The patient is receiving active chemotherapy. Who needs to exercise hazardous drug (HD) precautions?
No one
The RN & CNA only
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?
Constipation
Cytokine Reservation Effects
Irritability
Cytokine Release Syndrome (CRS)
Blinatumomab is classified as ____ therapy, and engages the patient's ______ to kill the cancer.
oral; stomach acid
BiTE; T-cells
megabyte; computer
CAR-T; personal will
What medications would the nurse anticipate giving before administering the combination (monoclonal antibody plus antineoplastic) drug Inotuzumab Ozogamicin?
mAb drugs NEVER require premeds
Acetaminophen, a corticosteroid, and an antihistamine
Epinephrine
1000 mL bolus of D50
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 & educate the patient this can cause drug toxicity.
Say yes & get them a cup.
Say no because we just don't have it.
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. If the line flushes, use it.
Both.
Constipation only. Vincristine is an intrathecal drug.
CVAD blood return. This drug will cause diarrhea.
Which of the following statements is FALSE?
Pts who receive oxaliplatin should avoid cold beverages
Cisplatin is one of the most potent emetogenic drugs
Platin drugs do not cause myelosuppresion
Hypersensitivity can occur after the 7th dose of carboplatin
Which of the following drugs is used in combination with azacitidine or decitabine for older patients with AML or those that have comorbidities that preclude the intensive induction chemotherapy?
wingardium leviosa
ibrutinib
prochloroperizine
venetoclax
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 an ejection fraction of 30%
The patient has positive blood return from PICC
Which drug is potentiated by leucovorin and has an oral prodrug called capecitabine?
Daunorubicin
Blinatumomab
Fluorouracil
Methotrexate
A patient receiving paclitaxel or docetaxel should be frequently evaluated for which adverse event?
Hypertensive crisis
Constipation
Hypersensitivity reaction
Uncontrollable giggling
Which of the following must be monitored closely for the patient receiving arsenic trioxide?
Potassium and magnesium
BUN and creatinine
Thoughts and prayers
Calcium and phosphorus
Which of the following chemotherapy agents can cause nasopharyngitis, or "wasabi nose"?
Cyclophosphamide
Daunorubicin
Carboplatin
Etoposide
True or False: Selinxor (Xpovio) is FDA approved to treat relapsed/refractory Multiple Myeloma & Diffuse Large B-cell Lymphoma
True
False
Surgery is often the treatment of choice for those tumors that:
Have a high growth fraction and are fast growing
Adhere to the musculature of a body organ
Are fast growing and spread via the circulatory system
Have a low growth fraction and are slow 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:
Infusion of antibiotics to the wound, if necessary
Allow for wound granulation
Prevent the accumulation of fluid (i.e., pus, blood)
Allow for silicone injection into the breast
