NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+, Exams of Nursing

Download NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ and more Exams Nursing in PDF only on Docsity! NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ A Medullary bone pain . B Fluid retention/weight gain . C Atrial arrhythmia . D Papilledema . QUESTION 2 1.A patient has been scheduled to begin treatment with rituximab for non-Hodgkin's lymphoma. The nurse who will administer this drug should understand that it targets NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ 1 points QUESTION 1 1.A nurse is discussing oprelvekin therapy with a male patient. Which of the following will the nurse tell the patient is the most common adverse of . treatment D Oral administration of imatinib in a home setting . 1 points QUESTION 4 1.A female patient is prescribed oprelvekin therapy to treat thrombocytopenia. Which of the following should the nurse continuously monitor to determine the efficacy and duration of the oprelvekin therapy? NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ 10 days . C Daily intramuscular injections throughout the course NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ 1 points QUESTION 5 1.A nurse has been assigned to a female patient who is to begin chemotherapy. NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ A Weight gain . B Red and white blood cell . count C Cardiac arrhythmias . D Platelet count . The nurs A 6 days after chemotherapy. . B 6 to 24 hours after chemotherapy. . C 2 days after chemotherapy. . D 10 days after chemotherapy. . 1 points QUESTION 8 1.A nurse on an oncology unit is aware of the need to assess for adverse effects NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ . trash can in the patient's room. C Encourage patients who have been receiving chemotherapy to use a bedside . commode rather than a toilet. D Prime the IV tubing with an approved IV solution rather than with the drug . itself. in patien A At each point that the dosage of rituximab is increased . B After 6 to 8 weeks of treatment at the maximum dose . C Shortly after the initiation of the first infusion of . rituximab D 48 to 72 hours after the first dose has been administered NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ . 1 points 1 points QUESTION 10 1.A 60-year-old patient experienced a sudden onset of chest pain and shortness NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ QUESTION 9 1.A patient with a recent diagnosis of chronic myelogenous leukemia (CML) is discussing t A The patient's bone marrow function is significantly depressed. . B The patient has had a history of nonadherence to medical treatment. . C The patient has decreased renal function. . D The patient has a diagnosis of type 2 diabetes and takes oral antihyperglycemics. . of breath 1 points NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ C By inhibiting the action of vitamin K at its sites of action . D By inhibiting platelet aggregation on vessel walls and promoting fibrinolysis . QUESTION 11 1.Mr. Singh is a 66-year-old man who is receiving chemotherapy for the treatment of lung A “Do you feel like you're having any pain in your . bones?” B “Have you had any shortness of breath lately?” . C “Are you experiencing any waves of cool, clammy skin?” . D “Have you noticed any bleeding in your gums or cheeks?” . 1 points 1 points QUESTION 13 1.A nurse is caring for a patient with cancer who has been prescribed dronabinol A Renal cell carcinoma . B Nonsmall cell lung cancer . C Malignant melanoma . D Non-Hodgkin's . lymphoma A cocaine. NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ QUESTION 12 1.A nurse has completed a medication reconciliation of a patient who has been admitted f (Marinol . B methamphetamine. NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ . NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ C Ticlopidine . 1 points 1 points NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ D Alteplase . QUESTION 17 1.A female patient has follicular non-Hodgkin's lymphoma and is receiving thalidomide (T A Bleeding . B Fever . C Chills and rigors . D Angina . QUESTION 18 1.When planning care for a patient who is receiving filgrastim (Neupogen) for a nonmyelo A The patient will not experience bone pain. 1 points NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ . B The patient will be able to self-administer filgrastim at . home. C The patient will not retain fluid. . D The patient will not develop an infection. . E The patient will not develop febrile neutropenia. . QUESTION 19 1.A male patient is receiving rituximab therapy for non-Hodgkin's lymphoma. Which of th A Ensure that the patient maintains a normal breathing pattern. . B Ensure that the patient maintains a normal fluid and electrolyte . balance. C Monitor the patient for deterioration in renal function. . NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ D Consult the prescriber for an increase in dosage 1 points 1 points QUESTION 24 1.A nurse has been assigned to a 55-year-old woman who has a malignant brain NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ . QUESTION 23 1.A 28-year-old woman has completed rituximab therapy for an autoimmune disease. She A discontinue birth control, but avoid breast- feeding after the child is born. . B pursue fertility testing. . C continue using birth control for at least 12 months. . D stop using birth control for the next several weeks. . tumor. T A Inability to drink fluids for 6 hours NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ . 1 points 1 points NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ QUESTION 26 1. Intravenous carmustine has been prescribed for a patient with cancer. The nurse shou A administering a dose of 2 units of bleomycin before . carmustine. B decreasing the total volume of the primary IV infusion. . C slowing the infusion. . D decreasing the volume used for dilution. . QUESTION 27 1.Mr. Lepp is a 63-year-old man who was diagnosed with colon cancer several weeks ago A The potential benefits of epoetin alfa must be weighed carefully against the . potential adverse effects in cancer patients. NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ B Treatment with epoetin alfa will likely begin 4 to 6 days before Mr. Lepp's first 1 points NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ . round of chemotherapy and continue indefinitely. C Epoetin alfa is normally contraindicated in patients who are receiving radiotherapy . or chemotherapy. D Mr. Lepp's oncologist should have begun treatment with epoetin alfa immediately . after he was diagnosed. QUESTION 28 1.An oncology nurse is reviewing the pathophysiology of cancer and is discussing with a c A Cells that have a rapid mitotic . rate B Cells that lack a blood supply . C Cells with a long generation time . D Cells that lack contact inhibition . 1 points 1 points NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ . C the drug therapy is proving to be ineffective. . D the therapeutic effect of the drug is fully evident. . QUESTION 31 1.A nurse is assessing a patient who has chronic lymphoblastic myelogenous leukemia. T A Leukopenia . B Hypoglycemia . C Diabetes mellitus . D Hypertension . QUESTION 32 1. A nurse has administered filgrastim to a diverse group of patients in recent months. Which of the following patients should the nurse observe for extremely elevated white blood cell counts NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ A A 47-year-old male with aplastic anemia . B A 19-year-old male receiving radiotherapy . C A 25-year-old female with a diagnosis of congenital neutropenia . D A 39-year-old female with a nonmyeloid malignancy . 1 points QUESTION 33 1. A patient has completed 4 weeks of treatment with epoetin alfa. Which of the following assessment findings would most strongly indicate that treatment has been effective? A Capillary refill in the patient's nail beds is NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ less than or equal to 3 seconds . • Question 1 1 out of 1 points NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ A A 20-year-old female . B A 62-year-old male with cancer . C A 30-year-old pregnant woman . D A 40-year-old male with a high w . A nurse is discussing oprelvekin therapy with a male patient. Which of the following will the nurse tell the patient is the most common adverse effect of the drug? Respo ns e Feedb ac k: Fluid retention with weight gain is the most common adverse effect of oprelvekin. Medullary bone pain (pain within the marrow) is the only consistently observed adverse effect associated with filgrastim. NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ • Questtaiokne2oprelvekin. Atrial arrhythmia is not 1 out of 1 points P a p i l l e d e m a i s a n a d v e r s e e ffect that is only occasionally reported in older adults who • Question 3 1 out of 1 points NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ ass ociated with this drug. A patient has been scheduled to begin treatment with rituximab for non-Hodgkin's lymphoma. The nurse who will administer this drug should understand that it targets Respo ns e Feedb ac k: Rituximab is a type of monoclonal antibody that binds specifically to the CD20 antigen found on the surface of normal and malignant B lymphocytes and causes cell lysis. The drug does not target the complement system, plasma cell DNA, or the cell membrane of malignant cells. A patient with a diagnosis of chronic myeloid leukemia has met with her oncologist, who has recommended treatment with the kinase NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ therapy. The therapy should be continued until the postnadir platelet count is at least 50,000 cells/mm 3. The oprelvekin therapy is effective • Quesitfiotnhe5 platelet count rises to a normal range without severe bleeding. Fluid retention1 ,out of 1 points weight gain, and arrhythmias are major adverse effects of oprelvekin therapy and would not be a measure of the efficacy and duration of the therapy. A nurse has been assigned to a female patient who is to begin chemotherapy. The nurse will initiate the prescribed oprelvekin therapy Respo ns e Feedb ac k: Administration of oprelvekin should begin 6 to 24 hours after the end of chemotherapy. Oprelvekin should be NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ d i s c o n t i n u e d a t l e a s t 2 d a y s before the next chemotherapy session begins. NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ • Question 6 1 out of 1 points • Question 7 1 out of 1 points NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ A middle-aged patient has received a diagnosis of GI stromal tumor following an extensive diagnostic workup. Imatinib has been recommended as a component of the patient's drug regimen. What patient education should the nurse provide to this patient? Respo ns e Feedb ac k: Patients must understand the importance of reporting edema of weight gain while taking imatinib. The patient will not likely have a PICC line. Nausea and dry mouth are not common adverse effects and the patient should not unilaterally st p taking the drug. An oncology nurse is aware of the risks for injury that exist around the preparation, NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ Respo ns e Feedb ac k: Infusion-related effects reportedly occur in 80% of patients within 30 minutes to 2 hours after beginning the first rituximab infusion. These NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ • Questoiothne9r points in the course of treatment. 1 out of 1 points NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ exceed the incidence of adverse effects at A patient with a recent diagnosis of chronic myelogenous leukemia (CML) is discussing treatment options with his care team. What aspect of the patient's condition would contraindicate the use of cyclophosphamide for the treatment of leukemia? Respo ns e Feedb ac k: Patients with severely compromised bone marrow functions cannot tolerate treatment with cyclophosphamide. Diabetes, impaired renal function, and previous nonadherence to treatment must be addressed when planning the patient's care, but these factors do not necessarily contraindicate the use of cyclophosphamide. NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ • Question 10 1 out of 1 points A 60-year-old patient experienced a sudden onset of NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ • Question 12 1 out of 1 points NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ Respo ns e Feedb ac k: Medullary bone pain is a consistently observed adverse effect that can be attributed to drug therapy with filgrastim; it is mild to moderate in severity and is reported in 56% of patients taking the drug. Shortness of breath, mucosal bleeding, and cool, clammy skin are not adverse effects typical of filgrastim. A nurse has completed a medication reconciliation of a patient who has been admitted following a motor vehicle accident. Among the many drugs that the patient has received in the previous year is rituximab. The nurse would be justified in suspecting the patient may have received treatment for which of the following diseases? NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ • Question 13 1 out of 1 points NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ Respo ns e Feedb ac k: Rituximab has historically been used to treat CD20-positive B-cell malignancies such as B- cell leukemias, chronic lymphocytic leukemia, non-Hodgkin's lymphoma, and some multiple myeloma. It is not normally used to treat malignant melanoma, lung cancer, or kidney cancer. A patient has completed 4 weeks of treatment with epoetin alfa. Which of the following assessment findings would most strongly indicate that treatment has been effective? Respo ns e Feedb ac k: The most clinically significant indicator of the effectiveness of treatment with EPO is the patient's hemoglobin level. Respiratory status, peripheral circulation, and leukocyte levels are NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ rel eva nt to the pat ien t's ove rall hea lth sta tus , but the se do not dir ect ly sug ges t the success of failure of EPO treatment. NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ I f a p a t i e n t w h o r e c e i v e s I V heparin is found to be highly anticoagulated, protamine sulfate may be prescribed. Protamine sulfate, which is a strong base, reacts with heparin, NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ wh i ch is a str o ng NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ • Quesstuiolnfa1t7e does not produce the same effects for 1 out of 1 points • Question 18 1 out of 1 points NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ acid, to form a stable salt, thereby neutralizing the anticoagulant effects of heparin. Protamine coumadin, alteplase, or ticlopidine. A female patient has follicular non-Hodgkin's lymphoma and is receiving thalidomide (Thalomid). It will be most important for the nurse to monitor this patient for which of the following? Respo ns e Feedb ac k: Common adverse effects of thalidomide include thrombotic problems, drowsiness, photosensitivity, and peripheral neuropathies. Chills, rigors, fever, and angina are not associated with the use of this drug. NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ syndrome? Respo ns e Feedback: NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ • Question 20 0 out of 1 points NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ Ens u ring that the pati e nt mai n tain s a nor mal fluid and electrolyte balance is critical to maintaining a consistent drug dilution in the body and therefore limiting the risk of cytotoxicity and tumor lysis syndrome. Ensuring that the patient maintains a normal breathing pattern, is protected from exposure to infections, and does not develop renal impairment are also important nursing responsibilities; however, they do not help to significantly reduce the risk for cytotoxicity and tumor lysis syndrome. A patient receiving high-dose cisplatin therapy exhibits symptoms of hypomagnesemia. Which of the following should the nurse suggest to help offset the magnesium losses from the cisplatin therapy? NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ • Question 21 the patient's magnesium levels. The inc1idouetnocf e1 points NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ Respo ns e Feedb ac k: Patients with hypomagnesemia, or low magnesium levels, should increase their dietary intake of magnesium. Dark chocolate is high in magnesium and will help offset losses from the cisplatin therapy. Calcium and magnesium compete to gain entrance into the intestines, so calcium-rich foods should be limited. Consumption of potassium-rich fo ds would have no effect on of hemorrhagic cystitis can be reduced by a vigorous hydration regimen of at least 2 to 3 liters of fluid a day, but this would not help control symptoms of hypomagnesemia. An older adult woman has been diagnosed with acute lymphoblastic leukemia (ALL) and her care NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ i n d i c a t e s t h a t t h e patient has developed thromboc ytopenia. I n c r e asing the dosage or continuing the therapy with a decreased dosage is not NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ • Question 23 1 out of 1 points • Question 24 1 out of 1 points NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ appr opriate. A 28-year-old woman has completed rituximab therapy for an autoimmune disease. She tells the nurse that she and her husband would like to start a family. The nurse will advise her to Respo ns e Feedb ac k: 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. A nurse has been assigned to a 55-year-old woman who has a malignant brain tumor. The patient is receiving her first dose of carmustine. It will be critical for the nurse to NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ observe for which of the following? Response Respiratory difficulty can indicate a hypersensitivity reaction or • Question 26 1 out of 1 points • Question 27 1 out of 1 points NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ Intravenous carmustine has been prescribed for a patient with cancer. The nurse should help relieve the discomfort of pain and burning during the infusion by Respo ns e Feedb ac k: The nurse can relieve the discomfort of infusion by slowing the infusion, increasing the volume used for dilution, and increasing the total volume of the primary IV infusion. Giving 2 units of bleomycin before administering carmustine would not help relieve discomfort. Mr. Lepp is a 63-year-old man who was diagnosed with colon cancer several weeks ago and who is scheduled to begin chemotherapy. He reports to the nurse that he NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ read about the need for erythropoietin in an online forum for cancer patients and wants to explore the use of epoetin alfa with his oncologist. Which of the NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ • Question 28 1 out of 1 points NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ following facts should underlie the nurse's response to Mr. Lepp? Respo ns e Feedb ac k: In patients with cancer, epoetin alfa should only be used when anemia is due to concomitant myelosuppressive chemotherapy and should be discontinued when the chemotherapy course is completed. The use of epoetin alfa during cancer may shorten survival and/or increase the risk of tumor progression or recurrence. Patients with cancer are also at risk for serious cardiovascular and thrombovascular events. Consequently, the benefits of treatment must be considered in light of these potentially adverse effects. An oncology nurse is reviewing the pathophysiology of cancer and is discussing with a colleague the factors that contribute to NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ Feedback : NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ • Question 30 1 out of 1 points NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ The nurs e sho ul d expl a in to the pati e nt that man y pati e nts experience acute nausea and vomiting. The nurse should also explain that nonpharmacologic measures such as relaxation techniques can sometimes help alleviate these symptoms. If the patient 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. A female patient is taking filgrastim (Neupogen) to decrease the incidence of infection. The nurse notices a small increase in the neutrophil count 2 days after starting NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ therapy. The nurse's evaluation of the increase is that Respo ns e Feedback: NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ patients should the nurse observe for extremely elevated white blood cell counts following administration of the drug? NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ • Question 33 1 out of 1 points NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ Respo ns e Feedb ac k: Patients who receive cytotoxic chemotherapy or radiotherapy or suffer from myeloid malignancies need cautious administration of filgrastim. When the drug is administered from 24 hours prior to 24 hours after cytotoxic chemotherapy, extremely elevated white blood cell counts have been known to occur. In myeloid malignancies, myeloid cells may be sensitive to filgrastim, leading to severe adverse effects. Filgrastim is used to treat congenital, cyclic, or idiopathic neutropenia, nonmyeloid malignancies, aplastic anemia, and HIV infection. However, these conditions are not associated with the high increase of white blood cell count from filgrastim therapy. A nurse is caring for a patient with cancer NURS6521 WEEK 9 Quiz & ANS 100% CORRECTLY/VERIFIED ANSWERS 2022/2023 RATED A+ who has been prescribed dronabinol (Marinol) to help reduce nausea and vomiting from chemotherapy. The nurse will inform the patient that he or she is taking an oral form of