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Chemotherapy is a cake walk
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True or False: Selinxor (Xpovio) is FDA approved to treat relapsed/refractory Multiple Myeloma & Diffuse Large B-cell Lymphoma
 
True
 
False
Which of the following chemotherapy agents can cause nasopharyngitis, or "wasabi nose"?
 
Cyclophosphamide
 
Etoposide
 
Carboplatin
 
Daunorubicin
Which of the following must be monitored closely for the patient receiving arsenic trioxide?
 
Potassium and magnesium
 
Thoughts and prayers
 
BUN and creatinine
 
Calcium and phosphorus
A patient receiving paclitaxel or docetaxel should be frequently evaluated for which adverse event?
 
Hypersensitivity reaction
 
Hypertensive crisis
 
Uncontrollable giggling
 
Constipation
This drug can be MORE toxic when given over a longer period of time
 
Gemcitabine
 
Decitabine
 
Rituximab
 
Arsenic
Which drug is potentiated by leucovorin and has an oral prodrug called capecitabine?
 
Flurouracil
 
Methotrexate
 
Daunorubicin
 
Blinatumomab
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 has positive blood return from PICC
 
The patient's urine is pinkish-red in color
 
The patient complains of nausea and loss of appetite
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?
 
venetoclax
 
ibrutinib
 
prochloroperizine
 
wingardium leviosa
Which of the following statements is FALSE?
 
Platin drugs do not cause myelosuppresion
 
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
You are working night shift and need to urgently administer etoposide to a patient. Which of the following is correct?
 
Confirm that emergency meds are available
 
Tell the provider, no thank you.
 
Monitor vital signs every 1 hour
 
Begin urine Ph testing
The nurse is caring for a patient receiving high dose methotrexate. Which of the following would require immediate intervention by the nurse?
 
Antibiotics hung via secondary line to bicarb infusion
 
The C.N.A enters Urine Ph of 7.5 under "Enter/Edit Results"
 
R.N. draws methotrexate level at ordered time
 
Strict I&Os are maintained
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 is nauseated.
 
The patient has no hand tremor.
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. If the line flushes, use it.
 
Constipation only. Vincristine is an intrathecal drug.
 
CVAD blood return. This drug will cause diarrhea.
The nurse just hung a continuous 24 hour chemotherapy on a patient that needs to be transported to CT scan now. What should the nurse do?
 
Assure IV connections are secure and allow pt to go to CT.
 
Disconnect the chemotherapy immediately.
 
Call the attending for an order to discontinue the drug.
 
Call the attending for an order to pause the infusion.
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 yes & get them a cup.
 
Make a face - grapefruit juice is gross.
 
Say no because we just don't have it.
What medications would the nurse anticipate giving before administering the combination (monoclonal antibody plus antineoplastic) drug Inotuzumab Ozogamicin?
 
Acetaminophen, a corticosteroid, and an antihistamine
 
mAb drugs NEVER require premeds
 
1000 mL bolus of D50
 
Epinephrine
Blinatumomab is classified as ____ therapy, and engages the patient's ______ to kill the cancer.
 
BiTE; T-cells
 
megabyte; computer
 
oral; stomach acid
 
CAR-T; personal will
The nurse is caring for a patient receiving Rituximab. Which adverse reaction will the nurse look out for?
 
Cytokine Release Syndrome (CRS)
 
Cytokine Reservation Effects
 
Constipation
 
Irritability
Which of the following drugs are NOT commonly used as a BMT preparative regimen drug?
 
Arsenic
 
Melphalan
 
Busulfan
 
Fludarabine
The patient is receiving active chemotherapy. Who needs to exercise hazardous drug (HD) precautions?
 
All team members that may come in contact with HD or BBF
 
The RN only
 
The RN & CNA only
 
No one
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