A client hospitalized for chemotherapy has a hemoglobin of 6.1 mg/dL. What medication should the nurse prepare to administer?
a. Epoetin alfa (Epogen)
b. Filgrastim (Neupogen)
c. Mesna (Mesnex)
d. Oprelvekin (Neumega)
Question 2A client has a platelet count of 9800/mm3. What action by the nurse is most appropriate?
a. Assess the client for calf pain, warmth, and redness.
b. Instruct the client to call for help to get out of bed.
c. Obtain cultures as per the facility's standing policy.
d. Place the client on protective isolation precautions.
Question 3After receiving the hand-off report, which client should the oncology nurse see first?
a. Client who is afebrile with a heart rate of 108 beats/min
b. Older client on chemotherapy with mental status changes
c. Client who is neutropenic and in protective isolation
d. Client scheduled for radiation therapy today
Question 4The nurse working with oncology clients understands that which age-related change increases the older client's susceptibility to infection during chemotherapy?
a. Decreased immune function
b. Diminished nutritional stores
c. Existing cognitive deficits
d. Poor physical reserves
Question 5A client with cancer is admitted to a short-term rehabilitation facility. The nurse prepares to administer the client's oral chemotherapy medications. What action by the nurse is most appropriate?
a. Crush the medications if the client cannot swallow them.
b. Give one medication at a time with a full glass of water.
c. No special precautions are needed for these medications.
d. Wear personal protective equipment when handling the medications.
Question 6A client is receiving chemotherapy through a peripheral IV line. What action by the nurse is most important?
a. Assessing the IV site every hour
b. Educating the client on side effects
c. Monitoring the client for nausea
d. Providing warm packs for comfort
Question 7A client tells the oncology nurse about an upcoming vacation to the beach to celebrate completing radiation treatments for cancer. What response by the nurse is most appropriate?
a. Avoid getting salt water on the radiation site.
b. Do not expose the radiation area to direct sunlight.
c. Have a wonderful time and enjoy your vacation
d. Remember you should not drink alcohol for a year.
Question 8A client in the oncology clinic reports her family is frustrated at her ongoing fatigue 4 months after radiation therapy for breast cancer. What response by the nurse is most appropriate?
a. Are you getting adequate rest and sleep each day?
b. It is normal to be fatigued even for years afterward.
c. This is not normal and I'll let the provider know.
d. Try adding more vitamins B and C to your diet.
Question 9A new nurse has been assigned a client who is in the hospital to receive iodine-131 treatment. Which action by the nurse is best?
a. Ensure the client is placed in protective isolation.
b. Hand off a pregnant client to another nurse.
c. No special action is necessary to care for this client.
d. Read the policy on handling radioactive excreta.