Saunders- Oncology Meds Questions and Answers |Complete Solutions Graded
A+ |100% Correct
A client with cancer is receiving a continuous intravenous infusion of morphine sulfate. The
nurse monitoring the client for adverse effects would become most concerned about which
vital sign? 1. Temperature of 99.1° F
2. Apical heart rate of 90 beats/min
3. Blood pressure of 110/70 mm Hg
4. Respirations of 10 breaths per minute
4. Respirations of 10 breaths per minute
A client is receiving intravesical chemotherapy for cancer of the bladder. The nurse should plan
to take which action after the completion of each treatment? 1. Encourage increased intake
of oral fluids.
2. Provide increased doses of opioid analgesics.
3. Place the client on strict contact isolation for 24 hours.
4. Keep the client on nothing by mouth (nil per os [NPO]) status for 6 hours.
1. Encourage increased intake of oral fluids.
A female client with a diagnosis of breast cancer is taking cyclophosphamide. The client calls
the health care clinic and tells the nurse that the medication is upsetting her stomach. Which
instruction should the nurse provide to the client? 1. Take the medication with food.
2. Avoid drinking fluids while taking the medication.
3. Try to take the medication with a small amount of orange juice.
4. Continue to take the medication on an empty stomach, and lie down after taking the
medication.
1. Take the medication with food.
,The nurse is preparing a plan of care for a client who will be receiving intravenous bleomycin
sulfate for the treatment of cancer. In developing the plan of care, the nurse includes
monitoring of which option as the priority? 1. Heart rate
2. Lung sounds
3. Bowel sounds
4. Level of consciousness
2. Lung sounds
The nurse is monitoring a client with leukemia who is receiving doxorubicin (Adriamycin PFS) by
intravenous infusion. The nurse should monitor for which assessment finding that would
indicate toxicity to the medication? 1. Elevated creatinine
2. Red coloration in the urine
3. Elevated blood urea nitrogen
4. Electrocardiogram (ECG) changes
4. Electrocardiogram (ECG) changes
The nurse is collecting subjective and objective data from a client and notes that the client is
taking capecitabine (Xeloda). The nurse determines that this medication has been prescribed to
treat which condition? 1. Hypothyroidism
2. Kidney dysfunction
3. Cushing's syndrome
4. Metastatic breast cancer
4. Metastatic breast cancer
, Capecitabine (Xeloda) has been prescribed for a client, and the client asks the nurse about the
action of the medication. The nurse responds that this medication has which mechanism of
action? 1. Promotes DNA synthesis
2. Interferes with protein synthesis
3. Assists with the processing of RNA
4. Processes enzymes needed for cellular growth
2. Interferes with protein synthesis
The health care provider (HCP) writes a prescription for capecitabine (Xeloda) for a client who
was admitted to the hospital. The nurse should contact the HCP to verify the prescription if
which condition is noted in the assessment data? 1. Myalgia
2. Psoriasis
3. Rheumatoid arthritis
4. Chronic kidney disease
4. Chronic kidney disease
Capecitabine (Xeloda) has been prescribed for a client. The nurse should tell the client that
which blood test will be done periodically while the client is taking this medication? 1. Liver
function tests
2. Bilirubin level assay
3. Triglyceride level determination
4. Complete blood cell count (CBC)
4. Complete blood cell count (CBC)
Capecitabine (Xeloda) has been prescribed for a client, and the client asks the nurse about the
side effects of the medication. The nurse responds that a frequent side effect of this medication
is which finding? 1. Diarrhea
A+ |100% Correct
A client with cancer is receiving a continuous intravenous infusion of morphine sulfate. The
nurse monitoring the client for adverse effects would become most concerned about which
vital sign? 1. Temperature of 99.1° F
2. Apical heart rate of 90 beats/min
3. Blood pressure of 110/70 mm Hg
4. Respirations of 10 breaths per minute
4. Respirations of 10 breaths per minute
A client is receiving intravesical chemotherapy for cancer of the bladder. The nurse should plan
to take which action after the completion of each treatment? 1. Encourage increased intake
of oral fluids.
2. Provide increased doses of opioid analgesics.
3. Place the client on strict contact isolation for 24 hours.
4. Keep the client on nothing by mouth (nil per os [NPO]) status for 6 hours.
1. Encourage increased intake of oral fluids.
A female client with a diagnosis of breast cancer is taking cyclophosphamide. The client calls
the health care clinic and tells the nurse that the medication is upsetting her stomach. Which
instruction should the nurse provide to the client? 1. Take the medication with food.
2. Avoid drinking fluids while taking the medication.
3. Try to take the medication with a small amount of orange juice.
4. Continue to take the medication on an empty stomach, and lie down after taking the
medication.
1. Take the medication with food.
,The nurse is preparing a plan of care for a client who will be receiving intravenous bleomycin
sulfate for the treatment of cancer. In developing the plan of care, the nurse includes
monitoring of which option as the priority? 1. Heart rate
2. Lung sounds
3. Bowel sounds
4. Level of consciousness
2. Lung sounds
The nurse is monitoring a client with leukemia who is receiving doxorubicin (Adriamycin PFS) by
intravenous infusion. The nurse should monitor for which assessment finding that would
indicate toxicity to the medication? 1. Elevated creatinine
2. Red coloration in the urine
3. Elevated blood urea nitrogen
4. Electrocardiogram (ECG) changes
4. Electrocardiogram (ECG) changes
The nurse is collecting subjective and objective data from a client and notes that the client is
taking capecitabine (Xeloda). The nurse determines that this medication has been prescribed to
treat which condition? 1. Hypothyroidism
2. Kidney dysfunction
3. Cushing's syndrome
4. Metastatic breast cancer
4. Metastatic breast cancer
, Capecitabine (Xeloda) has been prescribed for a client, and the client asks the nurse about the
action of the medication. The nurse responds that this medication has which mechanism of
action? 1. Promotes DNA synthesis
2. Interferes with protein synthesis
3. Assists with the processing of RNA
4. Processes enzymes needed for cellular growth
2. Interferes with protein synthesis
The health care provider (HCP) writes a prescription for capecitabine (Xeloda) for a client who
was admitted to the hospital. The nurse should contact the HCP to verify the prescription if
which condition is noted in the assessment data? 1. Myalgia
2. Psoriasis
3. Rheumatoid arthritis
4. Chronic kidney disease
4. Chronic kidney disease
Capecitabine (Xeloda) has been prescribed for a client. The nurse should tell the client that
which blood test will be done periodically while the client is taking this medication? 1. Liver
function tests
2. Bilirubin level assay
3. Triglyceride level determination
4. Complete blood cell count (CBC)
4. Complete blood cell count (CBC)
Capecitabine (Xeloda) has been prescribed for a client, and the client asks the nurse about the
side effects of the medication. The nurse responds that a frequent side effect of this medication
is which finding? 1. Diarrhea
