NURS 601 Pharm Oncology Medications Questions and Answers- University of San Francisco
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NURS 601 Pharm Oncology Medications Questions and Answers- University of San Francisco/NURS 601 Pharm Oncology Medications Questions and Answers- University of San Francisco/NURS 601 Pharm Oncology Medications Questions and Answers- University of San Francisco/NURS 601 Pharm Oncology Medications Qu...
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KEY:
All un-highlighted questions are required for Patho-Pharm 1
Red Text = Should Understand
Green Text = Absolutely Should Know
Yellow Highlight = Patho-Pharm 2 Material (Skip in Patho-Pharm 1)
Blue Highlight = Skip (In both Patho-Pharm 1 & 2)
Oncology Medications
1. Chemotherapy dosage is frequently based on total body surface area (BSA), so it is important
for the nurse to perform which assessment before administering chemotherapy?
1. Measure the client's abdominal girth.
2. Calculate the client's body mass index.
3. Measure the client's current weight and height.
4. Ask the client about his or her weight and height.
Correct answer: 3
Rationale: To ensure that the client receives optimal doses of chemotherapy, dosing is usually
based on the total BSA, which requires a current accurate height and weight for BSA calculation
(before each medication administration). Asking the client about his or her height and weight
may lead to inaccuracies in determining a true BSA and dosage. Calculating body mass index
and measuring abdominal girth will not provide the data needed.
2. A client with squamous cell carcinoma of the larynx is receiving bleomycin intravenously. The
nurse caring for the client anticipates that which diagnostic study will be prescribed?
Tip: Remember BP (blood pressure) or PB (Peanut Butter) for (Bleomycin Pulmonary Toxicity).
Rationale: Bleomycin is an antineoplastic medication that can cause interstitial pneumonitis,
which can progress to pulmonary fibrosis. Pulmonary function studies along with hematological,
,hepatic, and renal function tests need to be monitored. The nurse needs to monitor lung
sounds for dyspnea and crackles, which indicate pulmonary toxicity. The medication needs to be
discontinued immediately if pulmonary toxicity occurs. Options 1, 2, and 3 are unrelated to the
specific use of this medication.
3. A client with acute myelocytic leukemia is being treated with busulfan. Which laboratory
value would the nurse specifically monitor during treatment with this medication?
Rationale: Busulfan can cause an increase in the uric acid level. Hyperuricemia can produce uric
acid nephropathy, renal stones, and acute kidney injury. Options 1, 3, and 4 are not specifically
related to this medication.
4. A client with small cell lung cancer is being treated with etoposide. The nurse monitors the
client during administration, knowing that which adverse effect is specifically associated with
this medication?
Rationale: An adverse effect specific to etoposide is orthostatic hypotension. Etoposide should
be administered slowly over 30 to 60 minutes to avoid hypotension. The client's blood pressure
is monitored during the infusion. Hair loss occurs with nearly all antineoplastic medications.
Chest pain and pulmonary fibrosis are unrelated to this medication.
5. A clinic nurse prepares a teaching plan for a client receiving an antineoplastic medication.
When implementing the plan, the nurse should make which statement to the client?
1. "You can take aspirin as needed for headache."
2. "You can drink beverages containing alcohol in moderate amounts each evening."
3. "You need to consult with the health care provider (HCP) before receiving
immunizations."
4. "It is fine to receive a flu vaccine at the local health fair without HCP approval because
the flu is so contagious."
, Correct answer: 3
Rationale: Because antineoplastic medications lower the resistance of the body, clients must be
informed not to receive immunizations without the HCP's approval. Clients also need to avoid
contact with individuals who have recently received a live virus vaccine. Clients need to avoid
aspirin and aspirin-containing products to minimize the risk of bleeding, and they need to avoid
alcohol to minimize the risk of toxicity and side/adverse effects.
6. A client with ovarian cancer is being treated with vincristine. The nurse monitors the client,
knowing that which manifestation indicates an adverse effect specific to this medication?
Rationale: An adverse effect specific to vincristine is peripheral neuropathy, which occurs in
almost every client. Peripheral neuropathy can be manifested as numbness and tingling in the
fingers and toes. Depression of the Achilles tendon reflex may be the first clinical sign indicating
peripheral neuropathy. Constipation rather than diarrhea is most likely to occur with this
medication, although diarrhea may occur occasionally. Hair loss occurs with nearly all
antineoplastic medications. Chest pain is unrelated to this medication.
7. The nurse is reviewing the history and physical examination of a client who will be receiving
asparaginase, an antineoplastic agent. The nurse contacts the health care provider before
administering the medication if which disorder is documented in the client's history?
Rationale: Asparaginase is contraindicated if hypersensitivity exists, in pancreatitis, or if the
client has a history of pancreatitis. The medication impairs pancreatic function and pancreatic
function tests should be performed before therapy begins and when a week or more has
elapsed between dose administrations. The client needs to be monitored for signs of
pancreatitis, which include nausea, vomiting, and abdominal pain. The conditions noted in
options 2, 3, and 4 are not contraindicated with this medication.
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