401 - Exam 2 Study Set Problems Already Solved To Pass.
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Course
NURS 401
Institution
NURS 401
Which class of medications treats chemotherapy-induced nausea and vomiting?
a. Diuretics
b. Corticosteroids
c. Bisphosphonates
d. Serotonin antagonists - Answer d. Serotonin antagonists
Bisphosphates are used to prevent loss of bone density and prevent osteoporosis.
What oncologic em...
401 - Exam 2 Study Set Problems
Already Solved To Pass.
Which class of medications treats chemotherapy-induced nausea and vomiting?
a. Diuretics
b. Corticosteroids
c. Bisphosphonates
d. Serotonin antagonists - Answer d. Serotonin antagonists
Bisphosphates are used to prevent loss of bone density and prevent osteoporosis.
What oncologic emergency is a positive sign of the effectiveness of chemotherapy?
a. Hypercalcemia
b. Tumor lysis syndrome
c. Spinal cord compression
d. SVC syndrome - Answer b. tumor lysis syndrome
Characterized by rapid destruction of a large number of cells. Purines and potassium are released into
circulation.
Hypercalcemia occurs in oncological patients with bone metastasis.
Spinal cord compression from tumor invasion. SVC from blood clot or tumor.
Which treatment would be provided to a patient with spinal cord compression to rearrange the body
tissue?
a. Surgery
,b. Everolimus
c. Epoetin alfa
d. Parenteral fluid - Answer a. surgery
to remove pressure on the spinal cord.
Everolimus is an oral chemotherapy for advanced renal cell carcinoma.
Epoetin alfa is for anemia. Parenteral fluid is for tumor lysis syndrome.
Which assessment finding would the nurse expect when caring for a patient with spinal cord
compression (SCC)? SATA
a. Back pain
b. Incontinence
c. Muscle weakness
d. decreased sensation
e. Absent deep tendon reflexes - Answer a. back pain
b. incontinence
c. muscle weakness
d. decreased sensation
e. absent deep tendon reflexes
initially will report back pain. Once worsens the patient may have urinary incontinence, muscle
weakness, decreased sensation and absent deep tendon reflexes.
A patient presents to the ED with the syndrome of inappropriate antidiuretic hormone (SIADH) because
of breast cancer metastasis to the brain. Which finding would the nurse expect in the laboratory results?
SATA
a. Hyperkalemia
,b. Hyponatremia
c. Hypercalcemia
d. Hyperuricemia
e. Hypophosphatemia - Answer b. hyponatremia
SIADH causes fluid retention because of the effects on the posterior pituitary gland. Hyponatremia will
occur because of the excess fluid.
Hyperkalemia, hyperuricemia and hyperphosphatemia occurs with tumor lysis syndrome.
Multiple myeloma results in hypercalcemia.
Which occurrence is an early manifestation of superior vena cava syndrome in a patient with cancer?
a. cyanosis
b. Hemorrhage
c. Hypotension
d. Facial edema - Answer d. Facial edema
the blood from the cranial and neck and UE is obstructed by the tumor in the vessel, causing congestion.
Cyanosis, hemorrhage, hypotension are later stages.
Which drug classification is used for the treatment of cancer-induced spinal cord compression?
a. Diuretics
b. corticosteroids
c. bisphosphates
d. Xanthine oxidase inhibitor - Answer b. corticosteroids
, help treat edema and blood congestion.
xanthine oxidase inhibitors are used to promote purine excretion in tumor lysis syndrome.
Which complication may occur as a result of bacterial sepsis in a patient with cancer?
a. pneumonia
b. gynecomastia
c. somnolence syndrome
d. Disseminated intravascular coagulation - Answer d. Disseminated intravascular coagulation
sepsis releases endotoxins, which may result in this for those with cancer. This impairs the blood clotting
process.
Radiation can cause pneumonia and somnolence syndrome.
antiandrogen drugs can cause gyno.
Which treatment strategy increases the risk for developing tumor lysis syndrome?
a. chemotherapy
b. antibiotic therapy
c. antiemetic therapy
d. Benzodiazepine therapy - Answer a. chemotherapy
Antiemetic interfere with contraceptive action.
Benzodiazepines produce amnesia.
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