Ch. 46 Antineoplastic Drugs Part 2: Flashcards
A patient is receiving doxorubicin (Adriamycin) as part of treatment for ovarian cancer. Which nursing diagnosis is related to this antineoplastic drug?
Decreased cardiac output related to the adverse effect of cardiotoxicity
When giving cisplatin (Platinol-AQ), the nurse is aware that the major dose-limiting effect of this drug is which condition?
kidney damage
The nurse is teaching a class about the various chemotherapy drugs and explains that alkylating drugs are also called “cell cycle–nonspecific drugs” because they are
cytotoxic in any phase of the cell cycle
What is the nurse’s priority action if extravasation of an antineoplastic drug occurs during intravenous (IV) administration?
stop the infusion immediately, leave the IV catheter in place
A patient is receiving a third session of chemotherapy with daunorubicin (Cerubidine). The nurse will assess the patient for which signs of a potential severe toxic effect of this drug?
A weight gain of 2 pounds or more in 24 hours
When hanging a new infusion bag of a chemotherapy drug, the nurse accidentally spills a small amount of the solution onto the floor. Which action by the nurse is appropriate?
Use a spill kit to clean the area.
During therapy with the cytotoxic antibiotic bleomycin, the nurse will assess for a potentially serious adverse effect by monitoring which assessment finding?
respiratory function
Just before the second course of chemotherapy, the laboratory calls to report that the patient’s neutrophil count is 450 cells/mm3. The nurse expects that the oncologist will follow which course of treatment?
Chemotherapy will be withheld until the neutrophil count returns toward normal levels.
A female patient is receiving palliative therapy with androgen hormones as part of treatment for inoperable breast cancer. The nurse will discuss with the patient which potential body image changes that may occur as adverse effects?
hirsutism and acne
During chemotherapy, a patient develops severe diarrhea caused by a vasoactive intestinal peptide–secreting tumor (VIPoma). The nurse expects to administer which drug for this problem?
octreotide (Sandostatin)
The nurse is assessing a patient who is receiving chemotherapy with an alkylating drug. Which assessment findings would be considered indications of an oncologic emergency? (Select all that apply.)
Dry, “scratchy,” or “swollen” throat, White patches in the mouth or throat, Temperature of 100.7 F (38.2 C), Decreased urine output
When a patient is receiving cisplatin (Platinol-AQ) chemotherapy, the nurse will monitor for which adverse effects? (Select all that apply.)
tinnitus,hearing loss, elevated blood urea nitrogen and creatine levels, numbness or tingling in the extremities
