nurs6521 week 9 quiz latest 2018 april

Week 9 quiz

Question 1

An oncology nurse is reviewing the pathophysiology of cancer
and is discussing with a colleague the factors that contribute to the success
or failure of a patient’s chemotherapy. Which of the following cancerous cells
is most susceptible to the effects of chemotherapeutic drugs?

Question 2

Intravenous carmustine has been prescribed for a patient
with cancer. The nurse should help relieve the discomfort of pain and burning
during the infusion by

Question 3

A female patient is taking filgrastim (Neupogen) to decrease
the incidence of infection. The nurse notices a small increase in the
neutrophil count 2 days after starting therapy. The nurse’s evaluation of the
increase is that

Question 4

A nurse has been assigned to a 55-year-old woman who has a
malignant brain tumor. The patient is receiving her first dose of carmustine.
It will be critical for the nurse to observe for which of the following?

Question 5

A female patient is prescribed oprelvekin therapy to treat
thrombocytopenia. Which of the following should the nurse continuously monitor
to determine the efficacy and duration of the oprelvekin therapy?

Question 6

A 60-year-old patient experienced a sudden onset of chest
pain and shortness of breath and was subsequently diagnosed with a pulmonary
embolism in the emergency department. The patient has been started on an
intravenous heparin infusion. How does this drug achieve therapeutic effect?

Question 7

A male patient is receiving rituximab therapy for
non-Hodgkin’s lymphoma. Which of the following would be a priority nursing
intervention to reduce the risk for cytotoxicity and tumor lysis syndrome?

Question 8

A female patient has follicular non-Hodgkin’s lymphoma and
is receiving thalidomide (Thalomid). It will be most important for the nurse to
monitor this patient for which of the following?

Question 9

A patient with a recent diagnosis of chronic myelogenous
leukemia (CML) is discussing treatment options with his care team. What aspect
of the patient’s condition would contraindicate the use of cyclophosphamide for
the treatment of leukemia?

Question 10

A patient has been scheduled to begin treatment with
rituximab for non-Hodgkin’s lymphoma. The nurse who will administer this drug
should understand that it targets

Question 11

A 39-year-old woman is receiving doxorubicin for the
treatment of cancer. After each treatment, the patient has acute nausea and
vomiting accompanied by a slightly increased heart rate. The nurse will advise
her to

Question 12

When planning care for a patient who is receiving filgrastim
(Neupogen) for a nonmyeloid malignancy, the nurse should formulate which of the
following patient outcomes? (Select all that apply.)

Question 13

A nurse has been assigned to a female patient who is to
begin chemotherapy. The nurse will initiate the prescribed oprelvekin therapy

Question 14

A nurse is assessing a patient who has chronic lymphoblastic
myelogenous leukemia. The treatment plan includes hydroxyurea (Hydrea). The
nurse will assess the patient for which of the following?

Question 15

A 45-year-old woman with acute leukemia is going to begin
chemotherapy with vincristine. The nurse is aware that vincristine must always
be administered

Question 16

Which of the following patients will be at the greatest risk
for anemia and would be the most likely candidate for epoetin alfa therapy?

Question 17

A patient with chronic lymphocytic leukemia (CLL) will
imminently begin a course of treatment with rituximab. In order to minimize the
risk of adverse effects, what strategy for administration will be adopted?

Question 18

A 62-year-old patient taking tamoxifen exhibits increased
bone and tumor pain along with a local disease flare. The nurse interprets this
as an indication of which of the following?

Question 19

A nurse educator who coordinates the staff education on an
oncology unit is conducting an inservice on targeted therapies. What potential
benefit of targeted therapies should the nurse highlight in this education
session?

Question 20

A patient has completed 4 weeks of treatment with epoetin
alfa. Which of the following assessment findings would most strongly indicate
that treatment has been effective?

Question 21

A nurse on an oncology unit is aware of the need to assess
for adverse effects in patients who are being treated with rituximab. The risks
of adverse effects are highest at what point during the course of treatment?

Question 22

A patient has just received her first dose of imatinib and
the nurse on the oncology unit is amending the patient’s care plan accordingly.
What nursing diagnosis is most appropriate in light of this addition to the
patient’s drug regimen?

Question 23

A 67-year-old man who is being treated for prostate cancer
is taking epoetin alfa. The nurse will instruct the patient to

Question 24

A patient’s current course of cancer treatment involves the
administration of a conjugated monoclonal antibody. What characteristic of the
drug is specified by the fact that it is classified as a conjugated drug?

Question 25

A patient with chronic heart failure has begun treatment
with epoetin alfa, which she will receive in her own home from a home health
nurse. The nurse should teach the patient to supplement this treatment with a
diet that is high in

Question 26

A 28-year-old woman has completed rituximab therapy for an
autoimmune disease. She tells the nurse that she and her husband would like to
start a family. The nurse will advise her to

Question 27

A male patient has been on long-term bicalutamide (Casodex)
therapy. In order to assess adverse effects of the drug therapy, the nurse will
closely monitor which of the following?

Question 28

During ongoing assessment of a patient receiving 5-FU
therapy, the nurse finds the patient’s platelet count to be 92,000 cells/mm3.
The nurse should do which of the following?

Question 29

A nurse is discussing oprelvekin therapy with a male
patient. Which of the following will the nurse tell the patient is the most
common adverse effect of the drug?

Question 30

A middle-aged patient has received a diagnosis of GI stromal
tumor following an extensive diagnostic workup. Imatinib has been recommended
as a component of the patient’s drug regimen. What patient education should the
nurse provide to this patient?

Question 31

A nurse is caring for a 64-year-old female patient who is
receiving IV heparin and reports bleeding from her gums. The nurse checks the
patient’s laboratory test results and finds that she has a very high aPTT. The
nurse anticipates that which of the following drugs may be ordered?

Question 32

A nurse is to use a single-dose 1 mL vial to administer 0.5
mL of epoetin alfa to a 39-year-old woman who is being treated for
chemotherapy-induced anemia. Which of the following will the nurse do with the
unused portion of the drug?

Question 33

A patient will soon begin targeted therapy as a component of
her treatment plan for chronic leukemia. The nurse is conducting health
education about this new aspect of the patient’s drug regimen and the patient
has asked about the potential side effects of treatment. How should the nurse
best respond?

Question 34

A nurse has administered filgrastim to a diverse group of
patients in recent months. Which of the following patients should the nurse
observe for extremely elevated white blood cell counts following administration
of the drug?

Question 35

An oncology nurse is aware of the risks for injury that
exist around the preparation, transportation, and administration of
chemotherapeutic agents. In order to reduce these risks of injury, the nurse
should take which of the following actions?

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