The nurse is caring for a group of clients who are receiving chemotherapy. The nurse is preparing to administer the medications. Which medications does the nurse correctly identify as alkylating agents? (Select all that apply.)

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Cisplatin (Platinol)
2. Cyclophosphamide (Cytoxan)
3. Chlorambucil (Leukeran)
4. Estramustine (Emcyt)
5. Interferon alfa-2 (Roferon A)


Correct Answer: 1, 2, 3, 4

Rationale 1: Cisplatin (Platinol) is an alkylating agent.
Rationale 2: Cyclophosphamide (Cytoxan) is an alkylating agent.
Rationale 3: Chlorambucil (Leukeran) is an alkylating agent.
Rationale 4: Estramustine (Emcyt) is an alkylating agent.
Rationale 5: Interferon alfa-2 (Roferon A) is a biologic response modifier used to treat hairy cell leukemia and Kaposi's sarcoma.

Global Rationale: Cisplatin (Platinol), cyclophosphamide (Cytoxan), chlorambucil (Leukeran), and estramustine (Emcyt) are all alkylating agents. Interferon alfa-2 (Roferon A) is a biologic response modifier used to treat hairy cell leukemia and Kaposi's sarcoma.

Nursing

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