Study

Oncology Review- Ambulatory 2023

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  • Surgery is often the treatment of choice for those tumors that:
    Adhere to the musculature of a body organ
    Are fast growing and spread via the circulatory system
    Have a high growth fraction and are fast growing
    Have a low growth fraction and are slow growing
  • What medications would the nurse anticipate giving before administering the combination (monoclonal antibody plus antineoplastic) drug Inotuzumab Ozogamicin?
    mAb drugs NEVER require premeds
    Acetaminophen, a corticosteroid, and an antihistamine
    Epinephrine
    1000 mL bolus of D50
  • 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
    venetoclax
    wingardium leviosa
    prochloroperizine
  • 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.
  • Blinatumomab is classified as ____ therapy, and engages the patient's ______ to kill the cancer.
    BiTE; T-cells
    CAR-T; personal will
    megabyte; computer
    oral; stomach acid
  • A patient receiving paclitaxel or docetaxel should be frequently evaluated for which adverse event?
    Uncontrollable giggling
    Hypersensitivity reaction
    Constipation
    Hypertensive crisis
  • 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
  • Which drug is potentiated by leucovorin and has an oral prodrug called capecitabine?
    Methotrexate
    Fluorouracil
    Blinatumomab
    Daunorubicin
  • 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.
    Constipation only. If the line flushes, use it.
    Both.
    Constipation only. Vincristine is an intrathecal drug.
  • 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
  • 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:
    Infusion of antibiotics to the wound, if necessary
    Prevent the accumulation of fluid (i.e., pus, blood)
    Allow for silicone injection into the breast
    Allow for wound granulation
  • The most common and recommended measurement of radiation exposure is:
    Grays
    LDR
    HVL
    Rads
  • The nurse is caring for a patient receiving Rituximab. Which adverse reaction will the nurse look out for?
    Cytokine Release Syndrome (CRS)
    Cytokine Reservation Effects
    Constipation
    Irritability
  • A patient is receiving doxorubicin via Left DL PICC. Which of the following is most concerning?
    The patient has positive blood return from PICC
    The patient complains of nausea and loss of appetite
    The patient has an ejection fraction of 30%
    The patient's urine is pinkish-red in color
  • Which of the following must be monitored closely for the patient receiving arsenic trioxide?
    Thoughts and prayers
    Calcium and phosphorus
    Potassium and magnesium
    BUN and creatinine
  • Which of the following chemotherapy agents can cause nasopharyngitis, or "wasabi nose"?
    Carboplatin
    Cyclophosphamide
    Daunorubicin
    Etoposide
  • The patient is receiving active chemotherapy. Who needs to exercise hazardous drug (HD) precautions?
    No one
    The RN & CNA only
    All team members that may come in contact with HD or BBF
    The RN only
  • True or False: Selinxor (Xpovio) is FDA approved to treat relapsed/refractory Multiple Myeloma & Diffuse Large B-cell Lymphoma
    True
    False