CHAPTER 40: AGENTS USED IN THE TREATMENT OF CANCER

CHAPTER 40: AGENTS USED IN THE TREATMENT OF CANCER

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Which of the following is an appropriate nursing intervention for a client receiving chemotherapy with a nursing diagnosis of Imbalanced nutrition: less than body requirements?

a.	Administer an antiemetic premedication prior to chemotherapy.
b.	Offer frequent high-calorie, high-fat meals.
c.	Instruct the client to drink a full glass of water before each meal.
d.	Reinforce teaching regarding the reason for the nausea and vomiting.

 

 

ANS:  A

 

	Feedback
A	Correct: The most common reason for altered nutrition is nausea and vomiting.
B	Incorrect: This would increase nausea in most clients.
C	Incorrect: This will decrease their meal intake.
D	Incorrect: This will not decrease the nausea and vomiting.

 

 

PTS:   1                    REF:   p. 957 | p. 959, Safe Nursing Practice 40-3

OBJ:   Cognitive Level: Application

 

2. The client recently received a diagnosis of cancer. The client frequently asks the nurse about the disease and treatment even though the health care provider discussed the disease, its treatment, expected therapeutic effects, and adverse effects of therapy with the client. The most likely explanation for this repeated need for information is:

a.	the client has early dementia and is unable to remember the information.
b.	the client is under emotional stress due to the psychosocial impact of the diagnosis.
c.	the client has borderline intellect that requires repetition to grasp information.
d.	the health care provider did not do a thorough job in explaining the disease to the client.

 

 

ANS:  B

 

	Feedback
A	Incorrect: The scenario is normal, so the cause should be normal.
B	Correct: The diagnosis of cancer is stressful to clients.
C	Incorrect: There is no evidence that this is the case.
D	Incorrect: Because the scenario is a normal client response, one must not assume any explanation was not provided correctly.

 

 

PTS:   1                    REF:   p. 955            OBJ:   Cognitive Level: Comprehension

 

3. The nurse understands that medications in this group of antineoplastics are cell-cycle nonspecific:

a.	antimetabolites	c.	alkylating agents
b.	mitotic inhibitors	d.	antibiotic agents

 

 

ANS:  C

 

	Feedback
A	Incorrect: Antimetabolites are cycle-specific agents.
B	Incorrect: Mitotic inhibitors exert their primary effect on the G2 portion of the cell cycle.
C	Correct: Alkylating agents are cell-cycle nonspecific.
D	Incorrect: Antibiotic antineoplastic agents interfere with several portions of the cell cycle.

 

 

PTS:   1                    REF:   p. 928            OBJ:   Cognitive Level: Comprehension

 

4. A client with testicular carcinoma is prescribed to begin combination chemotherapy. The nurse anticipates the use of which preferred group for this type of cancer?

a.	bleomycin, etoposide. platinol
b.	prednisone, vincristine, cyclophosphamide
c.	dactinomycin, methotrexate
d.	cytarabine, daunorubicin, idarubicin

 

 

ANS:  A

 

	Feedback
A	Correct: Also referred to as BEP. This is a preferred regimen for testicular carcinoma.
B	Incorrect: This is not a preferred regimen for this type of cancer.
C	Incorrect: This is not a preferred regimen for this type of cancer.
D	Incorrect: This is not a preferred regimen for this type of cancer.

 

 

PTS:   1                    REF:   p. 932, Table 40-3

OBJ:   Cognitive Level: Comprehension

 

5. For the client experiencing xerostomia, the nurse should:

a.	provide frequent lip lubrication with a water-soluble gel.
b.	increase the client’s IV fluids until specific gravity is greater than 1.010.
c.	instruct the client not to use aspirin.
d.	provide the client with a soft-bristled toothbrush.

 

 

ANS:  A

 

	Feedback
A	Correct: Xerostomia is a dry mouth that benefits from frequent lip lubrication.
B	Incorrect: This will not effectively treat xerostomia.
C	Incorrect: This will not effectively treat xerostomia.
D	Incorrect: This will not effectively treat xerostomia.

 

 

PTS:   1                    REF:   p. 957            OBJ:   Cognitive Level: Application