1. A client is about to start taking mercaptopurine to treat acute
lymphocytic leukemia. The nurse should instruct the client to watch
for and report which of the following indications of an adverse effect
of this medication?
A Bruising
B Paresthesias
C Blurred vision
D Tinnitus
2. A nurse is preparing to administer cisplatin to a client who has
ovarian cancer. Before beginning the infusion, the nurse should take
which of the following actions?
Select all that apply.
A Infuse 1 to 2 L of IV fluid.
B Check the client’s peripheral pulses.
C Administer an antiemetic.
D Evaluate the client’s hearing.
E Determine the client’s weight.
3. Drag the medication in the left column to match it with its therapeutic
use in the right column.
Solid tumors of the head Cyclophosphamide
Gastrointestinal adenocarcinoma Carmustine
Kaposi’s sarcoma Paclitaxel
Acute myelocytic leukemia Cytarabine
4. A client is about to start therapy with topotecan to treat metastatic
ovarian cancer. To minimize neutropenia, an adverse effect of
topotecan, the nurse should administer filgrastim at which of the
following times?
A 24 hr before the topotecan infusion
B At the same time as the topotecan infusion
C 24 hr after the topotecan infusion
, Module 1 questions
D 1 hr before the topotecan infusion
5. The nurse should instruct a client who is taking tamoxifen to treat
breast cancer to watch for and report which of the following serious
adverse effects of this medication?
A Abnormal menstrual bleeding
B Muscle pain and weakness
C Yellowing of skin and eyes
D Peripheral edema
6. While administering trastuzumab IV to a client who has breast cancer,
the nurse should ensure that they have which of the
following medications available to treat an adverse reaction to
this medication?
A Protamine
B Epinephrine
C Glucagon
D Atropine
7. The nurse is assessing a client who is receiving imatinib to treat
chronic myeloid leukemia. Which of the following findings might
indicate an adverse reaction to this medication?
A Bradycardia
B Dry mouth
C Constricted pupils
D Crackles at lung bases