A 35-year-old client has been receiving chemotherapy to treat cancer. Which assessment finding suggests that the client has developed stomatitis (inflammation of the mouth)? A. Rust-colored sputum B. Red, open sores on the oral mucosa C. Yellow tooth discoloration D. White, cottage cheese–like patches on the tongue … Read More »
Cytarabine (Ara-C) is an antimetabolite that can cause a common cytarabine syndrome which includes the following, except: A. Fever B. Myalgia C. Chest pain D. Red-orange urine Correct Answer: D. Red-orange urine Option D: Cytarabine syndrome which occurs about 6 to 12 hours after taking cytarabine. It… Read More »
Which of the following is the reason to perform a spinal tap on a client newly diagnosed with leukemia? A. To assess for central nervous system infiltration B. To aid in classification of the leukemia C. To rule out meningitis D. To decrease intracranial pressure Correct Answer:… Read More »
During chemotherapy, an oncology client has a nursing diagnosis of impaired oral mucous membrane related to decreased nutrition and immunosuppression secondary to the cytotoxic effects of chemotherapy. Which nursing intervention is most likely to decrease the pain of stomatitis? A. Monitoring the client’s platelet and leukocyte counts B. Checking regularly for signs and… Read More »
To provide relief from the cytarabine syndrome, which drug is given? A. Dexamethasone B. Allopurinol C. Alka Seltzer D. Aspirin Correct Answer: A. Dexamethasone Option A: Steroids such as dexamethasone may be prescribed to promote relief from cytarabine syndrome. Option B: Allopurinol is given for hyperuricemia that… Read More »
Joseph who had a history of long-term smoking and alcoholism is diagnosed with oropharyngeal cancer. He is admitted into the chemo unit for the initiation of chemotherapy. Which of the following tests is performed before the infusion of chemotherapeutic agents? A. Complete blood count (CBC) B. Peripheral blood smear C. Lumbar puncture… Read More »
What should a male client over age 52 do to help ensure early identification of prostate cancer? A. Have a transrectal ultrasound every 5 years B. Perform monthly testicular self-examinations, especially after age 50 C. Have a digital rectal examination and prostate-specific antigen (PSA) test done yearly D. Have a complete… Read More »
Chemotherapeutic agents have different specific classifications. The following medications are antineoplastic antibiotics except: A. Adriamycin (doxorubicin)B. Adrucil (fluorouracil) B. Adrucil (fluorouracil) C. Novantrone (mitoxantrone) D. Blenoxane (bleomycin) Correct Answer: B. Adrucil (fluorouracil) Option B: Adrucil (fluorouracil) is an antimetabolite. Antimetabolites work by acting as false metabolites that… Read More »
Maria was recently diagnosed with Hodgkin’s lymphoma. Upon the early diagnosis, the nurse will expect which of the following areas is often involved? A. Chest B. Neck C. Groin D. Pelvis Correct Answer: B. Neck Option B: A common early sign of Hodgkin lymphoma is swelling in… Read More »
A pneumonectomy is a surgical procedure sometimes indicated for treatment of non-small-cell lung cancer. A pneumonectomy involves removal of: A. One lobe of a lung B. An entire lung field C. One or more segments of a lung lobe D. A small, wedge-shaped lung surface Correct Answer:… Read More »