Author Question: A client with hairy cell leukemia complains of flu-like symptoms including fever, chill, dizziness, ... (Read 156 times)

anjilletteb · **on:** Jul 23, 2018

A client with hairy cell leukemia complains of flu-like symptoms including fever, chill, dizziness, and fatigue during the first few weeks of chemotherapy. Which medication on the client's medication administration record (MAR) does the nurse anticipate is causing these symptoms?

1. Paclitaxel (Taxol)
2. Letrozole (Femara)
3. Daunorubicin liposomal (DaunoXome)
4. Interferon alfa-2 (Roferon A)

Question 2

A client with breast cancer is started on chemotherapy. Her daughter is started on the same drug prophylactically. The daughter is considered high risk for developing breast cancer. Which medication does the nurse anticipate has been prescribed to both the client and her daughter?

1. Anastrozole (Arimidex)
2. Medroxyprogesterone (Provera)
3. Goserelin (Zoladex)
4. Tamoxifen (Nolvadex)

enass · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

4

Rationale 1: Paclitaxel (Taxol) is a plant extract used to treat ovarian and breast cancers.
Rationale 2: Letrozole (Femara) is a hormone blocker used to treat advanced breast cancer.
Rationale 3: Daunorubicin (Cerubidine) is an antitumor antibiotic used to treat Kaposi sarcoma.
Rationale 4: Interferon alfa-2 (Roferon A) is used to treat hairy cell leukemia and Kaposi sarcoma, and is a biologic response modifier. The most common side effect of biologic response modifiers is a flu-like syndrome of fever, chills, dizziness, and fatigue that usually diminishes as therapy progresses.

Global Rationale: Interferon alfa-2 (Roferon A) is used to treat hairy cell leukemia and Kaposi sarcoma, and is a biologic response modifier. The most common side effect of biologic response modifiers is a flu-like syndrome of fever, chills, dizziness, and fatigue that usually diminishes as therapy progresses. Paclitaxel (Taxol) is a plant extract used to treat ovarian and breast cancers. Letrozole (Femara) is a hormone blocker used to treat advanced breast cancer. Daunorubicin (Cerubidine) is an antitumor antibiotic used to treat Kaposi sarcoma.

Answer to Question 2

4

Rationale 1: Anastrozole (Arimidex) is given for advanced breast cancer.
Rationale 2: Medroxyprogesterone (Provera) is given for uterine and renal cancer.
Rationale 3: Goserelin (Zoladex) is used for prostate and breast cancer.
Rationale 4: Tamoxifen (Nolvadex), the drug of choice for treating breast cancer, is a hormone blocker that blocks estrogen receptors in cancer cells, and is effective against breast tumors that require estrogen for their growth. This drug is unique in that it is given to both clients with breast cancer and high-risk clients.

Global Rationale: Tamoxifen (Nolvadex), the drug of choice for treating breast cancer, is a hormone blocker that blocks estrogen receptors in cancer cells, and is effective against breast tumors that require estrogen for their growth. This drug is unique in that it is given to both clients with breast cancer and high-risk clients. Anastrozole (Arimidex) is given for advanced breast cancer. Medroxyprogesterone (Provera) is given for uterine and renal cancer. Goserelin (Zoladex) is used for prostate and breast cancer.