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Which of the following interventions has the strongest evidence for the management of cancer-related fatigue?
 
Exercise
 
Blood transfusions
 
Dexamethasone
 
Aggressive snacking
SL is a 45-year old breast cancer survivor who has undergone multimodal therapies. She reports having difficulty juggling multiple tasks at work. She is likely experiencing:
 
Cognitive impairment
 
Decreased self confidence
 
Delirium
 
Poorly concocted memory potion
What is a skin reaction commonly seen in patients recieving epidermal growth factor receptor (EGFR) )inhibitors?
 
Acneform rash without comedones
 
Erythema of hands and feet
 
Hyperpigmentation of hands
 
Invisibility
Nausea and vomiting in patients undergoing radiation or chemotherapy is preventable or reduced by all of the following except:
 
Platinum-containing compounds
 
Serotonin antagonists
 
Phenothiazines
 
Cannabinoids
Nursing evaluation of pain in a cancer patient should include all of the following except:
 
Patient pain tolerance
 
Location
 
Temporality
 
Intensity
The patient receiving filgrastim complains of bone pain. Which medication would the nurse anticipate administering?
Loratidine
What is the classification of oral agents likely to cause skin reactions?
EGFR Inhibitors
What is the group of drugs that is frequently associated with immune-related adverse effects?
Checkpoint Inhibitors
What is the initial treatment for many immune-related adverse events?
Steroids
What are interventions for musculoskeletal alterations?
ROM exercises, changing positions, assistive devices, rehabilitation
True or False: Compression of ureters and hypercalcemia of malignancy are risk factors for renal dysfunction.
True
What is urge incontinence?
Involuntary loss of urine associated with an abrupt and strong desire to void
What are some interventions for palmar/plantar erythrodysesthesia syndrome?
Well-fitting shoes/socks, gel inserts, & avoidance of excess pressure on soles/palms
What are some chemotherapy agents that have an increased risk of peripheral neuropathy?
Vincristine, Cisplatin, Paclitaxel, and Carboplatin
Name some interventions for cognitive impairment
Brain exercises, using lists, and maintaining calendars
What is the term for "eyelash overgrowth"?
Trichomegaly
What are initial symptoms of peripheral neuropathy?
“Pins & needles” sensation in tips of toes & fingers
What is the most common drug (chemo) related to long-term pulmonary complications?
Bleomycin
What group of drugs (chemo) are most likely to be associated with cardiac toxicities?
Anthracyclines
What is a common risk factor for the development of lymphedema?
Infection in extremity post mastectomy
What is an FDA approved drug to reduce cardiotoxicity in adults?
Dexrazoxane
True or False: Venous thromboembolism is the second most common cause of death in cancer patients?
True
What is the most common source of pain related to cancer?
Bone metastases
What is the most effective non-pharmacologic intervention for the treatment of fatigue?
Exercise
What is the term defined as "continued exposure to opioids resulting in the decrease in its effects over time?
Analgesia tolerance
What are pharmacologic interventions for pruritus?
Cimetidine, Naloxone, and Capsaicin
Name two types of pain?
Nociceptive, Neuropathic
What is one of the most common dose-limiting toxicities of chemotherapy?
Neutropenia
What solid tumors have a higher risk of bleeding?
Patients with large head/neck or central lung cancers
True or False: Patients with neutropenic fevers should seek immediate medical attention via the clinic or direct hospital admissions
True
True or False: Patients with hematologic malignancies are at an increased risk of chemotherapy-induced neutropenia & sepsis
True
What is the best method in preventing the spread of infection?
Handwashing
What is a common medication, or class of medications, used to manage anticipatory N/V?
Lorazepam and/or other anxiolytics
What is the term that describes "food tasting strange and unpleasant"?
Dysgeusia
Name two chemotherapy agents highly associated with constipation?
Vincristine & Vinblastine
True or False: Frequent oral hygiene and saline rinses are effective interventions in minimizing oral mucositis?
True
Which lab value is most commonly used to measure malnutrition & nutritional risk?
Albumin
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