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