This agent is considered a vesicant, can cause constipation, can be fatal if administered intrathecally, and bolus doses are usually limited to a maximum of 2mg.
Vincristine
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5
True or false: All central lines are flushed using a "pulse" technique to decrease fibrin build up.
True
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15
This agent is used for sarcomas, lung, head and neck, and ovarian cancers. This agent is also highly emetogenic, frequently requires rigorous pre and post hydration, and is associated with nephrotoxicities.
Cisplatin
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15
This agent is commonly administered for metastatic colon or rectal cancer, can cause early-onset diarrhea that is commonly treated with Atropine, or late-onset diarrhea that is commonly treated with Imodium.
Irinotecan (Camptosar)
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lifesaver
Give 10 points!
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magnet
Take 25 points!
Okay!
gift
Win 15 points!
Okay!
banana
Go to last place!
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heart
Other team wins 20 points!
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magnet
Take 15 points!
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fairy
Take points!
5
10
15
20
25
baam
Lose 20 points!
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15
Ruby has ALL. She has a DL port in place. Ruby has complaints of her arm feeling "tight" and you note that her arm is red, warm, and swollen. What do you expect and what should your next steps be?
DVT; measure extremity, notify provider, prepare for possible ultrasound/doppler
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5
Scrubbing the hub for _________ is an effective method for reducing CLABSIs.
15 seconds
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5
True or False: The top of the blood culture bottle should be cleaned prior to placing the specimen in the bottle.
True
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15
This drug is known as a hypomethylating agent, is administered over 15 minutes due to its short stability, and is used in combination with venetoclax for older patients with AML.
Azacytidine
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20
List the correct order of blood draws: Lavender, Gold, Red, Blood culture, Light blue, Light green, Gray
True or False: When obtaining blood cultures from a central line, the cap should be changed prior to drawing the sample.
True
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15
This agent causes severe mucositis & diarrhea and is often used in combination with Leucovorin which has the potential to increase both its efficacy and toxicity.
Fluorouracil
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15
Kim is receiving paclitaxel for breast cancer. She calls out and tells you that she is "feeling winded and my lips are feeling fat." What do you suspect? What are your actions?
Hypersensitivity reaction. Stop the infusion, check for blood return, Assess the patient,Notify the provider,Provide interventions per orders & policy,Document!
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10
Sally Sue has breast cancer. She has complaints of bowel and bladder incontinence, and back pain. What do you suspect is occurring?