85. Ms. X is diagnosed with cervical cancer and started to take chemotherapy.Which of the following delayed side effect of the treatment is expected to occur? A. Nausea and vomiting B. Bone marrow suppression C. Allergic reaction D.Arrhythmias 86. Which of the following is the correct reason for using combination chemotherapy regimens? A. To hit tumor cells in different phases of cell cycle B. To hit tumor cells with various degree of chemo sensitivity C. To achieve maximum cytotoxicity D. All of th e above 87. Which of the following is the expected side effect of radiotheraps given around abdominal area? A. Alopecia B. Vomiting C. Mucositis D. Xerostomia 88 . Corticosteroid medications are associated with the development of peptic ulcers because of which pathophysiologic mechanism? A. The enzyme urease is produced C. The synthesis prostaglandins is inhibited B. Secretion of HCL is increased D. The rate of mucous cell renewal is decreased 89. A 22-year-old patient calls the outpatient clinic reporting nausea and vomiting and right lower abdominal pain . What should the nurse advise the patient to do? A. Use a heating pad to relax the muscles at the site of the pain B. Drink at least 2 quarts of juice to replace the fluid lost in vomiting C. Take a laxative to empty the bowel before examination at the clinic D. Have the symptoms evaluated right away by a health care provider at a hospital's emergency department 90. The patient asks the nurse why she needs to have surgery for a femoral strangulated hernia. What is the best explanation the nurse can give the patient? A. "The surgery will relieve your 'constipation" B. "The abnormal hernia must be replaced into the abdomen" C. "The surgery is needed to allow intestinal flow and prevent necrosis" D. "The hernia is because the umbilical opening did not close after birth as it should have" 91. A patient is admitted to the emergency room with the following findings: heart rate of 115,75/60 blood pressure oliguria, and Sodium level of 160mEq/L . What interventions should be ordered for this patient? A. Restrict fluid intake and monitor daily weights and urinary output B. Administer 5% Dextrose or 0.3% sodium chloride and monitor urinary output C. Administer hypotonic IV fluid and administer sodium tablets. D. No intervention is needed

85. The correct answer is D. Arrhythmias. Chemotherapy can cause delayed side effects, including arrhythmias, which are irregular heartbeats. Nausea and vomiting (A) are common side effects of chemotherapy but occur more frequently and promptly. Bone marrow suppression (B) and allergic reactions (C) are also side effects of chemotherapy but are not typically delayed.<br /><br />86. The correct answer is D. All of the above. Combination chemotherapy regimens are used to hit tumor cells in different phases of the cell cycle (A), to hit tumor cells with various degrees of chemosensitivity (B), and to achieve maximum cytotoxicity (C).<br /><br />87. The correct answer is C. Mucositis. Radiotherapy given around the abdominal area can cause mucositis, which is inflammation of the mucous membranes lining the digestive tract. Alopecia (A) is hair loss, vomiting (B) is a side effect of chemotherapy, and xerostomia (D) is dry mouth, typically caused by radiation therapy to the head and neck.<br /><br />88. The correct answer is B. Secretion of HCL is increased. Corticosteroids can increase the secretion of hydrochloric acid (HCL) in the stomach, which can lead to the development of peptic ulcers. The enzyme urease is produced (A), the synthesis of prostaglandins is inhibited (C), and the rate of mucous cell renewal is decreased (D) are not the primary mechanisms by which corticosteroids contribute to peptic ulcer development.<br /><br />89. The correct answer is D. Have the symptoms evaluated right away by a health care provider at a hospital's emergency department. The patient's symptoms of nausea, vomiting, and right lower abdominal pain could indicate a serious condition such as appendicitis or an ectopic pregnancy. It is important for the patient to seek immediate medical attention.<br /><br />90. The correct answer is C. "The surgery is needed to allow intestinal flow and prevent necrosis." A femoral strangulated hernia occurs when the blood supply to the herniated tissue is cut off, leading to tissue death (necrosis). Surgery is necessary to restore blood flow and prevent necrosis.<br /><br />91. The correct answer is B. Administer 5% Dextrose or 0.3% sodium chloride and monitor urinary output. The patient's symptoms of oliguria (reduced urine output) and high sodium level indicate dehydration. Administering hypotonic IV fluids (C) would further decrease the sodium level, and no intervention (D) is not appropriate given the patient's condition. Restricting fluid intake (A) would worsen the dehydration.