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FSCJ 1460C EXAM 2: MODULE 3 & MODULE 4 QUESTIONS AND ANSWERS 2024
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FSCJ 1460C EXAM 2: MODULE 3 & MODULE 4 QUESTIONS AND ANSWERS 2024
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FSCJ 1460C EXAM 2: MODULE 3 &MODULE 4
A patient undergoing chemotherapy for breast cancer asks why she is not
receiving trastuzumab like her sister. Which response by the nurse is correct?
a. Your breast cancer cells are estrogen-receptor positive, and targeted therapy is
not needed.
b. You are much older than your sister and would not tolerate the treatment well.
c. The drug is expensive, and your insurance does not cover it.
d. Your cancer cells do not have the target for trastuzumab. - ANSWERS-d. Your
cancer cells do not have the target for trastuzumab.
Which instruction is important for the nurse to include when teaching a patient
about imatinib therapy?
a. Do not drink grapefruit juice while taking this drug.
b. Go immediately to the emergency department if you develop a headache.
c. This drug will only work for about 2 months.
d. Be sure to take this drug on an empty stomach. - ANSWERS-a. Do not drink
grapefruit juice while taking this drug.
Which patient problem is a priority for patients receiving epidermal growth factor
receptor inhibitors?
,a. Potential for decreased clotting related to bone marrow suppression and
neutropenia
b. Potential for tissue injury related to skin side effects
c. Potential for injury related to reduced platelet activity
d. Disturbed self-concept related to alopecia - ANSWERS-b. Potential for tissue
injury related to skin side effects
Which class of targeted therapy would cause the nurse the most concern in
regard to a possible infusion reaction?
a. Tyrosine kinase inhibitors
b. Multikinase inhibitors
c. Monoclonal antibodies
d. Proteasome inhibitors - ANSWERS-c. Monoclonal antibodies
A patient taking sunitinib reports that the skin on the hands and feet is red,
painful, and has some blisters. Which action is appropriate for the nurse to take?
a. The only action needed is to document the finding because this is a mild side
effect.
b. Advise the patient to wear gloves and mittens when going outdoors in cold
weather.
c. Advise the patient to avoid getting hands wet and touching food.
d. Notify the oncologist to determine whether a dosage reduction is needed. -
ANSWERS-d. Notify the oncologist to determine whether a dosage reduction is
needed.
,Which action is most important for the nurse to teach a patient who is taking
tositumomab?
a. Avoid drinking alcohol for 1 week after receiving this drug.
b. Avoid smoking cigarettes for the entire treatment period.
c. Use a separate bathroom and sit while urinating for 1 week after receiving this
drug.
d. Be sure to take this drug on an empty stomach, either 1 hour before or 2 hours
after eating. - ANSWERS-c. Use a separate bathroom and sit while urinating for 1
week after receiving this drug.
Which activity has a higher priority for the nurse to advise the patient to avoid
while taking ixazomib?
a. Drinking alcoholic beverages
b. Taking aspirin or aspirin-containing drugs
c. Socializing in crowds or with persons who are ill
d. Taking the drug 1 hour before or 2 hours after food - ANSWERS-d. Taking the
drug 1 hour before or 2 hours after food
A patient receiving a targeted therapy asks the nurse why St. John's wort must be
avoided. Which response by the nurse is most appropriate?
a. This herbal drug increases blood levels of most targeted therapies and
increases the risk for severe side effects or adverse reactions.
b. This herbal drug decreases blood levels of most targeted therapies and reduces
their effectiveness.
, c. Targeted therapies increase blood levels of St. John's wort, increasing the risk of
an overdose of this herbal agent.
d. Targeted therapies bind with St. John's wort in the intestinal tract, preventing
absorption of both the drug and the herbal agent. - ANSWERS-b. This herbal drug
decreases blood levels of most targeted therapies and reduces their effectiveness.
A patient taking imatinib voices concern about gaining 5 pounds in the past week.
Which statement is correct about imatinib and weight gain?
a. Weight gain is an expected side effect of this drug because it increases the
appetite.
b. Weight gain is an indication of slow metabolism and possible hypothyroidism.
c. Weight gain is an indication of water retention and possible renal impairment.
d. Weight gain is an indication of a drug interaction between imatinib and loop
diuretics. - ANSWERS-c. Weight gain is an indication of water retention and
possible renal impairment.
A patient is to receive a chemotherapy protocol that includes an alkylating agent,
an antimetabolite, and an antitumor antibiotic. What is the nurse's best response
when the patient asks the nurse why so much chemotherapy is needed?
a. Combination of chemotherapeutic drugs works in the S phase to kill cells.
b. Combination chemotherapy increases the extent of tumor cell killing.
c. Combination chemotherapy uses drugs that work the same way.
d. Combination chemotherapy has no dose-limiting toxicities. - ANSWERS-b.
Combination chemotherapy increases the extent of tumor cell killing.
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