The nurse manager is orienting a new nurse to the oncology unit.
What will the nurse manager teach about best practices for safe handling and administration of chemotherapy?

The nurse must wear a dosimeter badge when preparing and administering chemotherapy infusions.

The patient should wear a lead apron during chemotherapy infusions.

The nurse must wear personal protective equipment (PPE), including gloves and a gown when handling chemotherapy.

The nurse must dispose of all chemotherapy waste in the patient's sharps container.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Wearing a dosimeter badge is essential for healthcare workers handling radioactive materials to monitor exposure, but it is not a standard practice for handling chemotherapy, which is typically not radioactive. Chemotherapy drugs are cytotoxic and require different safety measures, such as PPE.

Choice B rationale

While protecting patients during radiation therapy with a lead apron is necessary, it is not applicable for chemotherapy infusions. Chemotherapy involves the administration of cytotoxic drugs, not ionizing radiation, so protective measures focus on preventing exposure to these chemicals rather than shielding from radiation.

Choice C rationale

The nurse must wear personal protective equipment (PPE), including gloves and a gown, when handling chemotherapy to prevent exposure to these toxic drugs. PPE is crucial to protect healthcare workers from accidental spills, splashes, and skin contact with the chemotherapy agents, which can be harmful.

Choice D rationale

Disposal of chemotherapy waste should follow specific guidelines to prevent contamination and exposure. Sharps containers are for sharp objects like needles and blades, not for all chemotherapy waste. Chemotherapy waste should be disposed of in designated containers that comply with hazardous waste regulations to ensure safe handling and disposal.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A rationale

Routine prophylactic radiation therapy is not recommended for breast cancer survivors as it can lead to additional health issues such as secondary cancers and tissue damage. It is not a standard survivorship care practice.

Choice B rationale

Regular mammography screenings are crucial for early detection of breast cancer recurrence or new primary breast cancers. It is a standard component of survivorship care.

Choice C rationale

Coordinating with hospice care is more relevant for end-of-life care rather than survivorship care. Survivorship care focuses on maintaining health and monitoring for recurrence, not on palliative care planning.

Choice D rationale

Survivorship care is important throughout a patient's life, not just the first five years after remission. Continuous monitoring and health promotion are essential to detect any late effects of cancer treatment and maintain overall health.

A. Metformin. B. Warfarin. C. Sertraline. D. Methylprednisolone.

Correct Answer is B

Explanation

Choice A rationale

Metformin is used to manage diabetes, primarily by improving insulin sensitivity and reducing glucose production in the liver. Levothyroxine, used to treat hypothyroidism, does not significantly impact the action of metformin. The two medications do not have a direct interaction that decreases metformin's efficacy.

Choice B rationale

Levothyroxine can decrease the action of warfarin by increasing the metabolism of clotting factors in the liver, which may reduce the anticoagulant effect of warfarin. This interaction necessitates closer monitoring of INR (International Normalized Ratio) levels and potential dose adjustments of warfarin to maintain its therapeutic effect.

Choice C rationale

Sertraline is an antidepressant that belongs to the selective serotonin reuptake inhibitor (SSRI) class. While it can interact with other medications, levothyroxine does not significantly decrease its action. Therefore, no major adjustments are needed when both drugs are prescribed together.

Choice D rationale

Methylprednisolone, a corticosteroid, is used for its anti-inflammatory and immunosuppressant properties. Levothyroxine does not decrease the action of methylprednisolone. These medications do not have a significant pharmacological interaction that would require adjusting methylprednisolone’s dosage.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse manager is orienting a new nurse to the oncology unit.What will the nurse manager teach about best practices for safe handling and administration of chemotherapy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient who has been in remission from breast cancer for five years.What intervention will the nurse include as a component of survivorship care for this patient?

Correct Answer is B

Explanation

The nurse is caring for a patient who has a new prescription for levothyroxine.The nurse will include in the teaching plan that levothyroxine decreases the action of which medication?

Correct Answer is B

Explanation

The nurse is caring for a patient who was treated for Addisonian crisis.What clinical change indicates to the nurse that the prescribed therapy was effective?

The nurse manager is orienting a new nurse to the oncology unit.What will the nurse manager teach about best practices for safe handling and administration of chemotherapy?

The nurse is evaluating a patient with hyperthyroidism who is taking propylthiouracil (PTU) 100 mg/day for maintenance therapy.Which statement from the patient indicates the medication therapy is effective?

The nurse has received SBAR report on a patient with Cush and ecchymoses on the upper extremity.What action should the nurse implement first?

The nurse is preparing to administer vancomycin 15 mg/kg/day divided equally every 12 hours to a patient with neutropenic fever. The patient weighs 198 lb. How many mg will the nurse administer with each dose? Round the answer to the nearest whole number. Write numerical answer only - no units.

The nurse on the oncology unit is caring for a patient receiving chemotherapy for treatment of leukemia.Which patient finding is the nurse's priority for implementing interventions?

The nurse is providing discharge teaching to a patient diagnosed with Cushing's syndrome.What statement made by the patient will demonstrate their understanding of the discharge instructions?

The nurse manager is orienting a new nurse to the oncology unit.
What will the nurse manager teach about best practices for safe handling and administration of chemotherapy?