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7 Cards in this Set

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1. The granulocyte colony-stimulating factor (G-CSF), Neupogen, is administered to clients with severe neutropenia resulting from chemotherapy. Which nursing responsibilities are appropriate when administering this medication?

a. Waiting at least 24 hours after the last dose of chemotherapy to begin administration, and teaching the client that this agent may cause bone pain.

b. Mix with normal saline and administer it immediately upon receiving the physicians order.

c. Teach the client to report bone pain immediately, because it indicates the onset of an undesirable action.

d. Mix with normal saline and teach the client that he/she will need only one dose.
a. Waiting at least 24 hours after the last dose of chemotherapy to begin
2. Clients receiving chemotherapy are at great risk for bone marrow suppression. When WBC counts drop severely, clients are in danger of life-threatening infections. Which would be most important to teach these clients to protect them from infection?


a. Avoiding crowds and taking antipyretics such as Aspirin TID to avoid a fever.


b. Assessing their vital signs weekly and reporting a persistent fever of 102 degrees or greater.

c. Bathing daily and washing their hands frequently, especially after using the restroom or handling contaminated objects.

d. Interacting only with individuals who have recently been vaccinated with live or attenuated vaccines.



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c. Bathing daily and washing their hands frequently, especially after using the restroom or handling contaminated objects.
3. Tamoxifen is a selective estrogen receptor modulator (SERM), that may be given to reduce the risk of breast cancer in women at increased risk for breast cancer. Which is a common side-effect that the nurse needs to teach the client about when beginning to take this medication?

a. Constipation.

b. Hot flashes.

c. Nipple irritation.

d. Hypocalcemia.
b. Hot flashes.
4. Which are common sites for colon cancer metastases?

a. Urinary tract and liver.

b. Lungs and stomach.

c. Lungs and brain.

d. Rectum and kidneys.
a. Urinary tract and liver.
5. Which is appropriate to teach the client receiving chemotherapy for colon cancer?

a. Take aspirin prn for arthralgia and myalgia.

b. Rinse the mouth with an antibiotic solution to control mucositis.

c. Eat high-fiber foods such as rice and chicken to control constipation.

d. Notify his/her physician if two or more watery stools occur in 24 hours.
d. Notify his/her physician if two or more watery stools occur in 24 hours.
6. Which chemotherapy medication is likely to cause the most severe nausea and vomiting?

a. Cytoxan (Cyclophosphadmide).

b. Oncovin (Vincristine Sulfate).

c. Eulexin (Flutamide).

d. Platinol (Cisplatin).
d. Platinol (Cisplatin).
Which chemotherapy medication is called a mitotic inhibitor because it is cell-cycle specific for the M (Mitosis) phase of the cell-cycle?

a. 5-Fluorouracil (5-FU).

b. Velban (Vinblastine Sulfate).

c. Mustargen (Nitrogen Mustard).
d. Bleomycin Sulfate (Blenoxane).
b. Velban (Vinblastine Sulfate).