N316b- Oncology/heme Exam Questions
and Answers 100% Pass
Which nursing care will be included for a client who is receiving
doxorubicin for acute myelogenous leukemia?
Increasing citrus foods
Providing frequent oral hygiene
Encouraging activity
Administering medications parenterally -
CORRECT ANSWER: Stomatitis and hyperuricemia are possible
complications of therapy; therefore oral care and hydration are
important. A cidic foods such as citrus foods and fluids will cause pain
for clients with stomatitis. Rest, not increased activity, is important for
increased fatigability. Abnormal bleeding is a common problem; thus
injections (administering medications parenterally) are contraindicated.
,QUESTION: 133) Which intervention would the nurse take to improve
nutrition after identifying that a client receiving chemotherapy has lost
weight? Select all that apply. One, some, or all responses may be .
Provide low-carbohydrate meals.
Decrease fluid intake at mealtime.
Encourage the intake of preferred foods.
Promote the intake of small, frequent meals
Administer prescribed antiemetics before meals -
CORRECT ANSWER: -Encourage the intake of preferred foods.
-Promote the intake of small, frequent meals
-Administer prescribed antiemetics before meals
Rationale
,Selecting preferred foods increases the likelihood of the client eating the
food. Small, frequent feedings are better tolerated than large meals.
Antiemetics should be administered prophylactically to decrease nausea
and enhance appetite. The diet should provide maximum protein and
carbohydrates to meet demands related to restoration of body cells and
energy. Decreasing fluid intake may have deleterious effects.
QUESTION: Which statement by a client with metastatic melanoma
who is being treated with interferon gamma 1b indicates that teaching
was understood?
"I will increase my fluid intake to several liters (quarts) every day."
"I need to discard any reconstituted solution at the end of the week."
"I can continue driving my car as before as long as I have the stamina."
"I should be able to continue my usual activity while taking this
medication." -
CORRECT ANSWER: "I will increase my fluid intake to several liters
(quarts) every day."
, Rationale
Increasing fluid intake to several liters (quarts) every day helps flush the
kidneys and prevent nephrotoxicity, especially during the early phase of
treatment. Reconstituted solution can be stored in the refrigerator for 1
month. Confusion, dizziness, and hallucinations are adverse effects of
this medication; the client should avoid hazardous tasks, such as driving
or using machinery. Activity may have to be altered because fatigue and
other flu-like symptoms are common with this medication.
QUESTION: Which information will the nurse share about alopecia
characteristics to a client who is to receive chemotherapy after surgery
for cancer?
Usually rare
Not permanent
Frequently prolonged
and Answers 100% Pass
Which nursing care will be included for a client who is receiving
doxorubicin for acute myelogenous leukemia?
Increasing citrus foods
Providing frequent oral hygiene
Encouraging activity
Administering medications parenterally -
CORRECT ANSWER: Stomatitis and hyperuricemia are possible
complications of therapy; therefore oral care and hydration are
important. A cidic foods such as citrus foods and fluids will cause pain
for clients with stomatitis. Rest, not increased activity, is important for
increased fatigability. Abnormal bleeding is a common problem; thus
injections (administering medications parenterally) are contraindicated.
,QUESTION: 133) Which intervention would the nurse take to improve
nutrition after identifying that a client receiving chemotherapy has lost
weight? Select all that apply. One, some, or all responses may be .
Provide low-carbohydrate meals.
Decrease fluid intake at mealtime.
Encourage the intake of preferred foods.
Promote the intake of small, frequent meals
Administer prescribed antiemetics before meals -
CORRECT ANSWER: -Encourage the intake of preferred foods.
-Promote the intake of small, frequent meals
-Administer prescribed antiemetics before meals
Rationale
,Selecting preferred foods increases the likelihood of the client eating the
food. Small, frequent feedings are better tolerated than large meals.
Antiemetics should be administered prophylactically to decrease nausea
and enhance appetite. The diet should provide maximum protein and
carbohydrates to meet demands related to restoration of body cells and
energy. Decreasing fluid intake may have deleterious effects.
QUESTION: Which statement by a client with metastatic melanoma
who is being treated with interferon gamma 1b indicates that teaching
was understood?
"I will increase my fluid intake to several liters (quarts) every day."
"I need to discard any reconstituted solution at the end of the week."
"I can continue driving my car as before as long as I have the stamina."
"I should be able to continue my usual activity while taking this
medication." -
CORRECT ANSWER: "I will increase my fluid intake to several liters
(quarts) every day."
, Rationale
Increasing fluid intake to several liters (quarts) every day helps flush the
kidneys and prevent nephrotoxicity, especially during the early phase of
treatment. Reconstituted solution can be stored in the refrigerator for 1
month. Confusion, dizziness, and hallucinations are adverse effects of
this medication; the client should avoid hazardous tasks, such as driving
or using machinery. Activity may have to be altered because fatigue and
other flu-like symptoms are common with this medication.
QUESTION: Which information will the nurse share about alopecia
characteristics to a client who is to receive chemotherapy after surgery
for cancer?
Usually rare
Not permanent
Frequently prolonged
