The patient is receiving active chemotherapy. Who needs to exercise hazardous drug (HD) precautions?
The RN & CNA only
No one
All team members that may come in contact with HD or BBF
The RN only
The nurse is caring for a patient receiving Rituximab. Which adverse reaction will the nurse look out for?
Cytokine Release Syndrome (CRS)
Constipation
Irritability
Cytokine Reservation Effects
Blinatumomab is classified as ____ therapy, and engages the patient's ______ to kill the cancer.
CAR-T; personal will
megabyte; computer
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?
Say no & educate the patient this can cause drug toxicity.
Say no because we just don't have it.
Say yes & get them a cup.
Make a face - grapefruit juice is gross.
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?
Constipation only. Vincristine is an intrathecal drug.
Both.
Constipation only. If the line flushes, use it.
CVAD blood return. This drug will cause diarrhea.
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 walks with an ataxic gait & has nystagmus.
The patient writes with a clear signature.
The patient has no hand tremor.
The patient is nauseated.
Which of the following statements is FALSE?
Hypersensitivity can occur after the 7th dose of carboplatin
Platin drugs do not cause myelosuppresion
Cisplatin is one of the most potent emetogenic drugs
Pts who receive oxaliplatin should avoid cold beverages
A patient is receiving doxorubicin via Left DL PICC. Which of the following is most concerning?
The patient has an ejection fraction of 30%
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
Which drug is potentiated by leucovorin?
Methotrexate
Daunorubicin
Blinatumomab
Flurouracil
A patient receiving paclitaxel or docetaxel should be frequently evaluated for which adverse event?
Hypersensitivity reaction
Uncontrollable giggling
Constipation
Hypertensive crisis
Which of the following must be monitored closely for the patient receiving arsenic trioxide?
Thoughts and prayers
Calcium and phosphorus
Potassium and magnesium
BUN and creatinine
Which of the following chemotherapy agents can cause nasopharyngitis, or "wasabi nose"?
Cyclophosphamide
Daunorubicin
Carboplatin
Etoposide
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 high growth fraction and are fast growing
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
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
Infusion of antibiotics to the wound, if necessary
Allow for wound granulation
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
Pain management, mobility, and timing of dressing changes
Recent transfusion and renal compromise or dialysis
Depth of wound, dehiscence, and potassium deficiency
