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5 Cards in this Set

  • Front
  • Back
When a patient is receiving cyclophosphamide (Cytoxan), he or she should be advised to drink plenty of water/fluids to prevent which condition?

Hemorrhagic cystitis
Patients receiving cyclophosphamide should drink at least 2 to 3 L of fluid before, during, and after administration to prevent hemorrhagic cystitis.
When assessing a patient for adverse effects related to cisplatin (Platinol), the nurse will monitor for which adverse effects? (Select all that apply.)

Nephrotoxicity
Peripheral neuropathy
Severe nausea/vomiting
Cisplatin is known to be ototoxic, nephrotoxic, neurotoxic, and emetogenic.
A major dose-limiting side effect of doxorubicin (Adriamycin) is

cardiomyopathy.
Patients receiving doxorubicin need to be monitored for cardiac toxicity. There is a lifetime limited dose that patients are allowed to receive to minimize the occurrence of cardiomyopathy.
Which laboratory result would cause the nurse to question administration of hydroxyurea (Hydrea)?

Thrombocyte count of 8000
Hydroxyurea causes bone marrow suppression, which is evidenced by a decrease in red blood cells, white blood cells, and platelets. A thrombocyte count of 8000 is significantly lower than normal. All the other options are within normal limits.
The nurse will suspect which type of cancer in a patient receiving tamoxifen (Soltamox)?

Breast cancer
Tamoxifen is an antiestrogen drug useful in treating malignancies that require estrogen for growth, such as breast cancer.