A patient is preparing to receive an autologous stem cell transplant.
Which type of access device will the patient most likely have placed?
a. peripheral IV catheter
b. peripherally inserted central catheter
c. apheresis catheter
d. midline catheter - ANSWERS-c. apheresis catheter
A patient receiving an autologous stem cell transplant will most likely
have an apheresis catheter inserted.
A 24-year-old patient who received carmustine as a child reports a
persistent cough and shortness of breath. The nurse understands that the
patient is at an increased risk for developing pulmonary: a. empyema
b. aspergillosis
c. emboli
d. fibrosis - ANSWERS-d. fibrosis
Nitrosoureas can cause pulmonary fibrosis.
Which medication in a patient's profile should be reported to the
physician before administering cyclophosphamide?
a. citalopram
b. allopurinol
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c. metoprolol
d. amitriptyline - ANSWERS-b. allopurinol
The concomitant use of allopurinol can increase the toxicity of the agent,
particularly bone marrow depression by decreasing renal excretion.
What is a primary goal of treatment for a patient with muscle-invasive
bladder cancer receiving radiation therapy?
a. prepare the body for chemotherapy
b. prevent further spread of disease to the brain
c. minimize the time to surgery
d. preserve the function of the bladder - ANSWERS-d. preserve the
function of the bladder
Radiotherapy for muscle-invasive bladder cancer can be used to preserve
the bladder and maximize quality of life, without compromising long-
term disease-specific survival.
The use of the spouse as a translator for a non-English speaking patient
is:
a. not recommended
b. used to increase patient comfort levels
c. allowed once the spouse passes a certification test
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d. permitted if a professional is not available - ANSWERS-a. not
recommended
Significant others are not recommended as translators because of role
conflicts or inability to communicate complex medical terminology.
When does a nadir typically occur after the completion of a
chemotherapy treatment cycle?
a. 3 weeks
b. 5 weeks
c. 10-14 days
d. 1-3 days - ANSWERS-c. 10-14 days
Nadir dates may vary, but most typically occur 10-14 days after a patient
received chemotherapy.
Which of the following has been attributed to foreign-born women with
breast cancer having a lower survival rate than women with breast
cancer who were born in the United States?
a. histologic grade of the tumor
b. access to mammography screening
c. country from where the women have immigrated
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d. differences in the treatment protocols - ANSWERS-b. access to
mammography screening
Patients from other countries may have more significant barriers to
obtaining recommended screenings and care, leading to diagnosis at
later stages and decreased survival.
An understanding of immunology is important when developing cancer
therapies because it:
a. predicts how well treatment will be tolerated
b. influences treatment choices to maintain bone marrow function
c. identifies how T cells, B cells, and natural killer cells work
d. explains how free radicals are eliminated from the body -
ANSWERS-c. identifies how T cells, B cells, and natural killer cells
work
The goals of research in immunology include the ability to understand
how the immune system cells work.
A patient with metastatic prostate cancer reports decreased urine output
and back pain. What is the nurse's next intervention?
a. refer to physical therapy for an evaluation
b. explain the common symptoms of prostate cancer
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