The patient is receiving active chemotherapy. Who needs to exercise hazardous drug (HD) precautions?
The RN only
No one
The RN & CNA only
All team members that may come in contact with HD or BBF
You are working night shift and need to urgently administer etoposide to a patient. Which of the following is correct?
Monitor vital signs every 1 hour
Begin urine Ph testing
Confirm that emergency meds are available
Tell the provider, no thank you.
True or False: Selinxor (Xpovio) is FDA approved to treat relapsed/refractory Multiple Myeloma & Diffuse Large B-cell Lymphoma
False
True
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?
CVAD blood return. This drug will cause diarrhea.
Both.
Constipation only. Vincristine is an intrathecal drug.
Constipation only. If the line flushes, use it.
Blinatumomab is classified as ____ therapy, and engages the patient's ______ to kill the cancer.
BiTE; T-cells
megabyte; computer
CAR-T; personal will
oral; stomach acid
The nurse is caring for a patient receiving Rituximab. Which adverse reaction will the nurse look out for?
Irritability
Constipation
Cytokine Reservation Effects
Cytokine Release Syndrome (CRS)
What medications would the nurse anticipate giving before administering the combination (monoclonal antibody plus antineoplastic) drug Inotuzumab Ozogamicin?
1000 mL bolus of D50
Epinephrine
mAb drugs NEVER require premeds
Acetaminophen, a corticosteroid, and an antihistamine
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
R.N. draws methotrexate level at ordered time
Strict I&Os are maintained
The C.N.A enters Urine Ph of 7.5 under "Enter/Edit Results"
Which of the following drugs are NOT commonly used as a BMT preparative regimen drug?
Fludarabine
Busulfan
Arsenic
Melphalan
A patient receiving paclitaxel or docetaxel should be frequently evaluated for which adverse event?
Constipation
Hypertensive crisis
Hypersensitivity reaction
Uncontrollable giggling
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?
wingardium leviosa
prochloroperizine
venetoclax
ibrutinib
A patient is receiving doxorubicin via Left DL PICC. Which of the following is most concerning?
The patient's urine is pinkish-red in color
The patient complains of nausea and loss of appetite
The patient has an ejection fraction of 30%
The patient has positive blood return from PICC
Which of the following must be monitored closely for the patient receiving arsenic trioxide?
BUN and creatinine
Calcium and phosphorus
Thoughts and prayers
Potassium and magnesium
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?
Call the attending for an order to pause the infusion.
Call the attending for an order to discontinue the drug.
Assure IV connections are secure and allow pt to go to CT.
Disconnect the chemotherapy immediately.
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 no because we just don't have it.
Make a face - grapefruit juice is gross.
Say yes & get them a cup.
Which of the following statements is FALSE?
Hypersensitivity can occur after the 7th dose of carboplatin
Pts who receive oxaliplatin should avoid cold beverages
Platin drugs do not cause myelosuppresion
Cisplatin is one of the most potent emetogenic drugs
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 has no hand tremor.
The patient writes with a clear signature.
The patient is nauseated.
The patient walks with an ataxic gait & has nystagmus.
Which drug is potentiated by leucovorin and has an oral prodrug called capecitabine?
Daunorubicin
Flurouracil
Blinatumomab
Methotrexate
This drug can be MORE toxic when given over a longer period of time
Arsenic
Gemcitabine
Rituximab
Decitabine
Which of the following chemotherapy agents can cause nasopharyngitis, or "wasabi nose"?
Carboplatin
Etoposide
Daunorubicin
Cyclophosphamide