A patient just had breast reconstruction after a mastectomy and asks the nurse why she needs to have a drainage tube hanging out of her dressing. The nurse explains that drains are used to:
Allow for silicone injection into the breast
Prevent the accumulation of fluid (i.e., pus, blood)
Infusion of antibiotics to the wound, if necessary
Allow for wound granulation
Which drug is potentiated by leucovorin?
Blinatumomab
Daunorubicin
Flurouracil
Methotrexate
The most common and recommended measurement of radiation exposure is:
HVL
Rads
Grays
LDR
Blinatumomab is classified as ____ therapy, and engages the patient's ______ to kill the cancer.
megabyte; computer
BiTE; T-cells
oral; stomach acid
CAR-T; personal will
Which of the following chemotherapy agents can cause nasopharyngitis, or "wasabi nose"?
Cyclophosphamide
Etoposide
Daunorubicin
Carboplatin
The delivery of radiation therapy is divided into small fractions for what reason?
Helps to deoxygenate malignant cells in the radiation field
Allows for recovery of surrounding nonmalignant tissues
Radiation therapy cannot be divided into small fractions
Assists with the development of therapeutic relationships
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.
Which of the following are identified as acute-responding tissues for radiation therapy?
Bone marrow, ovaries, and uterus
Testis, small bowel, and thyroid
Oral mucosa, vagina, and larynx
Salivary gland, liver, and lymph vessels
True or False: Selinexor (Xpovio) is FDA approved to treat relapsed/refractory Multiple Myeloma & Diffuse Large B-cell Lymphoma
True
False
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)
Radiation therapy before cancer surgery can:
Increase the functional disabilities after therapy
Provide a more appealing option to patients
Improve tumor resectability and alter the extent of surgery
Complicate treatment outcomes
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's urine is pinkish-red in color
The patient has an ejection fraction of 30%
The patient has positive blood return from PICC
A patient receiving paclitaxel or docetaxel should be frequently evaluated for which adverse event?
Constipation
Hypertensive crisis
Hypersensitivity reaction
Uncontrollable giggling
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
The RN & CNA only
No one
Which of the following is most accurate? Radiation therapy (RT) involves:
Particulate radiation in the form of subatomic particles
None of these statements are true
Ionizing radiation in the form of x-rays, gamma rays,protons
Electromagnetic radiation in the form of energy waves
Which of the following must be monitored closely for the patient receiving arsenic trioxide?
Calcium and phosphorus
Thoughts and prayers
BUN and creatinine
Potassium and magnesium
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.
Surgery is often the treatment of choice for those tumors that:
Are fast growing and spread via the circulatory system
Adhere to the musculature of a body organ
Have a high growth fraction and are fast growing
Have a low growth fraction and are slow growing
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 walks with an ataxic gait & has nystagmus.
The patient is nauseated.
The patient writes with a clear signature.
The patient has no hand tremor.
Which factors are the most important overall considerations for wound healing?
Depth of wound, dehiscence, and potassium deficiency
Pain management, mobility, and timing of dressing changes
Recent transfusion and renal compromise or dialysis
Poor circulation, age, and immune response
As a nurse responsible for teaching a patient and family members regarding cancer treatment for lung cancer, the goal would be for them to understand which of the following?
Adjuvant RT is given before definitive treatment
Neoadjuvant RT is given after definitive treatment
Definitive RT is a primary treatment with or without chemo
Control RT is given to high-risk areas to improve QOL
Which of the following statements is FALSE?
Hypersensitivity can occur after the 7th dose of carboplatin
Platin drugs do not cause myelosuppresion
Pts who receive oxaliplatin should avoid cold beverages
Cisplatin is one of the most potent emetogenic drugs