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.
Constipation only. If the line flushes, use it.
CVAD blood return. This drug will cause diarrhea.
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
The delivery of radiation therapy is divided into small fractions for what reason?
Radiation therapy cannot be divided into small fractions
Assists with the development of therapeutic relationships
Allows for recovery of surrounding nonmalignant tissues
Helps to deoxygenate malignant cells in the radiation field
The nurse is caring for a patient receiving Rituximab. Which adverse reaction will the nurse look out for?
Irritability
Cytokine Release Syndrome (CRS)
Constipation
Cytokine Reservation Effects
Blinatumomab is classified as ____ therapy, and engages the patient's ______ to kill the cancer.
oral; stomach acid
BiTE; T-cells
megabyte; computer
CAR-T; personal will
Which drug is potentiated by leucovorin and has an oral prodrug called capecitabine?
Methotrexate
Blinatumomab
Daunorubicin
Fluorouracil
Which of the following chemotherapy agents can cause nasopharyngitis, or "wasabi nose"?
Carboplatin
Daunorubicin
Cyclophosphamide
Etoposide
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 because we just don't have it.
Say yes & get them a cup.
Make a face - grapefruit juice is gross.
Say no & educate the patient this can cause drug toxicity.
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
prochloroperizine
venetoclax
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 positive blood return from PICC
The patient's urine is pinkish-red in color
The patient has an ejection fraction of 30%
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
The most common and recommended measurement of radiation exposure is:
LDR
Grays
Rads
HVL
What medications would the nurse anticipate giving before administering the combination (monoclonal antibody plus antineoplastic) drug Inotuzumab Ozogamicin?
mAb drugs NEVER require premeds
1000 mL bolus of D50
Acetaminophen, a corticosteroid, and an antihistamine
Epinephrine
Surgery is often the treatment of choice for those tumors that:
Adhere to the musculature of a body organ
Have a high growth fraction and are fast growing
Are fast growing and spread via the circulatory system
Have a low growth fraction and are slow growing
A patient receiving paclitaxel or docetaxel should be frequently evaluated for which adverse event?
Constipation
Hypertensive crisis
Uncontrollable giggling
Hypersensitivity reaction
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
Which of the following must be monitored closely for the patient receiving arsenic trioxide?
Calcium and phosphorus
Thoughts and prayers
Potassium and magnesium
BUN and creatinine
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:
Prevent the accumulation of fluid (i.e., pus, blood)
Allow for wound granulation
Allow for silicone injection into the breast
Infusion of antibiotics to the wound, if necessary