Author Question: A client states, I get so sick to my stomach after chemotherapy. Why can't they just put it directly ... (Read 33 times)

Kikoku · **on:** Jul 23, 2018

A client states, I get so sick to my stomach after chemotherapy. Why can't they just put it directly into my tumor? Which nursing response is indicated?

1. There is no technology available to directly place chemotherapy in a tumor.
2. These are such strong medications that they would eat up your tissues.
3. That type of therapy does exist, but it does not work for your particular type of cancer.
4. I know you get sick, but the nausea and vomiting is not severe and passes quickly.

Question 2

The main mechanism of action of alkylating agents is

1. they stimulate the body's immune system.
2. unknown.
3. they change the shape of the DNA double helix and prevent nucleic acid from completing normal cell division.
4. they disrupt metabolic pathways.

joshbk44 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 3
Rationale 1: Some antineoplastics are given locally or through direct instillation into a tumor site. This treatment is not available for all tumors.
Rationale 2: Although this statement is somewhat accurate, it is not therapeutic and is not the best answer to this question.
Rationale 3: This is a straightforward and accurate statement of fact.
Rationale 4: Many clients experience severe nausea and vomiting that lasts several hours up to days.

Answer to Question 2

Correct Answer: 3
Rationale 1: This is representative of pharmacotherapy with biologic response modifiers, immune therapies, and miscellaneous antineoplastics.
Rationale 2: The mechanism of hormonal antineoplastic activity is largely unknown.
Rationale 3: Alkylation changes the shape of the DNA double helix and prevents the nucleic acid from completing normal cell division.
Rationale 4: This is representative of the antimetabolites.