The oncology RN knows that the most important reason that patients who are undergoing chemotherapy have either intravenous ports, central lines, or peripherally inserted central line is:

because many chemotherapy patients require blood transfusions

because many chemotherapy patients need long-term intravenous access

because chemotherapy patients have frequent blood draws orders

because many chemotherapeutic drugs are vesicants

Answer and Explanation

The Correct Answer is D

. because many chemotherapy patients require blood transfusions:

While some chemotherapy patients may require blood transfusions, this is not the primary reason for using intravenous ports, central lines, or peripherally inserted central lines.

B. because many chemotherapy patients need long-term intravenous access:

Long-term intravenous access may be needed for some chemotherapy patients, but the critical consideration is the vesicant nature of many chemotherapy drugs.

C. because chemotherapy patients have frequent blood draws orders:

Frequent blood draws may be necessary for monitoring purposes, but the primary reason for using specialized lines in chemotherapy patients is to administer the drugs safely.

D. because many chemotherapeutic drugs are vesicants:

The primary reason for using intravenous ports, central lines, or peripherally inserted central lines in chemotherapy patients is to administer chemotherapy drugs directly into large veins. Many chemotherapeutic drugs are vesicants, meaning they can cause severe damage to tissues if they leak into the surrounding areas. These specialized lines allow for the safe and controlled administration of chemotherapy drugs, reducing the risk of extravasation (leakage into surrounding tissues).

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Correct Answer is B

Explanation

A. Relieves nasal congestion

Dornase alfa is not used to relieve nasal congestion. It is specifically designed to address the thick, sticky mucus that can accumulate in the airways of individuals with cystic fibrosis (CF).

B. Decreases thick secretions

This is the correct answer. Dornase alfa is known for its ability to decrease the viscosity of thick secretions in the airways of individuals with CF. By breaking down the DNA within the mucus, it helps to thin and improve the clearance of the mucus.

C. Decreases pain

Dornase alfa is not primarily used to decrease pain. Its main action is related to improving respiratory function by reducing the thickness of mucus, which can help ease breathing difficulties associated with CF.

D. Suppresses cough

Dornase alfa is not used to suppress cough. In fact, it may increase coughing initially as it facilitates the loosening and clearance of mucus from the airways.

A. “Do you think you and your daughter may have time to go shopping for a wig between now and the time you begin treatment?” B. “Most patients just wear a hat or turban and just let their hair grow back following treatment.” C. “I would be less concerned about cosmetic changes that you may experience and be more concerned about treating the cancer.” D. “Just pray about it.”

Correct Answer is C

Explanation

A. “Do you think you and your daughter may have time to go shopping for a wig between now and the time you begin treatment?”

This option recognizes the patient's concern about hair loss and offers a practical suggestion for preparing for it. It shows empathy and support by involving a family member in the process of coping with potential hair loss.

B. “Most patients just wear a hat or turban and just let their hair grow back following treatment.”

This statement provides an alternative approach to dealing with hair loss by suggesting the use of head coverings like hats or turbans. It emphasizes the temporary nature of the hair loss during treatment.

C. “I would be less concerned about cosmetic changes that you may experience and be more concerned about treating the cancer.”

This option encourages the patient to prioritize the cancer treatment over cosmetic concerns, emphasizing the importance of addressing the underlying health issue. It offers a supportive and empathetic perspective.

D. “Just pray about it.”

This option suggests relying on prayer as a sole coping mechanism, which may not address the patient's emotional concerns effectively. While spirituality and prayer can be important for some individuals, it's essential to provide practical and emotional support as well.

E. “Keep a positive attitude. Just wait until your treatment begins to before you become concerned

about losing your hair, after all, you may not experience hair loss.”

This statement encourages a positive attitude and suggests delaying concerns about hair loss until after treatment has begun. While maintaining a positive outlook is beneficial, it's also important to acknowledge and address the patient's current concerns and provide information about potential side effects.

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The oncology RN knows that the most important reason that patients who are undergoing chemotherapy have either intravenous ports, central lines, or peripherally inserted central line is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A young client with cystic fibrosis (CF) is on dornase alfa. What does the nurse teach about the action of this medication?

Correct Answer is B

Explanation

Correct Answer is C

Explanation

Which medication is prescribed for a client with COPD to treat acute bronchospasm?

A client is receiving Dextromethorphan (Robitussin). The nurse knows the drug is exerting its therapeutic effects with which client report?

In which of the following scenarios would the RN anticipate glucocorticoids (steroids) to be prescribed?

Which statement is accurate regarding methylxanthine (Theophylline)?

The oncology RN knows that the most important reason that patients who are undergoing chemotherapy have either intravenous ports, central lines, or peripherally inserted central line is:

A client is being discharged after receiving IV chemotherapy for cancer. Which statement indicates a need for additional teaching?

Clients receiving targeted therapy to treat cancer need to avoid which food?

A home care nurse is visiting a client with asthma who suddenly experiences an acute asthma attack. Which drug should the nurse prepare to administer?