C H A P T E R 1 4
 Antineoplastic agents
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7.
It is important to explain to women that
chemotherapeutic agents should not be used during
pregnancy because:
a.
the tendency to cause nausea and vomiting will
be increased.
b.
of potential serious adverse effects on the rapidly
multiplying cells of the fetus.
c.
bone marrow toxicity could alter hormone levels.
d.
people may be weakened by the drug regimen.
8.
Cancer drugs are given in combination and over a
period of time because it is difficult to affect:
a.
slowly growing cells.
b.
cells in the dormant phase of the cell cycle.
c.
cells that multiply rapidly and go through the cell
cycle quickly.
d.
cells that have moved from their normal site in
the body.
MULTIPLE RESPONSE
Select all that apply.
1.
Which of the following points would be most
important to stress when developing a teaching plan
for a person receiving antineoplastic therapy?
a.
The importance of keeping the head covered at
extremes of temperature.
b.
The need to use barrier contraceptives because of
the risk of serious fetal effects.
c.
The importance of avoiding exposure to infection
because the ability to heal or to fight infection is
impaired.
d.
The importance of avoiding food if nausea or
vomiting is a problem.
e.
The importance of avoiding digging in the dirt
without protective coverings because of the many
pathogens that live in the dirt that could cause
infection.
f.
The importance of taking periodic rest periods
during the day because you will feel tired when
your red blood cell count falls.
2.
Hair loss, or alopecia, is an adverse effect of many
antineoplastic agents. If a person is receiving a drug
that usually causes alopecia, it is important that the
care provider do which of the following?
a.
Warn the person that alopecia will occur.
b.
Encourage the person to arrange for an
appropriate head covering at extremes of
temperature.
c.
Advise the person to lie with the legs elevated
and head low to promote circulation and prevent
hair loss.
d.
Encourage the person to arrange for a wig or
other head covering before the hair loss occurs.
e.
Advise the person that people will stare and can
be rude when hair loss occurs.
f.
Make arrangements for the person to attend a
support group before hair loss happens.
