Dif cognitive level applying application ref p 756

DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 756
TOP: NURSING PROCESS: Evaluation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
8.
Just before the second course of chemotherapy, the laboratory calls to report that the patient’s
neutrophil count is 450 cells/mm
3
. The nurse expects that the oncologist will follow which
course of treatment?
a. Chemotherapy will continue as scheduled.
b.
Chemotherapy will resume with a lowered dosage.
c. Chemotherapy will resume after a transfusion of neutrophils.
d.
Chemotherapy will be withheld until the neutrophil count returns toward normal
levels.
ANS: D
The normal range for neutrophils is above 1500 cells/mm
3
. If neutrophils are decreased to
levels of less than 500 cells/mm 3 (neutropenia), there is risk for severe infection.
Chemotherapy will be held until the count returns toward normal levels.
DIF: COGNITIVE LEVEL: Analyzing (Analysis) REF: p. 759
TOP: NURSING PROCESS: Evaluation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
9.
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?
Androgens used for cancer treatment, such as fluoxymesterone and testolactone, can cause
menstrual irregularities, virilization of female, gynecomastia, hirsutism, acne, anxiety,
headache, and nausea. The patient needs to be told of these effects before therapy begins. The
other options are incorrect.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 755
TOP: NURSING PROCESS: Planning

MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
10.
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) is used for the management of a cancer-related condition called
carcinoid crisis and treatment of the severe diarrhea caused by vasoactive intestinal peptide–
secreting tumors (VIPomas). The other options are incorrect.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 755
TOP: NURSING PROCESS: Planning
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
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