Encouraging Mouth Rinsing to Minimize Mucositis Risk with Chemotherapy
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The nurse should encourage the client to implement which intervention in order to minimize the risk of developing chemotherapy-triggered mucositis?
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thoroughly rinse the mouth often, especially before and after meals
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The nurse is preparing to administer a client's prescribed chemotherapy. The client has developed bone marrow suppression during treatment. What should the nurse include in the client's plan of care? Select all that apply.
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Implement falls prevention measures Place the client on protective isolation Monitor the client's laboratory values closely Allow sufficient time for rest between scheduled activities
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Which agent would the nurse expect to be administered orally?
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Methotrexate pg. 205
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A nurse is caring for a client being treated with antineoplastic drugs. The client reports recently experiencing bloody urine. What complication might this client be experiencing?
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Thrombocytopenia pg. 212
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A postmenopausal woman with breast cancer will most likely be treated with which anti-estrogen drug?
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Tamoxifen pg. 219
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The oncology nurse understands that chemotherapeutic agents are most effective during a particular phase of the cell cycle. This means the agents are:
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cell cycle-specific. pg. 200
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A client with a pancreatic tumor will be starting on chemotherapy to decrease the size of the tumor, give the client a better quality of life, and reduce discomfort. What is this form of therapy called?
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Palliative therapy pg. 200
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A nurse is caring for a patient undergoing treatment with plant alkaloids for cancer. The patient is also administered warfarin for a history of atrial fibrillation. Which of the following is an interactive effect of the two drugs which the nurse should monitor the patient for?
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Increased risk of prolonged bleeding pg. 207
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A client has been diagnosed with cancer. The health care provider prescribes antineoplastic drug therapy to the client. How should the nurse explain the use of antineoplastic drugs?
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Delays spread of cancer to other sites pg. 200
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A 42-year-old female with breast cancer has had a radical mastectomy. She will have radiation therapy and then begin chemotherapy. Drug therapy will consist of a combination of doxorubicin, cyclophosphamide, and paclitaxel. What will the nurse include in the teaching plan concerning the drug therapy?
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Take special care when shaving or brushing her teeth. pg. 214
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A client's chemotherapy regimen has been deemed successful, but the client is experiencing debilitating nausea and vomiting. These adverse effects should signal the nurse to the possibility of what nursing diagnosis?
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Imbalanced nutrition: less than body requirements
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The client asks the nurse why many chemotherapy drugs must be given IV. What is the nurse's best response?
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Most chemotherapy drugs are inactivated by enzymes in the stomach. pg. 203
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Which would the nurse identify as an antineoplastic antibiotic?
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Mitomycin pg. 201
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A patient taking high doses of cyclophosphamide is exhibiting muscle cramps and confusion and reports headaches. The nurse assesses the laboratory tests and notices the sodium level is low. What does the nurse determine may be occurring with this patient?
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The patient is exhibiting signs of syndrome of inappropriate antidiuretic hormone caused by the high dose of cyclophosphamide. pg. 210
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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?
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Risk for Infection related to suppressed bone marrow function pg. 206
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An adult client who has been diagnosed with a rectal tumor is scheduled to begin treatment with cisplatin.The nurse has conducted client teaching about the possibility of nausea and vomiting. In order to reduce the client's risk of severe nausea, the nurse should:
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administer a combination of antiemetics prior to the administration of the drug. pg. 211
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Intravenous carmustine has been prescribed for a patient with cancer. The nurse should help relieve the discomfort of pain and burning during the infusion by
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slowing the infusion. pg. 212
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A client asks the nurse what cancer cell growth is called. What would the nurse tell the client?
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proliferation pg. 199
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The nurse should exercise caution when administering antimetabolites to a client with
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bone marrow suppression. pg. pp. 205-206.
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A nurse is administering an antineoplastic extravasation occurs. How can the nurse best prevent tissue damage caused by extravasation?
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Inspect the site frequently for redness or swelling pg. 212
