SAS 6

1. C

RATIONALE – To assure that the client obtains optimal doses of chemotherapy, dosing is usually based
on the total body surface (BSA), which requires an accurate current measurement of height and weight
on the day of the administration

2. D

RATIONALE – Increased level of uric acid (Hyperuricemia) in the body is common following the
treatment for leukemias and lymphomas because chemotherapy results in massive cell destruction.

3. A

RATIONALE – Mitomycin (Mutamycin) is an antitumor antibiotic used in the treatment of anal, bladder,
breast, cervical, colorectal, head and neck, and non-small cell lung cancer. There is no pill form of this
medication.

4. D

RATIONALE- Orthostatic hypotension. While on etoposide infusion, blood pressure is monitored

throughout and it should be administered slowly over 30-60 minutes to avoid hypotension.

5. D

RATIONALE –

6. B

RATIONALE – Cyclophosphamide can cause hemorrhagic cystitis. Encourage the client to increase their
fluid intake to 2- 3 liters per day. unless contraindicated

7. A D E

RATIONALE – Extravasation may occur during the infusion of chemotherapy. Signs of which are pain.
redness and swelling on the insertion site. The infusion must stop and the physician is notified. The
physician may order the administration of an antidote and a heat or cold compress is done

8. ACD

RATIONALE – During an anaphylactic reaction. the medication is immediately stopped. The nurse
assesses the respiratory status and monitors the client vital signs. The physician is contacted
immediately. and an emergency medication is given such as epinephrine.

9. B

RATIONALE – During the administration of Fluorouracil. Monitor for symptoms of dizziness. weakness.
and ataxia which are signs of cerebral dysfunction that would immediately lead to the discontinuation of
the medication.
10. D

RATIONALE –