NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+, Exams of Nursing

Download NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ and more Exams Nursing in PDF only on Docsity! NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ QUESTION 1 1. A nurse is discussing oprelvekin therapy with a male patient. Which of the following will the nurse tell the patient is the most common adverse A Medullary bone pain . B Fluid retention/weight gain . C Atrial arrhythmia . D Papilledema . 1 points QUESTION 2 1. A patient has been scheduled to begin treatment with rituximab for non-Hodgkin's lymphoma. The nurse who NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ will administer this drug should understand that it targets A specific antigens on the surface of malignant B cells. . B the molecular structure of the cells making up the semipermeable membrane of . cancerous cells. C the function of the complement system. . D the DNA of mature plasma cells. . 1 points QUESTION 3 1. A patient with a diagnosis of chronic myeloid leukemia has met with her oncologist, who has recommended treatment with the kinase inhibitor imatinib. What route of administration should the nurse explain to the patient? A Weekly IV infusions over 6 to 8 hours through a central line NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ 1 points QUESTION 6 1.A middle-aged patient has received a diagnosis of GI stromal tumor following an extensive diagnostic workup. Imatinib has been recommended as a component of the patient's drug regimen. What patient education should the nurse provide to this patient? 1 points QUESTION 7 1.An oncology nurse is aware of the risks for injury that exist around the preparation, transportation, and administration of chemotherapeutic agents. In order to reduce these risks of injury, the nurse should take which of the following actions? NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ A “It's important that you let us know if you develop any significant swelling . or puffiness.” B “Try to keep your PICC line dressing as dry as possible at all times.” . C “If you experience significant nausea after taking a dose, stop taking the drug and . schedule an appointment at the clinic.” D “You'll likely experience a lot of dry mouth while you're taking this drug, so it's . helpful to chew ice chips.” NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ A Use an IV system for administration that includes needles to reduce the risk of . accidental spills. B Dispose of intravenous lines used for chemotherapy administration in a covered NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ 1 points QUESTION 8 1.A nurse on an oncology unit is aware of the need to assess for adverse effects in patients who are being treated with rituximab. The risks of adverse effects are highest at what point during the course of treatment. NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ . trash can in the patient's room. C Encourage patients who have been receiving chemotherapy to use a bedside . commode rather than a toilet. D Prime the IV tubing with an approved IV solution rather than with the drug . itself. A At each point that the dosage of rituximab is increased . B After 6 to 8 weeks of treatment at the maximum dose . C Shortly after the initiation of the first infusion of . rituximab D 48 to 72 hours after the first dose has been administered NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ 1 points QUESTION 11 1.Mr. Singh is a 66-year-old man who is receiving chemotherapy for the treatment of lung cancer that has metastasized to his liver. In an effort to prevent infection, Mr. Singh has been prescribed filgrastim (Neupogen). Which of the nurse's following assessment questions most directly addresses a common adverse effect of filgrastim? NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ C By inhibiting the action of vitamin K at its sites of action . D By inhibiting platelet aggregation on vessel walls and promoting fibrinolysis . A “Do you feel like you're having any pain in your . bones?” B “Have you had any shortness of breath lately?” . C “Are you experiencing any waves of cool, clammy skin?” . D “Have you noticed any bleeding in your gums or cheeks?” . NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ 1 points QUESTION 12 1.A nurse has completed a medication reconciliation of a patient who has been admitted following a motor vehicle accident. Among the many drugs that the patient has received in the previous year is rituximab. The nurse would be justified in suspecting the patient may have received treatment for which of the following diseases? 1 points QUESTION 13 1.A nurse is caring for a patient with cancer who has been prescribed dronabinol (Marinol) to help reduce nausea and vomiting from chemotherapy. The nurse will inform the patient that he or she is taking an oral form of NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ A Renal cell carcinoma . B Nonsmall cell lung cancer . C Malignant melanoma . D Non-Hodgkin's . lymphoma A cocaine. . B methamphetamine. NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ . NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ C Ticlopidine . NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ 1 points QUESTION 17 1.A female patient has follicular non-Hodgkin's lymphoma and is receiving thalidomide (Thalomid). It will be most important for the nurse to monitor this patient for which of the following? 1 points QUESTION 18 1.When planning care for a patient who is receiving filgrastim (Neupogen) for a nonmyeloid malignancy, the nurse should formulate which of the following patient outcomes? (Select all that apply.) NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ D Alteplase . A Bleeding . B Fever . C Chills and rigors . D Angina . A The patient will not experience bone pain. NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ 1 points QUESTION 19 1.A male patient is receiving rituximab therapy for non-Hodgkin's lymphoma. Which of the following would be a priority nursing intervention to reduce the risk for cytotoxicity and tumor lysis syndrome? NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ . B The patient will be able to self-administer filgrastim at . home. C The patient will not retain fluid. . D The patient will not develop an infection. . E The patient will not develop febrile neutropenia. . A Ensure that the patient maintains a normal breathing pattern. . B Ensure that the patient maintains a normal fluid and electrolyte . balance. C Monitor the patient for deterioration in renal function. . NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ D Consult the prescriber for an increase in dosage NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ 1 points QUESTION 23 1.A 28-year-old woman has completed rituximab therapy for an autoimmune disease. She tells the nurse that she and her husband would like to start a family. The nurse will advise her to 1 points QUESTION 24 1.A nurse has been assigned to a 55-year-old woman who has a malignant brain tumor. The patient is receiving her first dose of carmustine. It will be critical for the nurse to observe for which of the following? NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ . A discontinue birth control, but avoid breast-feeding after the child is born. . B pursue fertility testing. . C continue using birth control for at least 12 months. . D stop using birth control for the next several weeks. . A Inability to drink fluids for 6 hours NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ 1 points QUESTION 25 1.A patient has just received her first dose of imatinib and the nurse on the oncology unit is amending the patient's care plan accordingly. What nursing diagnosis is most appropriate in light of this addition to the patient's drug regimen? NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ . B Reddish urine . C Respiratory difficulty . D Nausea and vomiting . A Risk for Deficient Fluid Volume related to changes in osmotic pressure . B Risk for Impaired Skin Integrity related to exaggerated inflammatory . response C Risk for Acute Confusion related to adverse neurological effects of imatinib . NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ 1 points QUESTION 28 1.An oncology nurse is reviewing the pathophysiology of cancer and is discussing with a colleague the factors that contribute to the success or failure of a patient's chemotherapy. Which of the following cancerous cells is most susceptible to the effects of chemotherapeutic drugs? NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ B Treatment with epoetin alfa will likely begin 4 to 6 days before Mr. Lepp's first . round of chemotherapy and continue indefinitely. C Epoetin alfa is normally contraindicated in patients who are receiving radiotherapy . or chemotherapy. D Mr. Lepp's oncologist should have begun treatment with epoetin alfa immediately . after he was diagnosed. A Cells that have a rapid mitotic . rate B Cells that lack a blood supply . C Cells with a long generation time . D Cells that lack contact inhibition NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ . NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ 1 points QUESTION 29 1.A 39-year-old woman is receiving doxorubicin for the treatment of cancer. After each treatment, the patient has acute nausea and vomiting accompanied by a slightly increased heart rate. The nurse will advise her to 1 points QUESTION 30 1.A female patient is taking filgrastim (Neupogen) to decrease the incidence of infection. The nurse notices a small increase in the neutrophil count 2 days after starting therapy. The nurse's evaluation of the increase is that NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ A perform relaxation techniques after the . treatments. B perform light exercise after administration of the drug. . C take the drug only at bedtime. . D make an appointment for cardiac function tests. . A the therapeutic effect of the drug is slow, and it is likely to cause adverse effects. . B the increase in the neutrophil count is only transient. NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ B The patient white blood cell level is within reference ranges . C The patient maintains an oxygen saturation of 92% on room air . D The patient's hemoglobin level is 11 g/dL . 1 points QUESTION 34 1. A patient with non-Hodgkin's lymphoma (NHL) will be starting a course of doxorubicin shortly. When planning this patient's care, what nursing diagnosis should the nurse prioritize? A Risk for Impaired Skin integrity related to cytotoxic effects of doxorubicin . B Risk for Ineffective Airway Clearance related to decreased neurological function . NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ C Risk for Infection related to suppressed bone marrow function . D Risk for Imbalanced Nutrition: More Than Body Requirements related to . metabolic effects of doxorubicin 1 points QUESTION 35 1. Which of the following patients will be at the greatest risk for anemia and would be the most likely candidate for epoetin alfa therapy? NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ • Question 1 1 out of 1 points • Question 2 1 out of 1 points NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ A A 20-year-old female . B A 62-year-old male with cancer . C A 30-year-old pregnant woman . D A 40-year-old male with a high w . A nurse is discussing oprelvekin therapy with a male patient. Which of the following will the nurse tell the patient is the most common adverse effect of the drug? Respo nse Feedb ack: Fluid retention with weight gain is the most common adverse effect of oprelvekin. Medullary bone pain (pain within the marrow) is the only consistently observed adverse effect associated with filgrastim. Papilledema is an adverse effect that is only occasionally reported in older adults who take oprelvekin. Atrial arrhythmia is not NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ • Question 5 1 out of 1 points NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ therapy. The therapy should be continued until the postnadir platelet count is at least 50,000 cells/mm 3. The oprelvekin therapy is effective if the platelet count rises to a normal range without severe bleeding. Fluid retention, weight gain, and arrhythmias are major adverse effects of oprelvekin therapy and would not be a measure of the efficacy and duration of the therapy. A nurse has been assigned to a female patient who is to begin chemotherapy. The nurse will initiate the prescribed oprelvekin therapy Respo nse Feedb ack: Administration of oprelvekin should begin 6 to 24 hours after the end of chemotherapy. Oprelvekin should be discontinued at least 2 days before the next chemotherapy session begins. NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ • Question 6 1 out of 1 points • Question 7 1 out of 1 points NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ A middle-aged patient has received a diagnosis of GI stromal tumor following an extensive diagnostic workup. Imatinib has been recommended as a component of the patient's drug regimen. What patient education should the nurse provide to this patient? Respo nse Feedb ack: Patients must understand the importance of reporting edema of weight gain while taking imatinib. The patient will not likely have a PICC line. Nausea and dry mouth are not common adverse effects and the patient should not unilaterally stop taking the drug. An oncology nurse is aware of the risks for injury that exist around the preparation, transportation, and administration of chemotherapeutic agents. In order to reduce these risks of injury, the nurse should take which of the following actions? NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ • Question 8 1 out of 1 points NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ Respo nse Feedb ack: IV lines should be primed with a compatible nonhazardous solution before the actual drug administration. Intravenous lines should be disposed of in an approved biohazard container, not normal trash cans. Needleless ystems should be used and a toilet is preferable to a commode because it can be flushed of contents without prior handling of waste by care providers. A nurse on an oncology unit is aware of the need to assess for adverse effects in patients who are being treated with rituximab. The risks of adverse effects are highest at what point during the course of treatment? Respo nse Feedb ack: Infusion-related effects reportedly occur in 80% of patients within 30 minutes to 2 hours after beginning the first rituximab infusion. These NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ • Question 12 1 out of 1 points NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ effect of filgrastim? Respo nse Feedb ack: Medullary bone pain is a consistently observed adverse effect that can be attributed to drug therapy with filgrastim; it is mild to moderate in severity and is reported in 56% of patients taking the drug. Shortness of breath, mucosal bleeding, and cool, clammy skin are not adverse effects typical of filgrastim. A nurse has completed a medication reconciliation of a patient who has been admitted following a motor vehicle accident. Among the many drugs that the patient has received in the previous year is rituximab. The nurse would be justified in suspecting the patient may have received treatment for which of the following diseases? NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ • Question 13 1 out of 1 points NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ Respo nse Feedb ack: Rituximab has historically been used to treat CD20-positive B-cell malignancies such as B- cell leukemias, chronic lymphocytic leukemia, non-Hodgkin's lymphoma, and some multiple myeloma. It is not normally used to treat malignant melanoma, lung cancer, or kidney cancer. A patient has completed 4 weeks of treatment with epoetin alfa. Which of the following assessment findings would most strongly indicate that treatment has been effective? Respo nse Feedb ack: The most clinically significant indicator of the effectiveness of treatment with EPO is the patient's hemoglobin level. Respiratory status, peripheral circulation, and leukocyte levels are relevant to the patient's overall health status, but these do not directly suggest the success of failure of EPO treatment. NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ • Question 14 1 out of 1 points • Question 15 1 out of 1 points NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ A patient with non-Hodgkin's lymphoma (NHL) will be starting a course of doxorubicin shortly. When planning this patient's care, what nursing diagnosis should the nurse prioritize? Respo nse Feedb ack: Because doxorubicin suppresses bone marrow function, the patient is at risk of leukopenia and subsequent infection. Impaired skin integrity is less likely and airway clearance will not normally be affected. Nutritional deficit, not excess, is common. Which of the following patients will be at the greatest risk for anemia and would be the most likely candidate for epoetin alfa therapy? Response Feedback: NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ • Question 17 1 out of 1 points • Question 18 1 out of 1 points NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ acid, to form a stable salt, thereby neutralizing the anticoagulant effects of heparin. Protamine sulfate does not produce the same effects for coumadin, alteplase, or ticlopidine. A female patient has follicular non-Hodgkin's lymphoma and is receiving thalidomide (Thalomid). It will be most important for the nurse to monitor this patient for which of the following? Respo nse Feedb ack: Common adverse effects of thalidomide include thrombotic problems, drowsiness, photosensitivity, and peripheral neuropathies. Chills, rigors, fever, and angina are not associated with the use of this drug. When planning care for a patient who is receiving filgrastim (Neupogen) for a nonmyeloid malignancy, the NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ • Question 19 1 out of 1 points NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ nurse should formulate which of the following patient outcomes? (Select all that apply.) Respo nse Feedb ack: Desired outcomes for a patient receiving filgrastim include that febrile neutropenia will be avoided and infection and bone pain will not develop, or at least bone pain will not be unmanageable if it develops. Also, because this drug is administered subcutaneously every day during therapy, management of their own administration would be a positive outcome for patients. A patient who is taking oprelvekin would be at risk for fluid retention. Filgrastim is not associated with this adverse effect. A male patient is receiving rituximab therapy for non- Hodgkin's lymphoma. Which of the following would be a priority nursing intervention to reduce the risk for cytotoxicity and tumor lysis syndrome? NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ • Question 20 0 out of 1 points NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ Respo nse Feedb ack: Ensuring that the patient maintains a normal fluid and electrolyte balance is critical to maintaining a consistent drug dilution in the body and therefore limiting the risk of cytotoxicity and tumor lysis syndrome. Ensuring that the patient maintains a normal breathing pattern, is protected from exposure to infections, and does not develop renal impairment are also important nursing responsibilities; however, they do not help to significantly reduce the risk for cytotoxicity and tumor lysis syndrome. A patient receiving high-dose cisplatin therapy exhibits symptoms of hypomagnesemia. Which of the following should the nurse suggest to help offset the magnesium losses from the cisplatin therapy? NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ • Question 23 1 out of 1 points • Question 24 1 out of 1 points NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ appr opriate. A 28-year-old woman has completed rituximab therapy for an autoimmune disease. She tells the nurse that she and her husband would like to start a family. The nurse will advise her to Respo nse Feedb ack: Rituximab is not recommended for use in pregnancy or when women are lactating. The patient should consequently be advised to continue using birth control for the duration of treatment. A nurse has been assigned to a 55-year-old woman who has a malignant brain tumor. The patient is receiving her first dose of carmustine. It will be critical for the nurse to observe for which of the following? Response Respiratory difficulty can indicate a NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ hypersensitivity reaction or NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ • Question 25 1 out of 1 points NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ Feedback: anaphylaxis. The nurse would report any breathing difficulties immediately to the physician. If the patient does not eat or drink for more than 24 hours, the physician should be notified. Nausea and vomiting are adverse effects of the drug therapy, and an antiemetic regimen would be appropriate. Reddish urine is an adverse effect of doxorubicin, not carmustine. A patient has just received her first dose of imatinib and the nurse on the oncology unit is amending the patient's care plan accordingly. What nursing diagnosis is most appropriate in light of this addition to the patient's drug regimen? Respo nse Feedb ack: Like many cancer treatments, imatinib causes bone marrow suppression that creates a consequent risk of infection. The drug does not typically result in cognitive changes, fluid NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ • Question 29 1 out of 1 points NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ chemotherapy. Which of the following cancerous cells is most susceptible to the effects of chemotherapeutic drugs? Respo nse Feedb ack: Cells that have a short generation time or rapid mitotic rate are most sensitive to antineoplastic agents. All cells (both cancerous and noncancerous) have a blood supply. A lack of contact inhibition is characteristic of cancer, but this is not associated with susceptibility to chemotherapeutic drugs. A 39-year-old woman is receiving doxorubicin for the treatment of cancer. After each treatment, the patient has acute nausea and vomiting accompanied by a slightly increased heart rate. The nurse will advise her to Respo nse Feedback: NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ • Question 30 1 out of 1 points NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ The nurse shoul d expla in to the patie nt that many patie nts experience acute nausea and vomiting. The nurse should also explain that nonpharmacologic measures such as relaxation techniques can sometimes help alleviate these symptoms. If the patient does not know how to perform relaxation techniques, then the nurse should teach her. It is not necessary for the patient to make an appointment for cardiac function tests, because the nausea and vomiting are not related to cardiac function. Exercise will likely exacerbate the patient's symptoms. A female patient is taking filgrastim (Neupogen) to decrease the incidence of infection. The nurse notices a small increase in the neutrophil count 2 days after starting therapy. The nurse's evaluation of the increase is that Respo nse Feedback: NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ • Question 31 1 out of 1 points • Question 32 1 out of 1 points NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ A smal l incr ease in the neutrophil count 1 or 2 days after starting therapy indicates only a transient increase and does not indicate the full therapeutic effects of the drug. It indicates neither slow action nor ineffectiveness of the drug. A nurse is assessing a patient who has chronic lymphoblastic myelogenous leukemia. The treatment plan includes hydroxyurea (Hydrea). The nurse will assess the patient for which of the following? Respo nse Feedb ack: Hydroxyurea may be contraindicated in patients with low WBCs. The drug is not contraindicated with diabetes mellitus, hypertension, or hypoglycemia. A nurse has administered filgrastim to a diverse group of patients in recent months. Which of the following NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ • Question 34 1 out of 1 points NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ Respo nse Feedb ack: The major ingredient of Marinol is 9- tetrahydrocannabinol (THC), the active ingredient in marijuana. A 45-year-old woman with acute leukemia is going to begin chemotherapy with vincristine. The nurse is aware that vincristine must always be administered Respo nse Feedb ack: If vincristine is administered as a continuous infusion, a central line should always be used. It is important to prime IV lines for chemotherapy administration with 5% dextrose in water or normal saline, not with vincristine, before administering the drug. The infusion rate, although important, is not as important a factor for vincristine administration as is the need for a central line. NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ • Question 35 1 out of 1 points NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ A patient with chronic lymphocytic leukemia (CLL) will imminently begin a course of treatment with rituximab. In order to minimize the risk of adverse effects, what strategy for administration will be adopted? Respo nse Feedb ack: If no reactions are apparent after 30 minutes of rituximab infusion, the dose may be escalated every 30 minutes by 50 mg/h until a maximum infusion rate of 400 mg/h is reached. Admission to an ICU and administration of diphenhydramine do not reduce the risk of adverse effects. Rituximab is not administered through multiple IV sites simultaneously. NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+