Chemotherapy Competency 3

10 Questions | Total Attempts: 96

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Chemotherapy Competency 3

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Questions and Answers
  • 1. 
    Palliative care is focused on the patient and family to:
    • A. 

      Preserve the patient's life based solely on clinical technology and scientific advances.

    • B. 

      Provide relief from suffering only during the last six months of life expectancy.

    • C. 

      Treat each patient uniformly to meet his or her needs, expectations, and cultural beliefs.

    • D. 

      Attend to the needs of those who love and care for the dying person.

  • 2. 
    A patient scheduled for chemotherapy complains of shortness of breath, fatigue, and facial swelling. Physical assessment reveals neck vein distention, edema of the hands, tachycardia, and cyanosis.  The nurse calls the physician and instructs the patient to
    • A. 

      Sit up and anticipates an order for a chest x-ray.

    • B. 

      Lie flat and prepares the patient for an echocardiogram.

    • C. 

      Lie flat and prepares the patient for a thoracostomy.

    • D. 

      Sit up and begins the chemotherapy infusion.

  • 3. 
    A 62 year-year-old patient with CD33-positive acute myeloid leukemia in first relapse presents with a left ejection fraction of 40%.  The nurse anticipates and order for.
    • A. 

      Gemtuzumab ozogamicin.

    • B. 

      All-trans retinoic acid.

    • C. 

      Cytarabine.

    • D. 

      Rituximab.

  • 4. 
    A patient with lymphoma reports numbness in the feet, weakness when ambulating, and dribbling urine.  The nurse suspects
    • A. 

      Type 1 diabetes

    • B. 

      Spinal cord compression.

    • C. 

      Peripheral neuropathy

    • D. 

      Hormonal disruption.

  • 5. 
    An abnormal finding on the third postoperative day following a bowel resection with a colostomy for colon cancer is:
    • A. 

      A dull, gray stoma.

    • B. 

      A moist, bright pink stoma.

    • C. 

      Slight bleeding from the stoma.

    • D. 

      Air in the ostomy appliance.

  • 6. 
    A patient has signed a consent form prior to beginning chemotherapy, and has questions regarding treatment.  The nurse;
    • A. 

      Addresses the patient's concerns prior to initiating treatment.

    • B. 

      Asks the healthcare provider to discuss the treatment with the patient..

    • C. 

      Ensures that the consent is signed and begins treatment.

    • D. 

      Begins administration while discussing the treatment with the patient.

  • 7. 
    A patient with acute lymphoid leukemia experiences hyperkalemia, hyperphosphatemia, and hypocalcemia within a week of initiating chemotherapy.  These symptoms are most likely indicative of:
    • A. 

      Disseminated intravascular coagulation.

    • B. 

      Syndrome of inappropriate antidiuretic hormaone.

    • C. 

      Septic shock

    • D. 

      Tumor lysis syndrome

  • 8. 
    A survivor of breast cancer tearfully states, "I knew lymphedema could happen, but I never thought it would happen to me."  The nurses priority intervention is to:
    • A. 

      Allow the patient to express her feelings.

    • B. 

      Assure the patient that the lymphedema will resolve quickly.

    • C. 

      Take a recent history to identify the cause of the lymphedema.

    • D. 

      Teach the patient ways to reduce the risk of recurrence of the lymphedema.

  • 9. 
    Initial treatment of a patient in early septic shock includes the administration of:
    • A. 

      Vasopressors.

    • B. 

      IV antibiotics.

    • C. 

      IV antfungals.

    • D. 

      High-dose corticosteroids.

  • 10. 
    Which of the following ethnic groups in the United States has the highest incidence and mortality for prostaqte cancer?
    • A. 

      Asian American

    • B. 

      African American

    • C. 

      Hispanic American

    • D. 

      Non-Hispanic Caucasian