question

Which category of drugs is sometimes called the rubicins?

answer

Anthracycline drugs

question

For which clinical signs should the nurse monitor in a patient receiving busulfan? Select all that apply.

answer

cough, shortness of breath, abnormal breath sounds

question

For which potential adverse effect should the nurse monitor in a patient taking cisplatin?

answer

ototoxicity

question

Which adverse effects are expected in a patient using bleomycin? Select all that apply.

answer

Pneumonitis, Pulmonary Fibrosis

question

Which adverse effect is expected in a patient receiving busulfan?

answer

Pulmonary fibrosis

question

A patient on cisplatin develops pneumonia. Which drug would be added to the prescription to promote patient safety?

answer

Amoxicillin

question

A patient who is on doxorubicin gains 6 pounds in a week of treatment. What is the possible cause?

answer

Heart failure

question

Which drug, referred to as nitrogen mustard, was the first antineoplastic drug invented?

answer

Mechlorethamine

question

A patient who is on cisplatin reports hearing roaring sounds. What term does the nurse use to document this condition?

answer

ototoxcity

question

A patient is receiving chemotherapy. Which signs and symptoms should the nurse monitor to assess myelosuppression in the patient?

answer

Anemia, blood loss, and thrombocytopenia

question

Which process refers to the insertion of a drug molecule between the two strands of DNA molecule, blocking its transcription?

answer

Intercalation

question

A patient is on chemotherapy with alkylating agents. Following periodic lab work, the nurse instructs the patient to use a soft-bristled toothbrush and to avoid activities that may increase risk of injury. What could be the reason behind the nurse's instructions?

answer

The patient has developed thrombocytopenia.

question

Which drug acts an estrogen receptor modulator?

answer

Tamoxifen

question

Which instructions are included in the basic assessment of a cancer patient who is on antineoplastic drugs? Select all that apply

answer

Assess the patient's medication history. Analyze baseline neurologic functions. Order laboratory reports before starting the treatment.

question

Which miscellaneous antineoplastic medication is beneficial in treating chronic myeloid leukemia?

answer

Imatinib

question

The nurse advises a patient who is on cisplatin to avoid extreme cold conditions and cold objects. Which adverse effect is the nurse trying to prevent in the patient?

answer

Peripheral neuropathy

question

Which medication reduces the risk of renal toxicity associated with cisplatin?

answer

Amifostine

question

For which complications should the nurse monitor in a patient receiving bevacizumab? Select all that apply.

answer

Proteinuria, hypokalemia, hypertension

question

A patient on chemotherapy develops swollen joints and severe pain. Which diagnostic test would the provider likely order for the patient?

answer

Serum uric acid

question

Which adverse effect is associated with anastrozole?

answer

Vasodilation

question

The nurse will suspect which type of cancer in a patient receiving tamoxifen ?

answer

Breast cancer

question

Which side effects would the nurse expect in a patient receiving estramustine? Select all that apply.

answer

Edema, anorexia, leg crramps

question

A patient administered cisplatin during chemotherapy developed nephrotoxicity. Which actions should the nurse take before administering the drug?

answer

Hydrate the patient with intravenous fluids.

question

When providing education to a patient undergoing antineoplastic drug therapy, which signs and symptoms would the nurse teach the patient that indicate an oncologic emergency that requires immediate notification of the health care provider? Select all that apply.

answer

Blood in urine, bleeding gums, swollen tongue, new & persistent cough

question

The nurse is caring for a patient with cancer. On reviewing the patient's prescription, the nurse finds that the patient has been prescribed a cytotoxic antibiotic that causes pulmonary fibrosis. Which medication was prescribed for the patient?

answer

Bleomycin

question

A patient treated with phenytoin 300 mg tid developed adrenal corticoid cancer and was prescribed mitotane. The primary health care provider replaces phenytoin with levetiracetam. What is the reason for doing this?

answer

Mitotane reduces serum phenytoin concentrations.

question

The nurse is counseling a patient on antineoplastic drugs. Which instructions should the nurse emphasize during the session?

answer

Maintain hygienic conditions. Avoid spicy, irritating, or gas-forming foods. Perform self-assessment of blood pressure and pulse rate regularly.

question

Which drug is classified as an antineoplastic hormone?

answer

Estramustine

question

The nurse finds that a patient who had been administered carmustine intravenously (IV) has developed extravasation. Arrange the steps in the sequence that the nurse should follow to manage extravasation.

answer

-Stop the drug infusion immediately -Aspirate residual from the catheter -Infuse antidote after consulting guidelines -Rest the affected limb -Document the extravasation carefully

question

Which drug acts through intercalation and can cause pulmonary toxicity?

answer

Bleomycin

question

A patient who is on doxorubicin is prescribed dexrazoxane by the primary health care provider. What could be the rationale behind prescribing dexrazoxane?

answer

The drug protects the heart.

question

Which treatment is contraindicated in patients undergoing radiation therapy?

answer

Administering cyclophosphamide

question

On which interventions should the nurse focus for patients who have thrombocytopenia and are administered alkylating agents? Select all that apply.

answer

Prevent infection. Monitor urinary patterns. Prevent injuries or blood loss.

question

Which antineoplastic drug works by inhibiting the action of the enzyme Bcr-abl tyrosine kinase and is used in the treatment of chronic myeloid leukemia?

answer

Imatinib

question

Which antineoplastic drug class is effective for the treatment of both solid and hematologic malignancies?

answer

Alkylating agents

question

A patient who was intravenously administered a cytotoxic antibiotic complains of a burning sensation and pain at the site of infusion. The nurse observes swelling at the site and immediately administers cryotherapy to the patient. The condition of the patient gradually improves. Which drug was responsible for the complications?

answer

Doxorubicin

question

A patient is administered antineoplastic agents. The primary health care provider prescribes allopurinol to the patient after referring to the patient's blood reports. What could the reports have indicated?

answer

Increased uric acid levels

question

A patient who is on bleomycin has a history of emphysema. Which laboratory test should be prescribed to ensure patient safety?

answer

Pulmonary function test

question

The nurse administered carmustine intravenously to a patient, which caused extravasation. Which antidote should the nurse use to prevent tissue damage in the patient?

answer

Sodium Bicarbonate

Pharmacology EAQ Chapter 46 – Flashcards

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