8.7: Review Questions

Pharmacology for Nurses · LibreTexts

0%

Contents

    Text

    Size
    100%
    Theme
    Typeface
    Line length
    Spacing

    From LibreTexts, under CC BY 4.0, as the source states it; its equations are written in TeX, which the PDF shows typeset. This page at LibreTexts.

    Exercise \(\PageIndex{1}\)

    The nurse is providing instruction to a client who will be receiving chemotherapy that selectively kills cancer cells without harming normal cells. Which type of chemotherapy is the nurse describing to the client?

  1. Adjuvant therapy
  2. Neoadjuvant therapy
  3. Targeted therapy
  4. Biologic therapy
    5. Answer

    Targeted therapy

    Exercise \(\PageIndex{2}\)

    The nurse is reviewing the medical record for a client receiving doxorubicin for breast cancer. The record shows that the client has received a lifetime total of 360 mg/m2. Which action should the nurse take?

  5. Continue with treatment and routine monitoring because this is within safe lifetime dose limits
  6. Call the pharmacy to ask that the cumulative dose be reduced
  7. Notify the provider that the client needs a dose reduction
  8. Notify the client that the next chemotherapy appointment will be delayed
    9. Answer

    Continue with treatment and routine monitoring because this is within safe lifetime dose limits

    Exercise \(\PageIndex{3}\)

    The nurse is checking the medication orders for a client receiving fluorouracil for the treatment of colon cancer. Which medication should the nurse anticipate will be ordered with fluorouracil?

  9. Leucovorin
  10. Phenytoin
  11. Acetaminophen
  12. Diphenhydramine
    13. Answer

    Leucovorin

    Exercise \(\PageIndex{4}\)

    Which statement made by a client indicates to the nurse that the client understands self-care during myelosuppressive chemotherapy?

  13. “I will include more salads in my diet.”
  14. “I am excited about visiting my granddaughter’s preschool class.”
  15. “I am going to increase my protein intake by eating venison my family prepared.”
  16. “My sister will be caring for my cat while I am undergoing treatment.”
    17. Answer

    “My sister will be caring for my cat while I am undergoing treatment.”

    Exercise \(\PageIndex{5}\)

    The nurse is caring for a client receiving pembrolizumab. What should the nurse should monitor the client for signs of?

  17. Vitamin D deficiency
  18. Pernicious anemia
  19. Immune-mediated destruction
  20. Severe neutropenia
    21. Answer

    Immune-mediated destruction

    Exercise \(\PageIndex{6}\)

    Which finding should the nurse expect in a client with acute myelogenous leukemia who has developed tumor lysis syndrome?

  21. Hypokalemia
  22. Hypophosphatemia
  23. Hypocalcemia
  24. Alkalosis
    25. Answer

    Hypocalcemia

    Exercise \(\PageIndex{7}\)

    Which information would the nurse give to a 67-year-old female client receiving tamoxifen to treat breast cancer?

  25. Tamoxifen can cause muscle or joint pain.
  26. This medication is administered intramuscularly.
  27. Liver function tests need to be closely monitored.
  28. Tamoxifen is taken for 5 years.
    29. Answer

    Tamoxifen is taken for 5 years.

    Exercise \(\PageIndex{8}\)

    A client diagnosed with breast cancer is scheduled to begin initial treatment with doxorubicin. Prior to administering the first dose of doxorubicin, the nurse notes that the client’s left ventricular ejection fraction is 58%. Which action should the nurse take?

  29. Hold the medication and call the prescriber
  30. Administer the medication as prescribed
  31. Notify the prescriber and request a reduced dose
  32. Administer the medication, but at a reduced rate
    33. Answer

    Administer the medication as prescribed

    Exercise \(\PageIndex{9}\)

    The nurse is reviewing laboratory reports for a client receiving chemotherapy and notes an absolute neutrophil count of 1.4 cells/mcL. Which order should the nurse anticipate?

  33. Epoetin alfa
  34. Filgrastim
  35. Packed red blood cells
  36. Interferon A
    37. Answer

    Filgrastim

    Exercise \(\PageIndex{10}\)

    Which premedication order will the nurse anticipate being ordered to administer prior to administering rituximab?

  37. Diphenhydramine and acetaminophen
  38. Phenytoin and acetaminophen
  39. Corticosteroid
  40. Aspirin and ondansetron
    41. Answer

    Diphenhydramine and acetaminophen

    This page titled 8.7: Review Questions was last modified on Sun, 29 Dec 2024 09:21:27 GMT and is shared under a CC BY 4.0 license and was authored, remixed, and/or curated by OpenStax.