Pharmacotherapeutics

Nursing

Quiz 19 :

Cancer Therapy

Quiz 19 :

Cancer Therapy

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A provider orders tamoxifen for a premenopausal woman with ER-positive breast cancer. What rationale supports the provider's decision to prescribe tamoxifen over anastrozole?
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Answer:

D

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A provider considers cancer prophylaxis with tamoxifen for a 45-year-old patient with a family history of breast cancer. According to her health history, she had one child at age 35 and developed deep vein thrombosis (DVT) during the pregnancy. She has not had a hysterectomy. What information from the patient's history informs the provider's decision regarding tamoxifen?
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Answer:

B

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The provider can prescribe a monoclonal antibody medication for the patient with which condition?
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Answer:

C

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A patient with cancer uses a fentanyl transdermal patch for pain relief. The patient reports having three or four episodes of severe pain lasting 30 minutes most days. What action will the provider take to address the patient's pain? .
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A provider considers prescribing cancer prophylaxis with tamoxifen for a 43-year-old patient with a strong family history of breast cancer. Which assessment finding will the prescriber view as a possible contraindication?
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A patient with advanced renal carcinoma is prescribed aldesleukin as part of the treatment regimen. What adverse effect of this drug will be a concern for the provider?
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A provider teaches a patient about a vesicant chemotherapeutic agent. Which statement by the patient indicates a need for further teaching about this type of drug?
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A patient with cancer has taken oxycodone and a nonsteroidal anti-inflammatory drug (NSAID) for a year. At a follow-up visit, the patient reports an increase in pain intensity with a new "burning and shooting" pain. What prescription will the provider write to address the patient's current pain?
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Which statement correctly informs a provider's decision regarding whether to order an antiestrogen drug or an aromatase inhibitor for treatment of breast cancer.
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Which conditions may be treated with monoclonal antibody (mAb) therapy? (Select all that apply.)
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A patient newly diagnosed with cancer reports having pain at a level of 7 to 8 on a scale of 10. Which type of pain management will be prescribed initially by the provider to manage this patient's pain?
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A patient with cancer who has been taking an opioid analgesic reports new onset pain at a new location even though the previous pain is well controlled. What will the provider suspect is the cause of this latest report of pain?
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A patient reports "burning and shooting" foot pain alternating with sensations of numbness. Which medication will the provider discuss with the patient?
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A patient who takes hydrocodone and ibuprofen for cancer pain is admitted to the hospital for chemotherapy. What action will the prescriber take regarding the prescribed ibuprofen.
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A patient asks why a combination product containing an opioid analgesic and a nonsteroidal antiinflammatory drug (NSAID) has been prescribed to manage cancer pain. Which response will the provider give the patient?
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Oxycodone is ordered every 4 to 6 hours PRN for a patient newly diagnosed with cancer who is admitted to the hospital. The patient requests pain medication whenever reporting pain as a 7 or 8 on a scale of 1 to 10 (10 being the worst pain), but then tells the nurse the medication is not working well. What action will the provider take when learning of this situation?
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A patient diagnosed with C. difficile infection is considered a high risk for recurrence. Which medication will the provider prescribed?
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