NURS 6521 – WEEK 9 QUIZ All Correct Answers 2022/2023

NURS 6521 – WEEK 9 QUIZ All Correct Answers 2022/2023 1. A nurse is administering rituximab to a patient via the IV route. The nurse will set the IV pump at 50mg/hour for the first half hour of the initial infusion. If there are not apparent reactions after 30 minutes of the infusion, the nurse will increase the dosage every 30 minutes by 50mg/hour until the maximum infusion rate reaches which of the following? – 400mg/hour 2. A nurse has completed a medication reconciliation of a patient who has been admitted following a motor vehicle accident. Among the many drugs that the patient has received in the previous year is rituximab. The nurse would be justified in suspecting the patient may have received treatment for which of the following disease? – Non-Hodgkin’s lymphoma 3. A 62 year old patient taking tamoxifen exhibits increased bone and tumor pain along with a local disease flare. The nurse interprets this as an indication of which of the following? – A tumor responding to treatment 4. A nurse has been assigned to a female patient who is to begin chemotherapy. The nurse will initiate the prescribed oprelvekin therapy: - 6 to 24 hours after therapy 5. A nurse is discussing oprelvekin therapy with a male patient. Which of the following will the nurse tell the patient is the most common adverse effect of the drug? – Fluid retention/weight gain 6. A nurse educator who coordinates the staff education on an oncology unit is conducting an inservice on targeted therapies. What potential benefit of targeted therapies should the nurse highlight in this education session? – Targeted therapies have the potential to damage cancerous cells while leaving normal body cells less affected 7. A patient has completed 4 weeks of treatment with epoetin alfa. Which of the following assessment findings would most strongly indicate the treatment has been effective? – The patient’s hemoglobin level is 11 g/dL 8. A male patient is receiving rituximab therapy for non-Hodgkin’s lymphoma. Which of the following would be a priority nursing intervention to reduce the risk for cytotoxicity and tumor lysis syndrome? - Ensure that the patient maintains a normal fluid and electrolyte balance 9. During ongoing assessment of a patient receiving 5-FU therapy, the nurse finds the patient’s platelet count to be 92,000 cells/mm. The nurse should do which of the following? – The drug should be discontinued of the patient’s platelet count is less than 100,000 cells/mm 10. A patient will soon begin targeted therapy as a component of her treatment plan for chronic leukemia. The nurse is conducting health education about this new aspect of the patient’s drug regimen and the patient has asked about the potential side effects of treatment. How should the nurse best respond? – Both classes of drugs have adverse effects, but targeted therapies tend to have less of an effect on healthy body cells 11. A patient has just received her first dose of imatinib and the nurse on the oncology unit is amending the patient’s care plan accordingly. What nursing diagnosis is most appropriate in light of this addition to the patient’s drug regimen? – Risk for infection related to bone marrow suppression 12. A patient receiving high-dose cisplatin therapy exhibits symptoms of hypomagnesemia. Which of the following should the nurse suggest to help offset the magnesium losses from the cisplatin therapy? – Consuming chocolates 13. A 28 year old woman has completed rituximab therapy for an autoimmune disease. She tells the nurse that she and her husband would like to start a family. The nurse will advise her to: - Continue using birth control for at least 12 months 14. A patient with chronic lymphocytic leukemia (CLL) will imminently begin a course of treatment with rituximab. In order to minimize the risk of adverse effects, what strategy for administration will be adopted? – Administering the initial doses by slow infusion while observing for adverse reactions 15. An older adult woman has been diagnosed with acute lymphoblastic leukemia (ALL) and her care team has identified potential benefits of imatinib. Which of the following characteristics of this patient’s current health status may preclude the use of imatinib? – The patient has chronic heart failure resulting in significant peripheral edema 16. A patient with chronic heart failure has begun treatment with epoetin alfa, which she will receive in her own home from a home health nurse. The nurse should teach the patient to supplement this treatment with a diet that is high in: - Iron-rich foods such as beans and leafy green vegetables 17. A patient’s current course of cancer treatment involves the administration of a conjugated monocional antibody. What characteristic of the drug is specified by the fact that it isclassified as a conjugated drug? – The targeted therapy is combined with another substance that causes cell death 18. A female patient has follicular non-Hodgkin’s lymphoma and is receiving thalidomide (Thalomid). It will be most important for the nurse to monitor this patient for which of the following? – Bleeding 19. A middle-aged patient has received a diagnosis of GI stromal tumor following an extensive diagnostic workup. Imatinib has been recommended as a component of the patient’s drug regimen. What patient education should the nurse provide to this patient? – It’s important that you let us know if you develop any significant swelling or puffiness 20. A nurse is assessing a patient who has chronic lymphoblastic myelogenous leukemia. The treatment plan includes hydroxyurea (Hydrea). The nurse will assess the patient for which of the following? – Leukopenia 21. A nurse has been assigned to a 55 year old woman who has a malignant brain tumor. The patient is receiving her first dose of camustine. It will be critical for the nurse to observe for which of the following? – Respiratory difficulty