Study

Symptom Management Review

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  • What is the term that describes "food tasting strange and unpleasant"?
    Dysgeusia
  • What is the classification of oral agents likely to cause skin reactions?
    EGFR Inhibitors
    PARP Inhibitors
    Tyrosine Kinase Inhibitors
    VEGF Inihibitors
  • Which finding in a patient with a central venous catheter suggests possible catheter-associated thrombosis?
    Unilateral neck or arm swelling on the catheter side
    Intermittent hiccups
    Taste alteration
    Bilateral dry elbows
  • Name two chemotherapy agents highly associated with constipation?
    Vincristine & Vinblastine
  • What is the best method in preventing the spread of infection?
    Handwashing
  • Name two types of pain?
    Nociceptive, Neuropathic
  • True or False: Frequent oral hygiene and saline rinses are effective interventions in minimizing oral mucositis?
    True
  • Which is an appropriate intervention for palmar/plantar erythrodysesthesia syndrome?
    Apply mentholated petroleum ointment
    Only trampoline on sunny days
    Warm epsom salt soaks
    Apply fragrance-free cream with urea
  • The patient receiving filgrastim complains of bone pain. Which medication would the nurse anticipate administering?
    Diphenhydramine
    Loratidine
    Fexofenadine
    Acetaminophen
  • What are interventions for musculoskeletal alterations?
    ROM exercises, changing positions, assistive devices, rehabilitation
  • Nausea and vomiting in patients undergoing radiation or chemotherapy is preventable or reduced by all of the following except:
    Cannabinoids
    Serotonin antagonists
    Platinum-containing compounds
    Phenothiazines
  • All of the following chemotherapy agents that have an increased risk of peripheral neuropathy EXCEPT:
    Vincristine
    Carboplatin
    Dacarbazine
    Cisplatin
  • Which patient teaching is most appropriate for chemotherapy-induced peripheral neuropathy?
    Walk barefoot to improve sensation
    Use heating pads directly on feet
    Test bath water with an unaffected body area and inspect feet daily
    Trim calluses only with a sterile razor
  • Which strategy may help a patient manage mild cognitive changes?
    Avoid writing items down to lose them
    Use a planner, reminders, routines, and one task at a time
    Change routines every day
    Eliminate all physical activity to avoid fatigue
  • Management of xerostomia includes all of the following except:
    Alcohol-based mouthwash
    Sialogogues
    Sugar-free gum
    Hydration
  • Which lab value is most commonly used to measure malnutrition & nutritional risk?
    Potassium
    Sodium
    Albumin
    Uric Acid
  • What is the most common source of pain related to cancer?
    Respiratory dysfunction
    Nerve impairment
    None of these are correct
    Bone metastases
  • True or False: Patients with neutropenic fevers should seek immediate medical attention via the clinic or direct hospital admissions
    True
  • Which medication is most closely associated with hand-foot syndrome?
    Filgrastim
    Capecitabine
    Rituximab
    Denosumab
  • Which of the following is NOT a type of urinary incontinence?
    Functional
    Stress
    Urge
    Genetic
  • What are pharmacologic interventions for pruritus?
    Cimetidine, Naloxone, and Capsaicin
  • What are initial symptoms of peripheral neuropathy?
    “Pins & needles” sensation in tips of toes & fingers
  • The pathophysiology of mucositis includes all of the following stages except:
    Transmission
    Ulceration
    Signaling/Amplification
    Initiation
  • Which therapy class is strongly associated with acneiform rash?
    VEGF inhibitors
    Alkylating agents
    Antimetabolites
    EGFR inhibitors
  • Which agent is classically associated with dose-related left ventricular dysfunction?
    Cyclophosphamide
    Daratumumab
    Doxorubicin
    Cytarabine
  • Which medication classification is appropriate for the treatment of diarrhea?
    Anti-spasmodics
    Suppositories
    Anti-emetics
    Saline laxatives
  • What is an FDA approved drug to reduce cardiotoxicity in adults?
    Dexrazoxane
  • What group of drugs (chemo) are most likely to be associated with cardiac toxicities?
    Anthracyclines
  • True or False: Compression of ureters and hypercalcemia of malignancy are risk factors for renal dysfunction.
    True
  • What is the term defined as "continued exposure to opioids resulting in the decrease in its effects over time?
    Physical Dependence
    Addiction
    None of these answers are correct
    Analgesia tolerance
  • What is the most common drug (chemo) related to long-term pulmonary complications?
    Bleomycin
    Vincristine
    Blinatumomab
    Daunorubicin
  • What is a common medication, or class of medications, used to manage anticipatory N/V?
    Lorazepam and/or other anxiolytics
  • Which finding requires urgent evaluation rather than routine management of chemo brain?
    Occasional misplacement of keys
    Gradual mild word-finding difficulty
    Needing written reminders
    Sudden confusion with focal weakness or speech difficulty
  • A patient reports with trichomegaly. Which of the following drugs can cause this adverse effect?
    Panitumumab
    Bevacizumab
    Rituximab
    Pembroluzimab
  • What is urge incontinence?
    When urine leaks involuntarily during activities
    When urine leaks involuntarily, without warning
    Continuous or frequent leakage of urine
    Involuntary loss of urine shortly after an urge to urinate
  • True or False: Venous thromboembolism is the second most common cause of death in cancer patients?
    True
  • A patient receiving an EGFR inhibitor develops papules and pustules on the face and upper trunk. Which feature most supports an acneiform eruption rather than acne vulgaris?
    Nail plate separation
    Presence of comedones
    Involvement limited to the soles
    Absence of comedones
  • What solid tumors have a higher risk of bleeding?
    All solid tumor patients are at a high risk of bleeding
    Patients with ovarian cancer
    Patients with GI cancers
    Patients with large head/neck or central lung cancers
  • What is the initial treatment for many immune-related adverse events?
    Epinepherine
    Antibiotics
    Cyclophosphomide
    Steroids
  • Which assessment finding is most consistent with paronychia?
    Papules with open and closed comedones
    Bilateral ankle edema without skin changes
    Painless diffuse darkening of the palms
    Erythema, pain, and inflammation around the nail bed
  • A patient receiving paclitaxel reports that several fingernails are separating from the nail beds. Which term best describes this finding?
    Onycholysis
    Acneiform rash
    Palmar-plantar erythrodysesthesia
    Paronychia
  • True or False: Patients with hematologic malignancies are at an increased risk of chemotherapy-induced neutropenia & sepsis
    True
  • What is the group of drugs that is frequently associated with immune-related adverse effects?
    Checkpoint Inhibitors
    H2 Antagonists
    Antimetabolites
    Androgen Inhibitors
  • What is the most effective non-pharmacologic intervention for the treatment of fatigue?
    Exercise
  • What is a common risk factor for the development of lymphedema?
    Air travel
    Race and ethnicity
    Exposure to pressure
    Infection in extremity post mastectomy
  • What is one of the most common dose-limiting toxicities of chemotherapy?
    Mucositis
    Diarrhea
    Fatigue
    Myelosuppression
  • Nursing evaluation of pain in a cancer patient should include all of the following except:
    Intensity
    Patient pain tolerance
    Location
    Temporality