week 15 Flashcards
the nurse anticipate a patient with low platelets will be prescribed what drug to stimulate platelet production?
a. epoetin
b. oprelvekin
oprelvekin
a patient prescribed monoclonal antibody therapy for the treatment of RA. what patient condition would alert the nurse to question the prescription for this class of drugs?
a. AIDS
b. COPD
c. nephrotic syndrome
AIDS
what are the functionalk cells of the humoral immune system that mature into immunoglobins?
a. granulocytes
b. b cells
c. t cells
b cells
what is the mechanism of action of biologic response-modifying drugs? (SABA)
a. regulation of gene expression that occurs during transcription
b. enhancement of restoration of the host’s immune system defense against a tumor
c. direct toxic effect on the tumor cell, causing them to rupture
d. adverse modification of a tumors biology
- enhancement of restoration of the host’s immune system defense against a tumor
- direct toxic effect on the tumor cell, causing them to rupture
- adverse modification of a tumors biology
what cells are activated by aldesleukin, interleukin-2?
a. neutrophile
b. RBC
c. t cells
t cells
the nurse would teach the patient about what expected adverse effects of filgrastem?
a. bone pain
b. constipation
c. insomia
bone pain
what patient finding would indicate nurse needs to hold the prescribed dose of filgrastim and notify the doctor?
a. absolute neutrophils count of 12000
b. blood pressure 142/88
c. temperature 99.5 fehreinheir
absolute neutrophils count of 12000
when a patient is receiving cyclophosphamide the nurse would advise the patient to drink plenty of fluids to prevent what condition?
a. renal failure
b. hemorrhagic crisis
hemorrhagic crisis
what is considered a major dose-limiting adverse effect of doxorubicin?
a. cardiomyopathy
b. hepatoxicity
cardiomyopathy
the nurse would question a prescription of hydroxyurea for a patient with what laboratory results?
a. serum creatine of 1.1
b. platelet count of 800
c. WBC of 8000
platelet count of 800
- normal range is 150000 - 4000000
when a patient is receiving tamoxifen the nurse would suspect what type of cancer diagnosis?
a. renal
b. lung
c. breast
breast
the nurse is discussing the use of alkylating drugs with a patient. what is the appropriate way for the nurse to describe the action of alkylating drugs on cancer cells?
a. they stop the meiosis of cell division and reproduction
b. they alter the chemical structure of the deoxyribonucleic acid
c. they interact within the cell through intercalation
they alter the chemical structure of the deoxyribonucleic acid
when a patient is receiving cisplatin the nurse will monitor the patient for what possible sever adverse effects? (SABA)
a. nephrotoxicity
b. peripheral neuropathy
c. ototoxicity
d. nausea and vomiting
e. pulmonary toxicity
- nephrotoxicity
- peripheral neuropathy
- ototoxicity
- nausea and vomiting
what are the known sever adverse effect of alkylating agents? (SABA)
a. boen marrow suppression
b. ototoxicity
c. nephrotoxicity
d. neurotoxicity
e. cardiooxticity
- bone marrow suppression
- ototoxicity
- nephrotoxicity
- neurotoxicity
what are the possible severe adverse effects specific to the cytotoxic antibodies? (SABA)
a. pneumonitis
b. liver toxicity
c. neurotoxicity
d. cardiovascular toxicity
e. nephrotoxicity
- pneumonitis
- liver toxicity
- cardiovascular toxicity
- nephrotoxicity
when providing education a patient undergoing antineoplastic drug therapy, the nurse instruct the patient to immediately notify the health care provider for what signs and symptoms? (SABA)
a. nerve and persistent cough
b. swollen tongue
c. blood in urine
d. bleeding gums
e. trouble sleepin
- nerve and persistent cough
- swollen tongue
- blood in the urine
- bleeding gums
