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Symptom Management Review
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What group of drugs (chemo) are most likely to be associated with cardiac toxicities?
Anthracyclines
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What is one of the most common dose-limiting toxicities of chemotherapy?
Neutropenia
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Nursing evaluation of pain in a cancer patient should include all of the following except:
Location
Intensity
Temporality
Patient pain tolerance
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What are some chemotherapy agents that have an increased risk of peripheral neuropathy?
Vincristine, Cisplatin, Paclitaxel, and Carboplatin
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Name two types of pain?
Nociceptive, Neuropathic
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What is the most effective non-pharmacologic intervention for the treatment of fatigue?
Exercise
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What is the classification of oral agents likely to cause skin reactions?
EGFR Inhibitors
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Which lab value is most commonly used to measure malnutrition & nutritional risk?
Uric Acid
Potassium
Albumin
Sodium
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What are interventions for musculoskeletal alterations?
ROM exercises, changing positions, assistive devices, rehabilitation
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What is the most common source of pain related to cancer?
Respiratory dysfunction
Bone metastases
None of these are correct
Nerve impairment
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What is a common medication, or class of medications, used to manage anticipatory N/V?
Lorazepam and/or other anxiolytics
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Name some interventions for cognitive impairment
Brain exercises, using lists, and maintaining calendars
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What solid tumors have a higher risk of bleeding?
Patients with ovarian cancer
All solid tumor patients are at a high risk of bleeding
Patients with GI cancers
Patients with large head/neck or central lung cancers
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True or False: Frequent oral hygiene and saline rinses are effective interventions in minimizing oral mucositis?
True
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What is the initial treatment for many immune-related adverse events?
Steroids
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What is the most common drug (chemo) related to long-term pulmonary complications?
Bleomycin
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What is the term for "eyelash overgrowth"?
Trichomegaly
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Name two chemotherapy agents highly associated with constipation?
Vincristine & Vinblastine
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True or False: Compression of ureters and hypercalcemia of malignancy are risk factors for renal dysfunction.
True
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What is the term defined as "continued exposure to opioids resulting in the decrease in its effects over time?
None of these answers are correct
Physical Dependence
Analgesia tolerance
Addiction
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What is the term that describes "food tasting strange and unpleasant"?
Dysgeusia
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What are pharmacologic interventions for pruritus?
Cimetidine, Naloxone, and Capsaicin
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What are some interventions for palmar/plantar erythrodysesthesia syndrome?
Well-fitting shoes/socks, gel inserts, & avoidance of excess pressure on soles/palms
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True or False: Patients with neutropenic fevers should seek immediate medical attention via the clinic or direct hospital admissions
True
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True or False: Patients with hematologic malignancies are at an increased risk of chemotherapy-induced neutropenia & sepsis
True
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What is an FDA approved drug to reduce cardiotoxicity in adults?
Dexrazoxane
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What is the group of drugs that is frequently associated with immune-related adverse effects?
Checkpoint Inhibitors
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Nausea and vomiting in patients undergoing radiation or chemotherapy is preventable or reduced by all of the following except:
Platinum-containing compounds
Phenothiazines
Cannabinoids
Serotonin antagonists
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What is a common risk factor for the development of lymphedema?
Air travel
Exposure to pressure
Infection in extremity post mastectomy
Race and ethnicity
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What are initial symptoms of peripheral neuropathy?
“Pins & needles” sensation in tips of toes & fingers
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What is urge incontinence?
Continuous or frequent leakage of urine
When urine leaks involuntarily, without warning
Involuntary loss of urine shortly after an urge to urinate
When urine leaks involuntarily during activities
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True or False: Venous thromboembolism is the second most common cause of death in cancer patients?
True
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What is the best method in preventing the spread of infection?
Handwashing
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The patient receiving filgrastim complains of bone pain. Which medication would the nurse anticipate administering?
Diphenhydramine
Fexofenadine
Loratidine
Acetaminophen
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