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Oncology Review- Ambulatory 2023
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The delivery of radiation therapy is divided into small fractions for what reason?
 
Allows for recovery of surrounding nonmalignant tissues
 
Assists with the development of therapeutic relationships
 
Helps to deoxygenate malignant cells in the radiation field
 
Radiation therapy cannot be divided into small fractions
The most common and recommended measurement of radiation exposure is:
 
Grays
 
LDR
 
Rads
 
HVL
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:
 
Prevent the accumulation of fluid (i.e., pus, blood)
 
Allow for wound granulation
 
Infusion of antibiotics to the wound, if necessary
 
Allow for silicone injection into the breast
Surgery is often the treatment of choice for those tumors that:
 
Have a low growth fraction and are slow growing
 
Are fast growing and spread via the circulatory system
 
Adhere to the musculature of a body organ
 
Have a high growth fraction and are fast growing
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
Which drug is potentiated by leucovorin and has an oral prodrug called capecitabine?
 
Fluorouracil
 
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
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.
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
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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