Pharmacology And the Nursing Process 8e by Linda Lane-Collins -Julie S. Snyder
Pharmacology And the Nursing Process 8e by Linda Lane-Collins -Julie S. Snyder
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Chapter 45: Antineoplastic Drugs Part 1: Cancer Overview and Cell Cycle–Specific Drugs
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | Sarcoma |
| b. | Leukemia |
| c. | Carcinoma |
| d. | Lymphoma |
ANS: A
Sarcomas are malignant tumors that arise from connective tissues. These tissues can be found in bone, cartilage, muscle, blood, lymphatic, and vascular tissues. The other options are incorrect.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 711
TOP: NURSING PROCESS: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
| a. | “You can take aspirin to prevent stomatitis.” |
| b. | “Be sure to watch for and report black, tarry stools immediately.” |
| c. | “You need to increase your intake of foods containing fiber and citric acid.” |
| d. | “Be sure to examine your mouth daily for bleeding, painful areas, and ulcerations.” |
ANS: D
The symptoms of stomatitis consist of pain or burning in the mouth, difficulty swallowing, taste changes, viscous saliva, dryness, cracking, and fissures, with or without bleeding mucosa. Teach patients to avoid consuming foods containing citric acid and foods that are hot or spicy or high in fiber. Assessing stools is important but is not related to stomatitis, and aspirin must not be used during this therapy.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 731
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Physiological Integrity: Reduction of Risk Potential
| a. | The patient will eat three balanced meals a day within 2 days. |
| b. | The patient will return to normal eating pattern within 4 weeks. |
| c. | The patient will maintain normal weight by consuming healthy snacks as tolerated. |
| d. | The patient will maintain a diet of small, frequent feedings with nutrition supplements within 2 weeks. |
ANS: D
Consuming small, frequent meals with nutritional supplements, and maintaining a bland diet help to improve nutrition during antineoplastic therapy.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 729
TOP: NURSING PROCESS: Planning
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
| a. | A transfusion of whole blood |
| b. | Leucovorin rescue |
| c. | Therapy with filgrastim (Neupogen) |
| d. | Administration of allopurinol (Zyloprim) |
ANS: B
High-dose methotrexate is associated with bone marrow suppression, and it is always given in conjunction with the rescue drug leucovorin, which is an antidote for folic acid antagonists. Basically, leucovorin rescues the healthy cells from methotrexate. The other options are incorrect.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 719
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Physiological Integrity: Reduction of Risk Potential
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