N2 Cancer drug considerations
Lilley: Pharmacology and the Nursing Process, 4th Edition
Multiple Choice Review Questions Chapter 46
1.
The term nadir refers to:
A. The average number of days it takes the bone marrow to recover from a dose of chemotherapy
B. The average number of days it takes for the chemotherapy to have its peak effect on the bone marrow
C. The patient's tolerance to the chemotherapy's bone marrow suppressant effect
D. The maximum dose for a chemotherapy agent in reference to bone marrow suppression

2.
General adverse effects of chemotherapy include which of the following? (choose all that apply)
A. Leukocytosis
B. Thrombocytopenia
C. Alopecia
D. Urinary retention

3.
Prednisone added to a chemotherapeutic regimen contributes to all of the following except:
A. Fluid retention and risk of infection
B. Increase in blood sugar
C. Sense of well-being and euphoria
D. Decrease in bleeding tendency

4.
Combinations of chemotherapeutic agents are frequently used for all of the following purposes except:
A. Preventing drug resistance
B. Providing a synergistic action
C. Decreasing cost of treatment
D. Decreasing the severity of adverse effects

5.
When a patient is receiving cyclophosphamide (Cytoxan), he or she should be advised to drink plenty of water/fluids to:
A. Prevent renal failure
B. Prevent hemorrhagic cystitis
C. Prevent liver dysfunction
D. Increase the red blood cell count

6.
The nurse would anticipate administering which of the following medications to patients receiving high-dose methotrexate?
A. bleomycin
B. cisplatin
C. leucovorin
D. dactinomycin

7.
Nausea and vomiting are frequent adverse effects associated with antineoplastic therapy. Patients who are experiencing this unpleasant effect should be advised:
A. To avoid eating any food during chemotherapy
B. That there is nothing that can be done for this effect and it will pass with time
C. To try to maintain hydration and nutrition, which are very important during treatment
D. To use antacids to relieve the irritation to the stomach, which should stop the nausea

8.
When teaching a patient receiving paclitaxel (Taxol), the nurse needs to prepare the patient for which of the following?
A. Weight gain
B. Vertigo
C. Arthralgias
D. Hypertension

9.
When assessing a patient for adverse effects related to cisplatin (Platinol), the nurse will monitor for which of the following? (choose all that apply)
A. Nephrotoxicity
B. Peripheral neuropathy
C. Hepatoxicity
D. Severe nausea/vomiting

10.
A major dose-limiting side effect of doxorubicin (Adriamycin) is:
A. Hemorrhagic cystitis
B. Cardiomyopathy
C. Hepatoxicity
D. Nephrotoxicity

11.
Which of the following laboratory results would cause the nurse to question administration of cyclophosphamide (Cytoxan)?
A. White blood cell count of 8000
B. Platelet count of 450,000
C. Hemoglobin of 15
D. Thrombocyte count of 8000

12.
The nurse would suspect which type of cancer in a patient receiving tamoxifen?
A. Lung cancer
B. Renal cancer
C. Breast cancer
D. Colon cancer