NRSG 3100 Exam #3 Questions With Complete Solutions
3 types of cancer treatment Correct Answer Surgery- local
Chemotherapy- systemic
Radiation Therapy- local or systemic
AE of cyclophosphamide (Cytoxan) Correct Answer
myelosuppression (can be a dose-limiting toxicity),
alopecia (50% total baldness)
hemorrhagic cystitis- can be life-threatening.
Cy with Cy
AE of Doxorubicin (Adriamycin) Correct Answer radiation
recall phenomenon (possible reaction if client has had prior
radiation therapy)
Turns urine and tears a red color; harmless but anxiety
provoking
Severe vesicant (treat immediately with ice packs to reduce
absorption of the drug)
AE of epogen Correct Answer The most serious adverse
effect is HTN
Seizures may occurs within 90 days of administration
AE of glucagon Correct Answer N/V,
hypersensitivity reactions, transient changes in BP (high and/or
low)!!!!
tachycardia,
,hyperglycemia
hypokalemia!!!!
AE of methimazole (Tapazole) Correct Answer
hepatotoxicity,
agranulocytosis,
leukopenia,
thrombocytopenia,
arthralgia,
fever
Another name for antineoplastics Correct Answer alkylating
agents
Anthyroid med Correct Answer Methimazole (Tapazole)
BBW for epogen Correct Answer Risk of cardiovascular and
thromboembolic events increase with epoetin alfa therapy; TIA,
MI, and strokes have occurred with renal failure patients;
increased rate of DVT formation
Lowest possible dose recommended for cancer patients because
the drug may promote tumor progression in some patients
BBW for tamoxifen (Nolvadex, Soltamox) Correct Answer
Increased risk of endometrial cancer
Slightly increased risk of thromboembolic disease (about the
same as oral contraceptives)
No other serious adverse effects
, Best way to prevent N/V in chemo pt's Correct Answer PRE-
medicate with antiemetic 1-2 hours before surgery
Cancer grading Correct Answer Looks at differentiation of the
cancer cells
Cancer cells change and become less differentiated in both
structure and function
Unlike staging, grading may change over time as the tumor
evolves
Cancer staging Correct Answer Where the cancer is located;
extent of its invasion
Done to determine to extent to which cancer has invaded the
body; helps determine the best course of therapy and predict
treatment outcomes.
Classifications of regular insulin (Humulin R, Novolin R)
Correct Answer Short acting insulin
Concurrent administration with mitomycin (antitumor antibiotic)
may cause acute dyspnea and severe bronchospasm;
neurotoxicity may occur with peripheral nervous system drugs,
what drug is this Correct Answer Vincristine (Oncovin)
interactions
Contraindications for cyclophosphamide (Cytoxan) Correct
Answer recent steroid use; caution with renal or hepatic
impairment
3 types of cancer treatment Correct Answer Surgery- local
Chemotherapy- systemic
Radiation Therapy- local or systemic
AE of cyclophosphamide (Cytoxan) Correct Answer
myelosuppression (can be a dose-limiting toxicity),
alopecia (50% total baldness)
hemorrhagic cystitis- can be life-threatening.
Cy with Cy
AE of Doxorubicin (Adriamycin) Correct Answer radiation
recall phenomenon (possible reaction if client has had prior
radiation therapy)
Turns urine and tears a red color; harmless but anxiety
provoking
Severe vesicant (treat immediately with ice packs to reduce
absorption of the drug)
AE of epogen Correct Answer The most serious adverse
effect is HTN
Seizures may occurs within 90 days of administration
AE of glucagon Correct Answer N/V,
hypersensitivity reactions, transient changes in BP (high and/or
low)!!!!
tachycardia,
,hyperglycemia
hypokalemia!!!!
AE of methimazole (Tapazole) Correct Answer
hepatotoxicity,
agranulocytosis,
leukopenia,
thrombocytopenia,
arthralgia,
fever
Another name for antineoplastics Correct Answer alkylating
agents
Anthyroid med Correct Answer Methimazole (Tapazole)
BBW for epogen Correct Answer Risk of cardiovascular and
thromboembolic events increase with epoetin alfa therapy; TIA,
MI, and strokes have occurred with renal failure patients;
increased rate of DVT formation
Lowest possible dose recommended for cancer patients because
the drug may promote tumor progression in some patients
BBW for tamoxifen (Nolvadex, Soltamox) Correct Answer
Increased risk of endometrial cancer
Slightly increased risk of thromboembolic disease (about the
same as oral contraceptives)
No other serious adverse effects
, Best way to prevent N/V in chemo pt's Correct Answer PRE-
medicate with antiemetic 1-2 hours before surgery
Cancer grading Correct Answer Looks at differentiation of the
cancer cells
Cancer cells change and become less differentiated in both
structure and function
Unlike staging, grading may change over time as the tumor
evolves
Cancer staging Correct Answer Where the cancer is located;
extent of its invasion
Done to determine to extent to which cancer has invaded the
body; helps determine the best course of therapy and predict
treatment outcomes.
Classifications of regular insulin (Humulin R, Novolin R)
Correct Answer Short acting insulin
Concurrent administration with mitomycin (antitumor antibiotic)
may cause acute dyspnea and severe bronchospasm;
neurotoxicity may occur with peripheral nervous system drugs,
what drug is this Correct Answer Vincristine (Oncovin)
interactions
Contraindications for cyclophosphamide (Cytoxan) Correct
Answer recent steroid use; caution with renal or hepatic
impairment
