II| Review with Questions and Verified
Quiz_________________?
A nurse notices hematuria in a patient receiving a third dose of Cyclophosphamide
(Cytoxan). The nurse will notify the provider and question the patient regarding what? -
Answer✅
Cyclophosphamide (Cytoxan), an analogue of nitrogen mustard, may be prescribed orally,
intrapleurally, or IV. The patient should be well hydrated while taking this drug to prevent
hemorrhagic cystitis (bleeding as a result of severe bladder inflammation).
I guess you'd question the patient on their fluid intake.
Quiz_________________?
A Patient asks the nurse about using dextromethorphan for cough. Why should this
medication not be taken by patients who have COPD? -
Answer✅
Dextromethorphan, a nonnarcotic antitussive, suppresses the cough center in the medulla
Basically you shouldn't take Dextromethorphan when you have COPD because it is for non-
productive coughs, and the COPD patient would have, and you would want them to have, a
productive cough.
Quiz_________________?
1
, A patient asks why 2 cancer medications are being used. What is the nurse's response? -
Answer✅
Single-agent drug therapy is not usually used to treat cancer, because combinations of
anticancer agents have demonstrated more effective tumoricidal activity. Chemotherapy is
most effective when it is able to kill cells in all phases of the cell cycle. Using two or more
chemotherapy drugs at a time (combination chemotherapy) makes this more likely to occur.
To maximize cell death, CCS and CCNS drugs are often combined. Each individual
chemotherapy agent used in combination therapy should have proven tumoricidal activity.
Using two or more drugs together may have a synergistic effect. In addition, each drug
should have a different mode of action and different dose-limiting toxicities. The use of a
combination of antineoplastic agents has the advantage of decreasing drug resistance and
increasing destruction of cancer cells.
Quiz_________________?
A patient has been receiving an erythropoietin-stimulating agent (ESA) for 8 weeks. The
nurse reviews the patient's chart and notes no increase in hemoglobin levels from 8 g/dL on
week 3 of therapy. The nurse will request an order for -
Answer✅
A. a complete blood count and serum iron levels.
B. an increased dose of the erythropoietin-stimulating agent.
C. more frequent dosing of the ESA.
D. packed red blood cell infusions.
Answer: A
Quiz_________________?
A Patient in the ED reports having taken "a lot" of acetaminophen extra-strength tablets 16
hours ago. What can the nurse expect the provider to do? -
Answer✅
Acetylcysteine (Mucomyst) can be used as an antidote for acetaminophen (Tylenol)
overdose if given within 12 to 24 hours after the overdose ingestion. It can be given orally,
diluted in juice or soft drinks.
2
, Quiz_________________?
A patient is brought to the emergency department and reports having taken "a lot" of
acetaminophen extra-strength tablets 16 hours prior. The nurse will expect the provider to
order
A. acetylcysteine (Mucomyst)
B. dornase alfa (Pulmozyme)
C. gastric lavage
D. renal enzyme tests -
Answer✅
ANSWER: A. acetylcysteine (Mucomyst)
Quiz_________________?
A patient is receiving the erythropoietin-stimulating agent epoietin alfa (Procrit). Which
assessment finding would cause the nurse to notify the patient's provider? -
Answer✅
A. Blood pressure of 90/65 mm Hg
B. Headache and nausea
C. Hemoglobin > 12 g/dL
D. Infiltration of the IV
Answer: C
Quiz_________________?
A patient taking a beta blocker to treat hypertension asks the nurse to recommend a
decongestant medication. What over-the-counter product will the nurse recommend? -
Answer✅
Phenylephrine nasal spray
Prescribed for rhinitis. Less potent than epinephrine
3
Quiz_________________?
A nurse notices hematuria in a patient receiving a third dose of Cyclophosphamide
(Cytoxan). The nurse will notify the provider and question the patient regarding what? -
Answer✅
Cyclophosphamide (Cytoxan), an analogue of nitrogen mustard, may be prescribed orally,
intrapleurally, or IV. The patient should be well hydrated while taking this drug to prevent
hemorrhagic cystitis (bleeding as a result of severe bladder inflammation).
I guess you'd question the patient on their fluid intake.
Quiz_________________?
A Patient asks the nurse about using dextromethorphan for cough. Why should this
medication not be taken by patients who have COPD? -
Answer✅
Dextromethorphan, a nonnarcotic antitussive, suppresses the cough center in the medulla
Basically you shouldn't take Dextromethorphan when you have COPD because it is for non-
productive coughs, and the COPD patient would have, and you would want them to have, a
productive cough.
Quiz_________________?
1
, A patient asks why 2 cancer medications are being used. What is the nurse's response? -
Answer✅
Single-agent drug therapy is not usually used to treat cancer, because combinations of
anticancer agents have demonstrated more effective tumoricidal activity. Chemotherapy is
most effective when it is able to kill cells in all phases of the cell cycle. Using two or more
chemotherapy drugs at a time (combination chemotherapy) makes this more likely to occur.
To maximize cell death, CCS and CCNS drugs are often combined. Each individual
chemotherapy agent used in combination therapy should have proven tumoricidal activity.
Using two or more drugs together may have a synergistic effect. In addition, each drug
should have a different mode of action and different dose-limiting toxicities. The use of a
combination of antineoplastic agents has the advantage of decreasing drug resistance and
increasing destruction of cancer cells.
Quiz_________________?
A patient has been receiving an erythropoietin-stimulating agent (ESA) for 8 weeks. The
nurse reviews the patient's chart and notes no increase in hemoglobin levels from 8 g/dL on
week 3 of therapy. The nurse will request an order for -
Answer✅
A. a complete blood count and serum iron levels.
B. an increased dose of the erythropoietin-stimulating agent.
C. more frequent dosing of the ESA.
D. packed red blood cell infusions.
Answer: A
Quiz_________________?
A Patient in the ED reports having taken "a lot" of acetaminophen extra-strength tablets 16
hours ago. What can the nurse expect the provider to do? -
Answer✅
Acetylcysteine (Mucomyst) can be used as an antidote for acetaminophen (Tylenol)
overdose if given within 12 to 24 hours after the overdose ingestion. It can be given orally,
diluted in juice or soft drinks.
2
, Quiz_________________?
A patient is brought to the emergency department and reports having taken "a lot" of
acetaminophen extra-strength tablets 16 hours prior. The nurse will expect the provider to
order
A. acetylcysteine (Mucomyst)
B. dornase alfa (Pulmozyme)
C. gastric lavage
D. renal enzyme tests -
Answer✅
ANSWER: A. acetylcysteine (Mucomyst)
Quiz_________________?
A patient is receiving the erythropoietin-stimulating agent epoietin alfa (Procrit). Which
assessment finding would cause the nurse to notify the patient's provider? -
Answer✅
A. Blood pressure of 90/65 mm Hg
B. Headache and nausea
C. Hemoglobin > 12 g/dL
D. Infiltration of the IV
Answer: C
Quiz_________________?
A patient taking a beta blocker to treat hypertension asks the nurse to recommend a
decongestant medication. What over-the-counter product will the nurse recommend? -
Answer✅
Phenylephrine nasal spray
Prescribed for rhinitis. Less potent than epinephrine
3
