B. The patient had a total knee arthroplasty several months earlier. C. The patient has chronic heart failure resulting in significant peripheral edema. D. The patient experienced a mild ischemic stroke several years ago and had transient ischemic attacks last year. 1 points Question 8 An oncology nurse is reviewing the pathophysiology of cancer and is discussing with a colleague the factors that contribute to the success or failure of a patient's chemotherapy. Which of the following cancerous cells is most susceptible to the effects of chemotherapeutic drugs? A. Cells that lack a blood supply B. Cells that lack contact inhibition
C. Cells with a long generation time D. Cells that have a rapid mitotic rate 1 points Question 9 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? A. Treatment with epoetin alfa will likely begin 4 to 6 days before Mr. Lepp's first round of chemotherapy and continue indefinitely. B. Mr. Lepp's oncologist should have begun treatment with epoetin alfa immediately after he was diagnosed. C. The potential benefits of epoetin alfa must be weighed carefully against the potential adverse effects in cancer patients. D. Epoetin alfa is normally contraindicated in patients who are receiving radiotherapy or chemotherapy. 1 points Question 10 A 28-year-old woman has completed rituximab therapy for an autoimmune disease. She tells the nurse that she and her husband would like to start a family. The nurse will advise her to A. pursue fertility testing. B. discontinue birth control, but avoid breast-feeding after the child is born. C. continue using birth control for at least 12 months. D. stop using birth control for the next several weeks.
1 points Question 11 Mr. Singh is a 66-year-old man who is receiving chemotherapy for the treatment of lung cancer that has metastasized to his liver. In an effort to prevent infection, Mr. Singh has been prescribed filgrastim (Neupogen). Which of the nurse's following assessment questions most directly addresses a common adverse effect of filgrastim? A. “Do you feel like you're having any pain in your bones?” B. “Have you had any shortness of breath lately?” C. “Are you experiencing any waves of cool, clammy skin?” D. “Have you noticed any bleeding in your gums or cheeks?” 1 points Question 12 A patient with chronic lymphocytic leukemia (CLL) will imminently begin a course of treatment with rituximab. In order to minimize the risk of adverse effects, what strategy for administration will be adopted?
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- Fall '13
- Chemotherapy, Rituximab, epoetin alfa