Question 201 out of 1 pointsA nurse on an oncology unit is aware of the need to assess for adverse effects in patients who are being treated with rituximab. The risks of adverse effects are highest at what point during the course of treatment?Response Feedback:Infusion-related effects reportedly occur in 80% of patients within 30 minutes to 2 hours after beginning the first rituximab infusion. These exceed the incidence of adverse effects at other points in the course of treatment.Question 211 out of 1 pointsAn older adult woman has been diagnosed with acute lymphoblastic leukemia (ALL) and her care team has identified potential benefits of imatinib. Which of the following characteristics of this patient's current health status may preclude the use of imatinib?ResponseFeedback:Imatinib may be associated with edema. Patients should be weighed regularly and assessed for signs of fluid retention that could be severe. The risk of edema increases with higher doses of imatinib and age greater than 65 years. Previous strokes, orthopedic surgery, or well-controlled diabetes may not contraindicate the use of imatinib.Question 221 out of 1 pointsA 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 toResponseFeedback:The nurse should explain to the patient that many patients experience acute nausea and vomiting. The nurse should also explain that nonpharmacologic measures such as relaxation
techniques can sometimes help alleviate these symptoms. If thepatient does not know how to perform relaxation techniques, then the nurse should teach her. It is not necessary for the patient to make an appointment for cardiac function tests, because the nausea and vomiting are not related to cardiac function. Exercise will likely exacerbate the patient's symptoms.Question 231 out of 1 pointsA 28-year-old woman has completed rituximab therapy for an autoimmunedisease. She tells the nurse that she and her husband would like to start a family. The nurse will advise her toResponse Feedback:Rituximab is not recommended for use in pregnancy or when women are lactating. The patient should consequently be advised to continue using birth control for the duration of treatment.Question 241 out of 1 pointsA nurse is to use a single-dose 1 mL vial to administer 0.5 mL of epoetin alfa to a 39-year-old woman who is being treated for chemotherapy-induced anemia. Which of the following will the nurse do with the unused portion of the drug?ResponseFeedback:The single-dose 1-mL vial does not have preservatives. In order to prevent contamination, the nurse will discard the unused portion of the drug. A 2-mL vial does have preservatives and would be stored at 2°C to 8°C to be used again. The 2-mL vial should be discarded 21 days after initial entry to prevent use of a possibly contaminated product.
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- Fall '13
- Oncology, Chemotherapy, Leukemia, Rituximab, epoetin alfa , Nurs 6521 Diarrhea, It is Typically Self-limiting, , Nurse Educator