« previous next »

Author Question: A patient with colorectal cancer is admitted to the hospital oncology unit to receive cetuximab ... (Read 83 times)

jman1234

  • Hero Member
  • *****
  • Posts: 560
on: Jul 23, 2018
A patient with colorectal cancer is admitted to the hospital oncology unit to receive cetuximab (Erbitux). The nurse notes that the prescriber has not ordered any other medications.
 
  The nurse will contact the prescriber to request an order for which medication in order to minimize cetuximab's side effects?
  a. Diphenhydramine (Benadryl)
  b. Epinephrine
  c. Ondansetron (Zofran)
  d. Magnesium supplements

Question 2

A patient with advanced prostate cancer will begin treatment with leuprolide (Lupron). The provider has ordered flutamide to be given as adjunct therapy. The patient asks the nurse why both drugs are necessary.
 
  The nurse will tell the patient that:
  a. flutamide reduces the side effects, such as hot flushes, caused by leuprolide.
  b. flutamide suppresses initial tumor flare caused by leuprolide.
  c. leuprolide helps to reduce the toxicity of flutamide.
  d. the combination of both drugs increases cancer survival.


Cnarkel

  • Sr. Member
  • ****
  • Posts: 339
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: A
Cetuximab can cause severe infusion reactions. Premedication with diphenhydramine can help reduce this risk. Epinephrine is used for medical management of an infusion reaction and not to minimize the risk. Ondansetron is not indicated because nausea and vomiting are not a concern. Magnesium supplements are given when hypomagnesemia is documented, not as a preventive.

Answer to Question 2

ANS: B
Flutamide is given with GnRH agonists, such as leuprolide, to prevent tumor flare when GnRH therapy is begun. Flutamide increases hot flushes. Leuprolide does not decrease flutamide toxicity. There is no increase in cancer survival with this combination.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question

jman1234

  • Hero Member
  • *****
  • Posts: 560
Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


Cnarkel

  • Sr. Member
  • ****
  • Posts: 339
Reply #3 on: Jul 23, 2018
Great! Please up vote :D


« previous next »
 

Did you know?

There are immediate benefits of chiropractic adjustments that are visible via magnetic resonance imaging (MRI). It shows that spinal manipulation therapy is effective in decreasing pain and increasing the gaps between the vertebrae, reducing pressure that leads to pain.

Did you know?

Today, nearly 8 out of 10 pregnant women living with HIV (about 1.1 million), receive antiretrovirals.

Did you know?

Acute bronchitis is an inflammation of the breathing tubes (bronchi), which causes increased mucus production and other changes. It is usually caused by bacteria or viruses, can be serious in people who have pulmonary or cardiac diseases, and can lead to pneumonia.

Did you know?

Never take aspirin without food because it is likely to irritate your stomach. Never give aspirin to children under age 12. Overdoses of aspirin have the potential to cause deafness.

Did you know?

A serious new warning has been established for pregnant women against taking ACE inhibitors during pregnancy. In the study, the risk of major birth defects in children whose mothers took ACE inhibitors during the first trimester was nearly three times higher than in children whose mothers didn't take ACE inhibitors. Physicians can prescribe alternative medications for pregnant women who have symptoms of high blood pressure.

In the communication technique of collaborating, the nurse sends the message that the nurse and pati In the communication technique of collaborating, the nurse sends the message that the nurse and pati
The nurse needs to inform the patient with impaired vision when a touch is to occur and ask permissi The nurse needs to inform the patient with impaired vision when a touch is to occur and ask permissi
Example of a patient statement. Example of a patient statement.
A partnership between the patient and the health care provider. A partnership between the patient and the health care provider.
Cancer cells can move to new locations in the body, a process called metastasis Cancer cells can move to new locations in the body, a process called metastasis
Video: Types of Burns

For a complete list of videos, visit our video library