Advanced Oncology Certified Nurse Practitioner Flashcards

An important factor to keep in mind when the nurse administers a vesicant chemotherapeutic drug intravenously is to:

Answer: Stop the infusion if swelling is observed at the site

Extravasation may cause the area to swell, in which case the IV should be discontinued right away.

A patient is given a prescription for a chemotherapy drug that has been linked to baldness. The nurse intends to keep up the patient's self-esteem by?

Answer: Encourage the patient to purchase a wig or hat and wear it once hair loss begins

The patient is instructed to prepare with wigs, scarves, or hats and to expect hair loss.

"I don't think my husband cares about me anymore," an ovarian cancer patient confides to the nurse. When the husband was present, he once told the nurse, "He rarely visits me. I just can't stand to see my wife so sick. I never know what to say to her." In this case, the following nursing diagnostic is appropriate:

Answer: Interrupted family processes related to the effect of illness on family members

The results show that this diagnosis is most suitable because the patient's cancer diagnosis has distinct effects on the patient's family members.

The oral mucosa and tongue of a patient receiving head and neck radiation and systemic chemotherapy have ulcerations, and their saliva is thick and ropey. An effective teaching method the nurse can use with the patient is to?

Answer: Rinse the mouth before and after each meal and at bedtime with a saline solution

To lessen the discomfort and clean the sores, the patient should frequently rinse their mouth with a saline solution.

All of these symptoms are reported by a patient who is getting interleukin-2 (IL-2) therapy (Proleukin). Which one needs to be reported to the healthcare provider first?

Answer: Dyspnea

Dyspnea may be a sign of pulmonary edema and capillary leak syndrome, both of which need prompt medical attention.

When a patient with liver cancer who is receiving home care from family members says, "I have intense pain most of the time now," the nurse knows that her pain management education has been successful.

Answer: Takes opioids around the clock on a regular schedule and uses additional doses when breakthrough pain occurs

Analgesics for cancer pain should be given regularly with additional dosages as needed for pain flare-ups.

The adjuvant treatment for a patient with metastatic renal cell cancer is interleukin-2 (IL-2). The patient is informed by the nurse that the goal of this medication's therapy is to?

Answer: Enhance the patient's immunologic response to tumor cells

A T-lymphocyte produces IL-2, a naturally occurring protein that helps other white blood cells develop and operate more effectively. This treatment aims to improve the patient's immune system's capacity to control tumor cells.