8.7: Review Questions
The nurse is providing instruction to a client who will be receiving chemotherapy that selectively kills cancer cells without harming normal cells. Which type of chemotherapy is the nurse describing to the client?
- Answer
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Targeted therapy
The nurse is reviewing the medical record for a client receiving doxorubicin for breast cancer. The record shows that the client has received a lifetime total of 360 mg/m 2 . Which action should the nurse take?
- Answer
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Continue with treatment and routine monitoring because this is within safe lifetime dose limits
The nurse is checking the medication orders for a client receiving fluorouracil for the treatment of colon cancer. Which medication should the nurse anticipate will be ordered with fluorouracil?
- Answer
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Leucovorin
Which statement made by a client indicates to the nurse that the client understands self-care during myelosuppressive chemotherapy?
- Answer
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“My sister will be caring for my cat while I am undergoing treatment.”
The nurse is caring for a client receiving pembrolizumab. What should the nurse should monitor the client for signs of?
- Answer
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Immune-mediated destruction
Which finding should the nurse expect in a client with acute myelogenous leukemia who has developed tumor lysis syndrome?
- Answer
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Hypocalcemia
Which information would the nurse give to a 67-year-old female client receiving tamoxifen to treat breast cancer?
- Answer
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Tamoxifen is taken for 5 years.
A client diagnosed with breast cancer is scheduled to begin initial treatment with doxorubicin. Prior to administering the first dose of doxorubicin, the nurse notes that the client’s left ventricular ejection fraction is 58%. Which action should the nurse take?
- Answer
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Administer the medication as prescribed
The nurse is reviewing laboratory reports for a client receiving chemotherapy and notes an absolute neutrophil count of 1.4 cells/mcL. Which order should the nurse anticipate?
- Answer
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Filgrastim
Which premedication order will the nurse anticipate being ordered to administer prior to administering rituximab?
- Answer
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Diphenhydramine and acetaminophen