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Question 1

When monitoring a patient’s response to interferon therapy, the nurse notes that the major dose-limiting factor for interferon therapy is which condition?

Answer 1

Fatigue

Question 2

A patient asks about his cancer treatment with monoclonal antibodies. The nurse tells him that which is the major advantage of treating certain cancers with monoclonal antibodies?

Answer 2

Monoclonal antibodies target certain tumor cells and bypass normal cells.

Question 3

During a patient’s therapy with interleukins, the nurse monitors the patient for capillary leak syndrome. Which assessment finding, if present, would indicate this problem?

Answer 3

A sudden, 15-pound weight gain

Question 4

A patient who has received chemotherapy has a critically low platelet count. The nurse expects which drug or drug class to be used to stimulate platelet cell production?

Answer 4

Oprelvekin (Neumega)

Question 5

A patient who has received chemotherapy has a steadily decreasing white blood cell count. The chemotherapy will end on Tuesday afternoon. The oncologist has mentioned that a colony-stimulating factor will be started soon. The nurse knows that the appropriate time to start this medication is when?

Answer 5

Wednesday afternoon, 24 hours after the chemotherapy ends

Question 6

A patient has an order for the monoclonal antibody adalimumab (Humira). The nurse notes that the patient does not have a history of cancer. What is another possible reason for administering this drug?

Answer 6

Rheumatoid arthritis

Question 7

During interleukin drug therapy, a patient is showing signs of severe fluid retention, with increasing dyspnea and severe peripheral edema. The next dose of the interleukin is due now. Which action will the nurse take next?

Answer 7

Hold the drug, and notify the prescriber.

Question 8

The nurse is administering an interferon and will implement which intervention?

Answer 8

Rotating sites if administered subcutaneously

Question 9

Abatacept (Orencia) is prescribed for a patient with severe rheumatoid arthritis. The nurse checks the patient’s medical history, knowing that this medication would need to be used cautiously if which condition is present?

Answer 9

Chronic obstructive pulmonary disease

Question 10

Aldesleukin [IL-2] (Proleukin) is prescribed for a patient. The nurse reviews the patient’s medication list and would note a potential drug interaction if which drug class is also ordered?

Answer 10

Antihypertensive drugs

Question 11

During therapy with hematopoietic drugs, the nurse will monitor the patient for which adverse effects? (Select all that apply.)

Answer 11

Edema
Diarrhea

Nausea and vomiting
Headache