Check For Understanding :

1. Chemotherapy dosing is usually based on the total body surface. What should the nurse do
before administering chemotherapy?
a. Get the body mass index (BMI).
b. Ask the client about intake and output.
c. Weigh and measure the height of the patient on the day of administration.
d. Ask the client for the height and weight.
ANSWER: C
RATIO: Before giving chemotherapy, the nurse should weigh and measure the patient's height
on the day of administration. Dosing is often based on the total body surface (BSA), which
necessitates an exact current measurement of height and weight on the day of administration.
This is done to ensure that the client receives the best possible dosages of chemotherapy.

2. The nurse is caring for of a client who is receiving a chemotherapy. Which of the following
would be expected as a result of the massive cell destruction that occurred from the
chemotherapy?
a. Leukopenia.
b. Anemia.
c. Thrombocytopenia.
d. Hyperuricemia.
ANSWER: D
RATIO: A common adverse effect of chemotherapy for leukemias and lymphomas is
hyperuricemia, or a rise in uric acid levels. This is due to the tremendous cell loss caused by
chemotherapy.

3. Mitomycin (Mutamycin) is prescribed to a client with colorectal cancer. All of which are the
routes of administration, except?
a. Oral
b. Intravenous
c. Intravesical
d. Intraarterial
ANSWER: C
RATIO: Non-small cell lung cancer, as well as anal, bladder, breast, cervical, and head and neck
cancer, are all treated with the antitumor antibiotic mitomycin (Mutamycin), which can be
administered through Intravenous, intravesical and intraarterial.

4. The client with a testicular cancer is being treated with Etoposide (Etopophos). Which of the
following side effect is specifically associated with this medication?
a. Chest pain
b. Edema
c. Alopecia
d. Orthostatic hypotension
ANSWER: D
RATIO: Etoposide can be administered intravenously or orally. Hematotoxicity, nausea,
vomiting, baldness, and a lasting metallic taste are the main side effects of the oral version.
When given as an infusion, etoposide has the potential to cause orthostatic hypotension, pain and
burning at the injection site, and fever.

5. The clinic nurse provides instructions to a client receiving an antineoplastic medication. When
implementing the plan, the nurse tells the client to?
a. To drink beverages containing alcohol in moderate amount during the evening.
b. To avoid hot foods and high fiber rich foods.
c. To take acetylsalicylic acid as needed for headache.
d. To consult with health care providers before receiving immunization.
ANSWER: D
RATIO: As nurses, it's crucial to advise patients to consult with their doctors first before getting
vaccinated in order to guarantee that they receive the correct amount and to protect their safety if
they happen to have any allergies.

6. The nurse is providing teachings to a client receiving cyclophosphamide (Cytoxan). The nurse
tells the client to which of the following?
a. Eat foods rich in potassium.
b. Increase fluid intake to 2-3 liters per day.
c. Take the medication with food.
d. Eat foods rich in purine.
ANSWER: B
RATIO: Patients are advised that Cyclophosphamide should be taken exactly as prescribed.
Never take it in larger or less amounts or more frequently than directed by your doctor. Increase
your fluid intake to make sure the medication is eliminated through bodily fluids like urine, and
swallow the tablets whole rather than splitting, chewing, or crushing them.

7. The nurse is monitoring a patient receiving an Iv infusion of an antineoplastic medication.

During the infusion, the patient complains of pain and redness at the insertion site. The nurse
should take which actions? Select all that apply.
a. Reinsert the IV at a distal part of the same vein.
b. Increase the flow rate of the medication.
c. Notify the physician.
d. Apply a heat or ice compress to the site.
e. Administer an antidote as prescribed.
ANSWER: C, D, E
RATIO: Extravasation during the IV delivery of antineoplastic drug manifests as redness,
swelling, and a slower infusion; the infusion is halted, and the HCP is informed. An antidote may
be suggested for injection into the afflicted region in addition to providing heat or cold to the
affected area. The tissues might sustain more harm as the flow rate rises. Restarting an IV in the
same vein increases the risk of injury to the vein and site.

8. The nurse is caring for a client receiving chemotherapy when an anaphylactic reaction occurs
from the medication. The
nurse should take which actions? Select all that apply.
a. Stop the medication.
b. Remove the IV line.
c. Administer Oxygen.
d. Administer epinephrine.
e. Positioned the client in a reverse Trendelenburg position.
ANSWER: A, C, D
RATIO: If an anaphylactic response happens, the drug is stopped right away. While evaluating
the client's respiratory health, the nurse keeps an eye on their vital signs. The doctor is contacted
right away. and an emergency drug, like as epinephrine, is administered. It is not advisable to
remove the IV line since it provides the only access to emergency IV medications. In order to
improve breathing, the client must be elevated rather than lowered.

9. The nurse is caring for a client who is receiving Fluorouracil (Adrucil). Which of the
following symptoms would necessitate the nurse to immediate discontinuation of the
medication?
a. Palmar-plantar erythrodysesthesia.
b. Ataxia.
c. Constipation.
d. Insomnia.
ANSWER: B
RATIO: It is advised to keep an eye out for symptoms of ataxia, weakness, and dizziness when
using fluorouracil since these are indicators of brain dysfunction and should result in an urgent
discontinuation of the medicine in order to minimize the potential severity of the illness.

10. Nausea and vomiting are frequent adverse effects associated with antineoplastic therapy.
What should the nurse advise clients experiencing these unpleasant adverse effects?
a. Increase intake of dry or high-fiber foods, and foods that have a rough texture.
b. Consider relaxation techniques because these symptoms should improve over time.
c. Use antacids to relieve the irritation to the stomach, which should stop the nausea.
d. Try to maintain hydration and nutrition, which are very important during treatment.
ANSWER: D
RATIO: It's crucial to maintain diet and hydration when receiving antineoplastic medication.
Cancer patients who have the same side effects that cause malnutrition may also become
dehydrated. Vomiting and/or diarrhea raise the obvious issue of dehydration, but inadequate
eating and drinking can also be problematic.