A nurse is educating a client who has prostate cancer and is receiving salvage chemotherapy after failure of previous treatments. The nurse should inform the client that salvage chemotherapy:
Is given to prevent relapse or progression of the disease.
Is given to control advanced or refractory disease.
Is given to induce remission or reduce tumor burden.
Is given to relieve symptoms and improve quality of life.
The Correct Answer is B
Choice A reason:
Salvage chemotherapy is not given to prevent relapse or progression of the disease, but rather to treat it when it has already relapsed or progressed. Preventive chemotherapy is usually given after the initial treatment has achieved a complete response, to reduce the risk of recurrence.
Choice B reason:
This is the correct answer. Salvage chemotherapy is given to control advanced or refractory disease, meaning that the disease has not responded to or has become resistant to previous treatments. Salvage chemotherapy aims to stabilize the disease, prevent further complications, and improve symptoms and quality of life. ³⁴
Choice C reason:
Salvage chemotherapy is not given to induce remission or reduce tumor burden, but rather to control it when it has already become unresponsive or resistant to previous treatments. Induction chemotherapy is usually given as the firstline treatment for aggressive cancers, to shrink the tumor before surgery or radiation therapy.
Choice D reason:
Salvage chemotherapy is not only given to relieve symptoms and improve quality of life, but also to control the disease and prevent further complications. Symptom relief and quality of life improvement are important goals of salvage chemotherapy, but they are not the only ones. ³⁴:
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
This is incorrect because it may sound dismissive of the client's feelings and imply that palliative chemotherapy can only prolong life, not improve quality of life. Palliative chemotherapy is not meant to cure cancer or to extend life significantly, but to relieve the symptoms of cancer and improve quality of life.
Choice B reason:
This is incorrect because it may give false hope to the client and contradict the purpose of palliative chemotherapy. Palliative chemotherapy is unlikely to cure cancer or induce remission, even if the client responds well.
Choice C reason:
This is incorrect because it may suggest that the nurse does not support the client's decision to continue treatment or that palliative chemotherapy is futile. Palliative chemotherapy is optional and the client has the right to refuse treatment, but the nurse should respect the client's wishes and provide information and support.
Choice D reason:
This is correct because it shows empathy and compassion for the client's feelings and acknowledges the benefits of palliative chemotherapy. Palliative chemotherapy can relieve some of the symptoms and discomforts caused by cancer, such as pain, nausea, fatigue, etc.
Correct Answer is E
Explanation
Choice A reason:
This is incorrect because cell cyclespecific chemotherapy drugs are drugs that act on cancer cells during specific phases of the cell cycle. They have a narrow spectrum of activity because they only affect cells that are actively dividing. Cell cyclespecific drugs are not necessarily used for neoadjuvant chemotherapy.
Choice B reason:
This is incorrect because cell cyclenonspecific chemotherapy drugs are drugs that act on cancer cells regardless of their phase in the cell cycle. They have a broad spectrum of activity because they affect both dividing and nondividing cells. Cell cyclenonspecific drugs are not necessarily used for neoadjuvant chemotherapy.
Choice C reason:
This is incorrect because cell cyclespecific chemotherapy drugs are drugs that act on cancer cells during specific phases of the cell cycle. They have a broad spectrum of activity because they affect both dividing and nondividing cells. Cell cyclespecific drugs are not necessarily used for neoadjuvant chemotherapy.
Choice D reason:
This is incorrect because cell cyclenonspecific chemotherapy drugs are drugs that act on cancer cells regardless of their phase in the cell cycle. They have a narrow spectrum of activity because they only affect cells that are actively dividing. Cell cyclenonspecific drugs are not necessarily used for neoadjuvant chemotherapy.
Choice E reason:
This is correct because neoadjuvant chemotherapy is treatment with drugs before the main treatment, usually surgery or radiation therapy, to shrink the tumor and improve the outcome of the main treatment. Neoadjuvant chemotherapy can also help with surgical planning and early treatment of microscopic metastatic foci. Neoadjuvant chemotherapy is often given in combination with other modalities such as radiation or surgery.
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