Question

36. A client is administered methotrexate for the treatment of severe rheumatoid arthritis. Administration of this drug should be performed with particular care because of the associated high risk of:

a. Intracapsular bleeding b. Thrombophlebitis c. Hepatotoxicity d. Myocardial infarction or CVA.

37. A client with a diagnosis of bladder cancer is started on a chemotherapeutic regimen that includes three agents. What is the rationale for using multiple antineoplastic agents?

a. The use of three agents decreases the development of cell resistance.

b. The use of three agents increases adherence to treatment.

c. The use of three agents increases the serum levels of one of the agents.

d. The use of three agents decreases the total adverse effects.

38. An oncology nurse is preparing to administer cytotoxic chemotherapy medications. Which measure best protects the nurse from harm related to the chemotherapy?

a. Wearing protective equipment

b. Performing thorough hand hygiene

c. Mixing medication in a 1000-mL bag

d. Administering medication intramuscularly whenever possible

39. A 50-year-old man has just been diagnosed with liver cancer, and the care team is finalizing the extensive chemotherapy regimen that will begin imminently. Administration of chemotherapeutic drugs is best achieved through which route?

a. An intramuscular depot

b. a peripheral IV in the no dominant forearm

c. peripheral intravenous acess in the antecubital fossa

d. a central venous catheter (CVC)

Answer 1

36. (B) thrombo phlebites

administration of meth trexate causes high risk in severe rheumatoid arthritis

37.A the use of the three agents decreases the development of cell resistance

treatment with three agents for bladder cancer to reduce further complication by using multiple anti neoplastic agents

38.( A)wearing protective equipment

Nursing staff administering cytotoxic medication are responsible for ensuring that all safety parameters and used to control risk in other way

PPE should be based on risk assessment ,nurse should be trained in the use of PPE it must be maintained and stored properly

39.( D )central venous catheter CVC To start immediately extensive chemotheraphy regimen .

chemo drugs are administered through venous routes it best way to administer by CVC to get immediate treatment