NURS 6521N Week 9 Quiz : Advanced Pharmacology

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Question 1 A 45-year-old woman with acute leukemia is going to begin chemotherapy with vincristine. The nurse is aware that vincristine must always be administered A. at a rapid infusion rate. B.... at a slow infusion rate. C. through a central line. D. through an IV line primed with vincristine. 1 points Question 2 A 62-year-old patient taking tamoxifen exhibits increased bone and tumor pain along with a local disease flare. The nurse interprets this as an indication of which of the following? A. A hypersensitivity reaction B. Cardiomyopathy C. Nephrotoxic effects of tamoxifen D. The tumor responding to treatment 1 points Question 3 A middle-aged patient has received a diagnosis of GI stromal tumor following an extensive diagnostic workup. Imatinib has been recommended as a component of the patient's drug regimen. What patient education should the nurse provide to this patient? A. “If you experience significant nausea after taking a dose, stop taking the drug and schedule an appointment at the clinic.” B. “Try to keep your PICC line dressing as dry as possible at all times.” C. “It's important that you let us know if you develop any significant swelling or puffiness.” D. “You'll likely experience a lot of dry mouth while you're taking this drug, so it's helpful to chew ice chips.” 1 points Question 4 A nurse has completed a medication reconciliation of a patient who has been admitted following a motor vehicle accident. Among the many drugs that the patient has received in the previous year is rituximab. The nurse would be justified in suspecting the patient may have received treatment for which of the following diseases? A. Malignant melanoma B. Non-Hodgkin's lymphoma C. Nonsmall cell lung cancer D. Renal cell carcinoma 1 points Question 5 A nurse has been assigned to a 55-year-old woman who has a malignant brain tumor. The patient is receiving her first dose of carmustine. It will be critical for the nurse to observe for which of the following? A. Inability to drink fluids for 6 hours B. Nausea and vomiting C. Reddish urine D. Respiratory difficulty 1 points Question 6 A nurse is caring for a 64-year-old female patient who is receiving IV heparin and reports bleeding from her gums. The nurse checks the patient's laboratory test results and finds that shehas a very high aPTT. The nurse anticipates that which of the following drugs may be ordered? A. Alteplase B. Coumadin C. Ticlopidine D. Protamine sulfate 1 points Question 7 An older adult woman has been diagnosed with acute lymphoblastic leukemia (ALL) and her care team has identified potential benefits of imatinib. Which of the following characteristics ofthis patient's current health status may preclude the use of imatinib? A. The patient has type 2 diabetes mellitus that is controlled using diet and oral antihyperglycemics. B. The patient had a total knee arthroplasty several months earlier. C. The patient has chronic heart failure resulting in significant peripheral edema. D. The patient experienced a mild ischemic stroke several years ago and had transient ischemicattacks last year. 1 points Question 8 An oncology nurse is reviewing the pathophysiology of cancer and is discussing with a colleague the factors that contribute to the success or failure of a patient's chemotherapy. Which of the following cancerous cells is most susceptible to the effects of chemotherapeutic drugs? A. Cells that lack a blood supply B. Cells that lack contact inhibition C. Cells with a long generation time D. Cells that have a rapid mitotic rate 1 points Question 9 Mr. Lepp is a 63-year-old man who was diagnosed with colon cancer several weeks ago and who is scheduled to begin chemotherapy. He reports to the nurse that he read about the need for erythropoietin in an online forum for cancer patients and wants to explore the use of epoetin alfa with his oncologist. Which of the following facts should underlie the nurse's response to Mr. Lepp? A. Treatment with epoetin alfa will likely begin 4 to 6 days before Mr. Lepp's first round of chemotherapy and continue indefinitely. B. Mr. Lepp's oncologist should have begun treatment with epoetin alfa immediately after he was diagnosed. C. The potential benefits of epoetin alfa must be weighed carefully against the potential adverse effects in cancer patients. D. Epoetin alfa is normally contraindicated in patients who are receiving radiotherapy or chemotherapy. 1 points Question 10 A 28-year-old woman has completed rituximab therapy for an autoimmune disease. She tells the nurse that she and her husband would like to start a family. The nurse will advise her to A. pursue fertility testing. B. discontinue birth control, but avoid breast-feeding after the child is born. C. continue using birth control for at least 12 months. D. stop using birth control for the next several weeks. [Show More]

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