Nokea
A client visits the health care facility for information on cancer. The client asks the nurse if regular consumption of green tea can cause harm. Which of the following should the nurse inform the client as possible effects of green tea?
- A. Dental caries
- B. Damage to heart
- C. Insomnia
- D. Damage to liver
Correct Answer: C
Rationale: The nurse should inform the client that green tea can cause insomnia because it contains caffeine. Green tea is known to improve dental health and maintain health of the heart and liver.
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After administering an antineoplastic drug, the nurse bases the ongoing assessment on which of the following factors?
- A. Client's general condition
- B. Client's individual response to the drug
- C. Adverse reactions that may occur
- D. Guidelines established by the oncology physician or clinic
- E. Results of periodic laboratory tests and radiographic scans
Correct Answer: A,B,C,D,E
Rationale: After the administration of an antineoplastic drug, the nurse bases the ongoing assessment on the following factors, client's general condition, client's individual response to the drug, adverse reactions that may occur, guidelines established by the oncology physician or clinic, and results of periodic laboratory tests and radiographic scans.
A client is receiving an alkylating agent. Which of the following would be used?
- A. Bleomycin (Blenoxane)
- B. Chlorambucil (Leukeran)
- C. Vinblastine (Velban)
- D. Cyclophosphamide (Cytoxan)
- E. Ifosfamide (Ifex)
Correct Answer: B,D,E
Rationale: Alkylating agents make the cell a more alkaline environment, leading to cell damage. Alkylating agents include chlorambucil (Gliadel), cyclophosphamide (Cytoxan), and ifosfamide (Ifex). Bleomycin is classified as an antineoplastic antibiotic. Vinblastine is a plant alkaloid.
The nurse is providing care to a client with anorexia due to antineoplastic therapy. The nurse identifies a nursing diagnosis of Imbalanced Nutrition: Less Than Body Requirements. Which of the following would be least appropriate for the nurse to include in the client's plan of care?
- A. Offering fatty foods to stimulate the taste buds
- B. Providing small, frequent meals
- C. Avoiding exposure to unpleasant smells
- D. Providing foods that are high in protein
Correct Answer: A
Rationale: Greasy or fatty foods and unpleasant sights, smells, and tastes should be avoided. Small, frequent meals and foods that are high in protein are appropriate.
A nurse is caring for a client being treated with antineoplastic drugs. The client is at risk for thrombocytopenia due to bone marrow suppression. The nurse would assess the client for which of the following?
- A. Bloody urine
- B. Concentrated urine
- C. Frequent micturition
- D. Pain on urination
Correct Answer: A
Rationale: The nurse should monitor for bloody urine in a client at risk for thrombocytopenia due to bone marrow suppression. Concentrated urine, frequent micturition, or pain on urination is not indicative of thrombocytopenia.
If the nurse has to clean up a spill of antineoplastic drug, which of the following personal protective equipment should be worn?
- A. Gloyes
- B. Safety goggles
- C. Gown
- D. Chemical spill boots
- E. NIOSH-approved respirator
Correct Answer: A,B,C,E
Rationale: A nurse should wear a gown, safety goggles, gloves, and a NIOSH-approved respirator when cleaning up a spill of an antineoplastic drug.