The patient is receiving active chemotherapy. Who needs to exercise hazardous drug (HD) precautions?
No one
All team members that may come in contact with HD or BBF
The RN & CNA only
The RN only
The nurse is caring for a patient receiving Rituximab. Which adverse reaction will the nurse look out for?
Cytokine Reservation Effects
Cytokine Release Syndrome (CRS)
Constipation
Irritability
Blinatumomab is classified as ____ therapy, and engages the patient's ______ to kill the cancer.
megabyte; computer
CAR-T; personal will
oral; stomach acid
BiTE; T-cells
A patient with CML is taking the small molecule inhibitor imatinib (Gleevec) & asks the nurse for grapefruit juice. What should the nurse do?
Make a face - grapefruit juice is gross.
Say no because we just don't have it.
Say no & educate the patient this can cause drug toxicity.
Say yes & get them a cup.
The nurse is caring for a patient receiving Vincristine today. The last documented BM was 3 days ago and the CVAD flushes but has no blood return. Which item(s) should the nurse address?
Both.
Constipation only. Vincristine is an intrathecal drug.
CVAD blood return. This drug will cause diarrhea.
Constipation only. If the line flushes, use it.
The nurse is completing the pre High Dose Cytarabine cerebellar assessment. Which finding would prompt the nurse to hold the dose and call the attending?
The patient writes with a clear signature.
The patient is nauseated.
The patient walks with an ataxic gait & has nystagmus.
The patient has no hand tremor.
Which of the following statements is FALSE?
Hypersensitivity can occur after the 7th dose of carboplatin
Pts who receive oxaliplatin should avoid cold beverages
Cisplatin is one of the most potent emetogenic drugs
Platin drugs do not cause myelosuppresion
A patient is receiving doxorubicin via Left DL PICC. Which of the following is most concerning?
The patient's urine is pinkish-red in color
The patient complains of nausea and loss of appetite
The patient has positive blood return from PICC
The patient has an ejection fraction of 30%
Which drug is potentiated by leucovorin?
Methotrexate
Blinatumomab
Flurouracil
Daunorubicin
A patient receiving paclitaxel or docetaxel should be frequently evaluated for which adverse event?
Hypertensive crisis
Uncontrollable giggling
Constipation
Hypersensitivity reaction
Which of the following must be monitored closely for the patient receiving arsenic trioxide?
Calcium and phosphorus
Potassium and magnesium
BUN and creatinine
Thoughts and prayers
Which of the following chemotherapy agents can cause nasopharyngitis, or "wasabi nose"?
Daunorubicin
Etoposide
Cyclophosphamide
Carboplatin
True or False: Selinexor (Xpovio) is FDA approved to treat relapsed/refractory Multiple Myeloma & Diffuse Large B-cell Lymphoma
False
True
Surgery is often the treatment of choice for those tumors that:
Have a low growth fraction and are slow growing
Adhere to the musculature of a body organ
Are fast growing and spread via the circulatory system
Have a high growth fraction and are fast growing
A patient just had breast reconstruction after a mastectomy and asks the nurse why she needs to have a drainage tube hanging out of her dressing. The nurse explains that drains are used to:
Allow for silicone injection into the breast
Allow for wound granulation
Infusion of antibiotics to the wound, if necessary
Prevent the accumulation of fluid (i.e., pus, blood)
Which factors are the most important overall considerations for wound healing?
Poor circulation, age, and immune response
Depth of wound, dehiscence, and potassium deficiency
Recent transfusion and renal compromise or dialysis
Pain management, mobility, and timing of dressing changes
