NURS 6521 Week 9 QUESTION 1 1. Mr. Lepp is a 63-year-old man who was diagnosed with colon cancer several weeks ago and who is scheduled to begin chemotherapy. He reports to the nurse that he read about the need for erythropoietin in an online forum for cancer patients and wants to explore the use of epoetin alfa with his oncologist. Which of the following facts should underlie the nurse's response to Mr. Lepp? 2. A . Epoetin alfa is normally contraindicated in patients who are receiving radiotherapy or chemotherapy. B . Treatment with epoetin alfa will likely begin 4 to 6 days before Mr. Lepp's first round of chemotherapy and continue indefinitely. C . Mr. Lepp's oncologist should have begun treatment with epoetin alfa immediately after he was diagnosed. D . The potential benefits of epoetin alfa must be weighed carefully against the potential adverse effects in cancer patients. 1 points QUESTION 2 1. A 39-year-old woman is receiving doxorubicin for the treatment of cancer. After each treatment, the patient has acute nausea and vomiting accompanied by a slightly increased heart rate. The nurse will advise her to 2. A . take the drug only at bedtime. B . make an appointment for cardiac function tests. C . perform light exercise after administration of the drug. D . perform relaxation techniques after the treatments. 1 points QUESTION 3 1. A 67-year-old man who is being treated for prostate cancer is taking epoetin alfa. The nurse will instruct the patient to 2. A . begin taking a calcium channel blocker to treat hypertension, which usually develops as an adverse effect of epoetin alfa therapy. B . schedule an appointment to measure hemoglobin twice a week for at least 2 to 6 weeks. C . stop taking the drug after a 2-week period. D . schedule an appointment to check if the patient has a high WBC count. 1 points QUESTION 4
1. A nurse has been assigned to a 55-year-old woman who has a malignant brain tumor. The patient is receiving her first dose of carmustine. It will be critical for the nurse to observe for which of the following? 2. A . Reddish urine B . Respiratory difficulty C . Inability to drink fluids for 6 hours D . Nausea and vomiting 1 points QUESTION 5 1. A patient with chronic heart failure has begun treatment with epoetin alfa, which she will receive in her own home from a home health nurse. The nurse should teach the patient to supplement this treatment with a diet that is high in 2. A . protein and low in carbohydrates. B . complex carbohydrates and vegetable- source proteins. C . iron-rich foods such as beans and leafy green vegetables. D . calcium, such as dairy products, fish and vegetables. 1 points QUESTION 6 1. A 62-year-old patient taking tamoxifen exhibits increased bone and tumor pain along with a local disease flare. The nurse interprets this as an indication of which of the following?
You've reached the end of your free preview.
Want to read all 21 pages?
- Fall '13