PN NCLEX 6th EditionPharmacology/Oncology Verified Test 100%

PN NCLEX 6th EditionPharmacology/Oncology Verified Test 100% Megestrol acetate (Megace), an antineoplastic medication, is prescribed for the client with metastatic endometrial carcinoma. The nurse reviews the client's history and contacts the registered nurse if which diagnosis is documented in the client's history? - ANSWER Thrombophlebitis The nurse is assigned to care for a client with metastatic breast cancer who is taking tamoxifen citrate. The nurse monitors for which trends in laboratory values that should indicate an adverse effect? - ANSWER The nurse is assigned to care for a client with metastatic breast cancer who is taking tamoxifen citrate. The nurse monitors for which trends in laboratory values that should indicate an adverse effect? Letrozole (Femara) is prescribed for a postmenopausal client with advanced breast cancer. Which side effect of this medication should the nurse reinforce in the instructions to the client regarding this medication? - ANSWER Leg pain Docetaxel (Taxotere) is prescribed for a client with metastatic breast cancer. In addition, dexamethasone is prescribed to be administered before initiation of the docetaxel. What is the rationale for the addition of dexamethasone to the treatment plan that the nurse should explain to the client? - ANSWER Reduces the severity of fluid retention The nurse is reviewing the history and physical examination of a client who will be receiving asparaginase (Elspar), an antineoplastic agent. The nurse consults with the registered nurse regarding the administration of the medication if which is documented in the client's history? - ANSWER Pancreatitis The client with ovarian cancer is being treated with vincristine (Vincasar). The nurse monitors the client, knowing that which adverse effect is specific to this medication? - ANSWER . Extremity numbness The nurse is caring for a client with a diagnosis of metastatic breast carcinoma. Tamoxifen citrate 10 mg orally twice daily is prescribed for the client, and the nurse is reinforcing instructions to the client regarding the medication. Which statement by the client would indicate an understanding of the medication? - ANSWER "If I have difficulty seeing, I need to call the health care provider." A client with cancer is receiving daunorubicin (Cerubidine) intravenously. The nurse assigned to assist in caring for the client monitors for which commonly expected side effect? - ANSWER Nausea and vomiting A client with carcinoma is admitted to the hospital for a chemotherapy treatment with intravenous bleomycin sulfate. The plan of care mentions observing for interstitial pneumonitis as the priority of care. Which finding most closely correlates to symptoms of interstitial pneumonitis, requires reporting? - ANSWER Lung wheezing and shortness of breath The client with small cell lung cancer is being treated with etoposide (Toposar). The nurse assisting in caring for the client during its administration should understand that which side/adverse effect is specifically associated with this medication? - ANSWER Orthostatic hypotension A client is scheduled to receive chemotherapy with a group of medications, one of which is asparaginase (Elspar). The nurse anticipates that this medication will be removed from the regimen after noting which disorder in the client's medical record? - ANSWER Pancreatitis Capecitabine (Xeloda) is prescribed for a client with metastatic breast cancer. The nurse reinforces information to the client about the medication including what frequent side effect? - ANSWER Diarrhea The nurse is reinforcing medication instructions to a client with breast cancer who is receiving cyclophosphamide. Which instruction should the nurse provide to the client? - ANSWER Increase fluid intake to 2000 to 3000 mL daily. The nurse is reinforcing information regarding chemotherapy with a client who has been diagnosed with cancer. The nurse tells the client that which is an advantage of continuous intravenous (IV) chemotherapy? - ANSWER It uses smaller doses to kill cancer cells, so it is less toxic to normal tissues. Anastrozole (Arimidex) is prescribed for a postmenopausal client with breast cancer. The nurse assists in developing a plan of care for the client and suggests monitoring the client closely for which adverse effect of this medication? - ANSWER Thromboembolism A client diagnosed with acute lymphocytic leukemia has been prescribed asparaginase (Elspar). Which finding represents possible medication toxicity? - ANSWER Prolonged blood clotting times The nurse is assisting with caring for a client with cancer who is receiving cisplatin. Which adverse effects are associated with this medication? Select all that apply. - ANSWER Tinnitus Ototoxicity Nephrotoxicity Hypomagnesemia Tamoxifen is prescribed for the client with metastatic breast carcinoma. The nurse assists in planning care, knowing that which is the primary action of this medication? - ANSWER Compete with estradiol for binding to estrogen in tissues containing high concentrations of receptors. The nurse is caring for a child who is receiving chemotherapy for treatment of leukemia and prepares to address which expected needs of this client? Select all that apply. - ANSWER Fatigue Easy bruising Possible infections A client with benign prostatic hyperplasia is being administered finasteride (Proscar). Which information should be included in the plan of care? - ANSWER A pregnant caregiver should not be exposed to the crushed tablets of finas