✔️Abnormalities in cardiac rhythm
Doxorubicin is cardiotoxic, which is manifested by transient ECG abnormalities. Alopecia is an expected side effect of doxorubicin, not a toxic
effect.
An adolescent who has been prescribed prednisone (Meticorten) and vincristine (Oncovin) for leukemia tells the nurse that he is very
constipated. What should the nurse cite as the probable cause of the constipation? ✔️Constipation is a side effect of vincristine (Oncovin)
because it slows gastrointestinal motility.
A blood transfusion of packed cells has been prescribed for a client with leukemia. The nurse will complete the following steps in what order?
✔️Check the health care provider's prescription to notify blood bank what product will be needed.
Obtain the client's baseline vital signs and ask if the client has had previous transfusions and if there were any untoward effects.
Ascertaining the intravenous catheter size is at least an 18 will prevent hemolysis of red blood cells.
The main line solution must be normal saline 0.9 to flush the line and use as a main line if the blood administration must occur because of a
reaction. Other solutions can affect blood, causing it to clot.
Checking the client identification and verification of blood product is necessary before proceeding.
A nurse is caring for a 15-year-old client who is undergoing chemotherapy for leukemia. The nurse expects that adolescents with health
problems are most concerned about: ✔️Feeling different regarding changes in body image
The 15-year-old is preoccupied with appearance. The side effects of the antineoplastics and prednisone may result in the adolescent feeling
different, which affects body image.
What is important nursing care for clients with leukemia on chemotherapeutic protocols? ✔️Having them avoid contact with infected persons
Chemotherapy and acute lymphoblastic leukemia (ALL) cause immunosuppression (low white blood cells), thus increasing the risk for infection.
The client should maintain physical activity that can be tolerated. Although vital signs must be checked to assess for changes in pulse or blood
pressure, unless there is clinical evidence of bleeding, it is not necessary to obtain vital signs every two hours.
While providing nursing care for an adolescent undergoing chemotherapy for leukemia, a nurse notes blood on the child's pillowcase, as well as
several bloody tissues. Which of the child's laboratory test results should the nurse review? ✔️Platelet count
The platelet count is reduced as a result of bone marrow depression associated with leukemia and the side effects of chemotherapeutic agents.
A low hematocrit level might indicate anemia, but it does not establish its cause
An adolescent with leukemia is to be sent home on a protocol that includes several antineoplastics. Before discharge, what instructions should
the nurse give the parents? ✔️Schedule laboratory blood tests to evaluate response to the medication.
A client who has been diagnosed with acute lymphocytic leukemia will be receiving doxorubicin (Adriamycin) infusions as part of a
chemotherapy regimen. The nurse monitors the client for signs and symptoms of doxorubicin toxicity. What clinical finding indicates that
toxicity has occurred? ✔️Abnormalities in cardiac rhythm
Doxorubicin is cardiotoxic, which is manifested by transient ECG abnormalities. Alopecia is an expected side effect of doxorubicin, not a toxic
effect.
An adolescent who has been prescribed prednisone (Meticorten) and vincristine (Oncovin) for leukemia tells the nurse that he is very
constipated. What should the nurse cite as the probable cause of the constipation? ✔️Constipation is a side effect of vincristine (Oncovin)
because it slows gastrointestinal motility.
A blood transfusion of packed cells has been prescribed for a client with leukemia. The nurse will complete the following steps in what order?
✔️Check the health care provider's prescription to notify blood bank what product will be needed.
Obtain the client's baseline vital signs and ask if the client has had previous transfusions and if there were any untoward effects.
Ascertaining the intravenous catheter size is at least an 18 will prevent hemolysis of red blood cells.
The main line solution must be normal saline 0.9 to flush the line and use as a main line if the blood administration must occur because of a
reaction. Other solutions can affect blood, causing it to clot.
Checking the client identification and verification of blood product is necessary before proceeding.
A nurse is caring for a 15-year-old client who is undergoing chemotherapy for leukemia. The nurse expects that adolescents with health
problems are most concerned about: ✔️Feeling different regarding changes in body image
The 15-year-old is preoccupied with appearance. The side effects of the antineoplastics and prednisone may result in the adolescent feeling
different, which affects body image.
What is important nursing care for clients with leukemia on chemotherapeutic protocols? ✔️Having them avoid contact with infected persons
Chemotherapy and acute lymphoblastic leukemia (ALL) cause immunosuppression (low white blood cells), thus increasing the risk for infection.
The client should maintain physical activity that can be tolerated. Although vital signs must be checked to assess for changes in pulse or blood
pressure, unless there is clinical evidence of bleeding, it is not necessary to obtain vital signs every two hours.
While providing nursing care for an adolescent undergoing chemotherapy for leukemia, a nurse notes blood on the child's pillowcase, as well as
several bloody tissues. Which of the child's laboratory test results should the nurse review? ✔️Platelet count
The platelet count is reduced as a result of bone marrow depression associated with leukemia and the side effects of chemotherapeutic agents.
A low hematocrit level might indicate anemia, but it does not establish its cause
An adolescent with leukemia is to be sent home on a protocol that includes several antineoplastics. Before discharge, what instructions should
the nurse give the parents? ✔️Schedule laboratory blood tests to evaluate response to the medication.
