Question 1

A client with pancreatic cancer is receiving chemotherapy even though prognosis is grim.How does the nurse explain the rationale for this treatment? Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

Chemotherapy can reduce tumor size, alleviate pain, and potentially improve quality of life even if it does not cure the cancer.

Question 2

A client's dosage schedule includes chemotherapy for each of 5 days and then no chemotherapy for 5 days.The client says,"Why don't they just keep giving me the chemo? I want to kill this cancer and get on with my life." How should the nurse respond? Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

The nurse should explain that chemotherapy is given in cycles to allow normal cells to recover and to target cancer cells at different stages of their growth cycle.

Question 3

A client is prescribed methotrexate (Rheumatrex)for treatment of osteogenic sarcoma.The client says,"My friend took methotrexate,but she has never had cancer." How should the nurse respond to this statement? Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

Methotrexate is used to treat certain autoimmune disorders like rheumatoid arthritis, as well as cancers like osteogenic sarcoma.

Question 4

A nurse suspects that the IV line infusing vincristine (Oncovin)has infiltrated.The nurse discontinued the line.Which other actions are indicated? Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

Vincristine is a vesicant, and if infiltration occurs, warm compresses (D) are recommended to help disperse the drug. Hyaluronidase (B) can be injected to help with the absorption of the infiltrated drug.

Question 5

A client is diagnosed with a small lipoma on his arm and is being discharged from the clinic.The client says,"I have a tumor,but I am not being treated with anything.I don't understand." How should the nurse respond? Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

The nurse should explain to the client that lipomas are benign, grow slowly, do not metastasize, and are not cancerous. Therefore, they usually do not require any treatment. Option A and E are incorrect as they suggest to refer the client to other specialists, which is not necessary in this case.

Quiz 37: Drugs for Neoplasia

A client with pancreatic cancer is receiving chemotherapy even though prognosis is grim.How does the nurse explain the rationale for this treatment? Credit will be given only if all correct choices and no incorrect choices are selected.

A client is prescribed methotrexate (Rheumatrex) for treatment of osteogenic sarcoma.The client says,"My friend took methotrexate,but she has never had cancer." How should the nurse respond to this statement? Credit will be given only if all correct choices and no incorrect choices are selected.

A nurse suspects that the IV line infusing vincristine (Oncovin) has infiltrated.The nurse discontinued the line.Which other actions are indicated? Credit will be given only if all correct choices and no incorrect choices are selected.