1. Your friend Reanna asks you about cancer prevention methods that go beyond lifestyle changes. You inform her about Gardasil and Cervarix, which protect against infection by 2 high-risk types of human papillomavirus (HPV). What percentage of cervical cancers, worldwide, are associated with these 2 types of HPV.
  2. Your best friend is diagnosed with lymphoma and asks you about what she's read about the side effects of treatments particularly gastrointestinal effects and hair loss. You explain to her that many drugs used in the treatment of cancer have effects on the gastrointestinal system and hair because they are especially toxic to cells that are
    Rapidly proliferating
  3. A maximum lifetime dose has been established for this antitumor antibiotic given for breast cancer due to cardiotoxicity
    Doxorubicin (Adriamycin)
  4. Precautions that should be taken while caring for patients receiving cytotoxic drugs include
    Persons who are pregnant, breastfeeding, or actively trying to conceive should not care for patients receiving cytotoxic drugs
  5. Side effects associated with monoclonal antibodies may be avoided by
    Pre medication with acetaminophen, diphenhydramine, or meperidine
  6. Darian is being treated for lymphoma and invariably experiences nausea and vomiting from his chemotherapy. What medication might be useful in minimizing these side effects?
  7. Patient education for families of patients undergoing cancer treatments should
    Include the importance of aseptic technique and good oral hygiene
  8. Important responsibilities of the health care workers involved in the administration of antineoplastic agents include
    Checking intravenous sites with great care to ensure antineoplastic agents do not infiltrate, causing extreme tissue damage and necrosis
  9. The administration of chemotherapy includes
    Frequently modifying an individualizing treatment according to the patient's response
  10. Macy's chemotherapy has left her so anemic and prone to infections that treatment must be temporarily halted. What type of drug might Macy be prescribed to help her body produce bone marrow stem cells that divide and develop into red and white blood cells, and platelets
    Colony-stimulating factor
  11. Rylie is an oncology nurse who is trying to conceive a baby. Is it safe for her to administer cytotoxic chemotherapy?
    No. Women who are pregnant, breastfeeding or actively trying to conceive a child should not care for patients receiving cytotoxic drugs
  12. Health care workers should observe what type of precautions while caring for patients receiving radioactive isotopes
    Additional care to prevent contact with any of the patient's body fluids as well as special handling of linens to protect the health care worker
  13. Bone marrow suppression is a side effect that may result from several types of chemotherapy agents. Which of the following is not an indicator of bone marrow suppression?
  14. Side effects associated with interferons may include
    All of the above (flu-like symptoms, depression and GI symptoms)
  15. Chemotherapy agents may cause a suppression in bone marrow, resulting in
    All of the above(thrombocytopenia, leukopenia, pancytopenia and anemia)
  16. Which diuretics interact with nonsteroidal Anti-inflammatory agents increasing the risk of renal insufficiency
  17. Which side effect is more likely the result from the use of a potassium-sparing diuretic
  18. Patient education for treatment with uricosuric agents, such as probenecid, should include
    Avoid use of aspirin-containing products
  19. Cautions are contradictions for both loop diuretics and thiazide diuretics are similar, and include all of the following except
  20. Antiandrogens treat benign hypertrophy by
    Blocking alpha-1 receptors found in smooth muscle in the bladder neck and prostate, causing them to relax
  21. Patient education for treatment with antispasmodics should include
    Use caution when driving or operating machinery
  22. Patient education for treatment with phenazopyridine (Pyridium) should include
    Your urine and tears may change color to Orange-red, staining clothing and contact lenses
  23. Patient education for treatment with a nonuricosuric agent, such as allopurinol (Zyloprim), should include
    Avoid alcohol
  24. The actions of a cholinergic drug on the bladder would be useful for
    Stimulation of parasympathetic nerves to bring out contraction of the urinary bladder in nonobstructive urinary retention
  25. Your friend is wondering why his grandfather has recently been put on diuretics. You explain that diuretics are typically given to
    Reduce circulating fluid volume to help treat edema and hypertension
  26. Patient education for treatment with thiazide diuretics, such as hydrochlorothiazide, should include
    Take with food
  27. Alpha-blockers treat benign prostatic hypertrophy by
    Causing relaxation of the bladder neck and prostate
  28. Extreme caution is indicated when this diuretic class is used in patients with heart failure or active intracranial bleeding
    Osmotic agents
  29. Earl is unable to tolerate his medication for chronic gout and is switch to a xanthine oxidase inhibitor. How do Xanthine oxidase inhibitors act?
    By decreasing serum and urinary levels of uric acid
  30. The treatment of choice for constipation in a nursing mother with heart failure would be
    Stool softener
  31. Contraindications of antiemetics include
    Pregnancy and lactation, seizure disorders, and cardiac arrhythmia
  32. Side effects of antiulcer agents can include
    Diarrhea, dizziness, rash, headache, mild gynecomastia and mental confusion
  33. Treatment is preferred over prevention in the treatment of nausea, vomiting, or motion sickness to avoid using unnecessary medications
  34. Which side effects are most commonly associated with cathartics and laxative preparations
    Occasional mild, transitory GI cramping or rash
  35. Patients taken antidiarrheal agents should be instructed regarding
    Bismuth subsalicylates may cause ringing in the ears
  36. Drugs that act by partially neutralizing gastric hydrochloric acid are
    Antacid preparations
  37. Antidiarrheal agents are contraindicated in which of the following situations?
    Concomitant use with Warfarin or C-diff associated with antibiotics
  38. Bulk-forming laxatives such as psyllium, cellulose derivatives, polycarbophil and bran are the treatment of choice for
    Simple constipation unrelieved by natural methods
  39. Acute abdominal pain, partial bowel obstruction, dysphasia, or esophageal obstruction are precautions or contraindications for bulk-forming laxatives
  40. Emollient preparations are not appropriate in which situations?
    Bedridden, debilitated, pregnant, or geriatric patients
  41. Bismuth subsalicylate has anti-infective properties as well as antisecretory properties in treating diarrhea.
  42. Drugs that act by reducing gastric acid secretion are
    Antiulcer preparations
  43. Of the laxatives, which one is specifically for opiate-induced constipation
    Naloxegol (Movantik)
  44. Stimulant laxatives are the treatment of choice for
    Conditions in which rapid, thorough emptying of the bowel is required
  45. Relevant education for a patient receiving ulcer therapy may include
    Take your antacid at least 2 hours before or after other drugs
  46. Which of the following is the treatment of choice for constipation in pregnant or nursing women?
    Stool softeners
  47. Microzide (HCTZ)
  48. Lasix (furosemide)
    Loop diuretics
  49. Aldactone (spironolactone)
    Potassium-sparing diuretics
  50. Osmitrol (mannitol)
    Osmotic agents
  51. Prophylaxis of calculus formation in those with hypercalciuria
  52. Pulmonary edema
    Loop diuretics
  53. Patients with cirrhosis
    Potassium-sparing diuretics
  54. Reduce intracranial or intracular pressure
    Osmotic agents
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