Pharm Exam #1 NCLEX Questions

Pharm Exam #1 NCLEX Questions Leave the first rating Students also studied Terms in this set (29) Science Medicine Save High-Alert Medication Safety Overv...10 terms Maddie_Marsh85 Preview Chemotherapy Agents Practice Que...50 terms AttillanPreview

NCLEX QUESTIONS: Oncological M...

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59 terms Jac When administering antineoplastic drugs, the nurse needs to keep in mind that the general adverse effects of these drugs include? (Select all that apply)

• bone marrow suppression
• infertility
• diarreha
• urinary retention
• nausea and vomiting
• stomatitis

a, b, c, e, f A patient will be receiving chemotherapy with paclitaxel (taxol). What will the nurse expect to do along with administering this drug?

• administer platelet infusion
• provide acetaminophen (tylenol) as needed
• keep the patient on "nothing by mouth" status because

of expected nausea and vomitting

• premedicate with a steroid, H2 receptor antagonist,

and antihistamine d As the nurse is preparing to give the patient chemotherapy, the patient asks the nurse why more than one drug is used. The nurse will explain that combinations of chemotherapeutic drugs are used to

• reduce drug resistance
• reduce the incidence of adverse effects
• decrease the cost of treatment
• reduce treatment time

a

If extravasation of an antineoplastic drug occurs, what will the nurse first do?

• remove the intravenous catheter immediately
• stop the drug infusion without removing the

intravenous catheter

• aspirate residual drug or blood from the tube if

possible

• administer the appropriate antidote

b During chemotherapy, the nurse will monitor the patient for which symptoms of stomatitis?

• indigestion and heartburn
• severe vomiting and anorexia
• pain or soreness of the mouth
• diarrhea and perinatal irritation

c A patient is receiving leucovorin as part of his chemotherapy regimen. The nurse expects that the patient is receiving which antineoplastic drug?

• Cladribine (Leustatin)
• Fluorouracil (Adrucil)
• Vincristine (Vincasar PFS)
• Methotrexate (Trexall)

d The nursing student asks the pharmacist what it means that an agent is "cell-cycle specific." Which statement is true?

• these drugs are effective in only certain types of

cancers

• these drugs are effective throughout all stages of

cancer reproduction

• these drugs are effective and slower growing cells

because they target one phase of reproduction

• these drugs are cytotoxic during a specific cycle phase

of cancer cell growth d Which statement is true regarding cancer chemotherapy?

• only selected antineoplastic drugs are effective against

all types of cancer

• most cancer drugs have a high therapeutic index
• a combination of drugs is usually more effective than

single-drug therapy

• side effects can be eliminated with appropriate

administration times c

The nurse is monitoring a patient who has developed thrombocytopenia after two rounds of chemotherapy.Which signs or symptoms will the nurse look for in this patient? (Select all that apply)

• bruising
• increase fatigue
• ulcerations on mucous membranes inside the mouth
• temperature above 100.5
• increase bleeding from ventipunctures

a, d While hanging a new infusion bag of a chemotherapy drug, the nurse accidentally spills a small amount solution on the floor. What is the nurse's best action?

• let it dry and then mop the floor
• wipe the area with a paper towel
• use a spill kit to clean the area
• ask the housekeeeping department to wipe the floor

c The nurse is reviewing the medication list for a patient who will be receiving mitotane (lysodren) treatments. A drug from which class would cause the most concern if administered along with the mitotane?

• Benzodiazepine
• Thyroid replacement hormone
• Insulin
• Beta blockers

a A patient receiving chemotherapy for a testicular tumor complains of hearing a "loud ringing sound" in his ears.The nurse expects what to happen next regarding the chemotherapy?

• it will continue as ordered
• it will be stopped until the patient's hearing is

evaluated

• it will be withheld for a day and then be resumed
• it will be stopped until renal studies are performed

b When teaching a patient who is receiving outpatient chemotherapy about potential problems, the nurse needs to mention signs and symptoms of an oncologist emergency, which include which of the following?

• swollen tongue
• alopecia
• blood in the urine
• nausea and vomiting
• temperature of 100.5 or high
• chills

a, c, e, f

The nurse monitors very closely for signs of renal toxicity when which of these antuneoplastic drugs is given?

• Doxorubicin (Adriamycin)
• Cisplatin (Platinol)
• Bevacizumab (Avastin)
• Mitotane (Lysodren)

b A patient who has cancer is to receive a course of chemotherapy with doxorubicin (adriamycin). Which coexisting condition will require very close monitoring while the patient is taking this drug?

• hypertension
• diabetes mellitus
• gout
• cardiomyopathy

d The nursing student would correctly identify which description as the method of action of the alkylating agents?

• these agents alter the chemical structure of the cells'

DNA

• these agents interfere with the ability of the cell to

initiate angiogenesis

• these agents enhance the host's autoimmune response
• the agents disrupt cellular cytoplasm, and the cell dies

a A patient will be receiving mitotane (lydodren), and the nurse is reviewing the patient's medication list for potential interactions. Which drugs may interact with mitotane? (select all that apply)

• Digoxin (Lanoxin)
• Warfarin (Coumadin)
• Phenytoin (Dilantin)
• Glucophage (Metformin)
• Spironolactone (Aldactone)

b, c, e The patient reports to the nurse that the medication infliximab prescribed for rheumatoid arthritis is not working. On further questioning, the nurse determines that the patient has been taking the drug for 7 days.Which response by the nurse is most appropriate?

• the medication must be ineffective for you, call the

office, and the provider will make a change in drug selection

• increase the dosage to two tablets instead of one
• this medication may take up to 4 to 6 weeks for full

response to occur

• are you taking the medication with food?

c