Study

Symptom Management Review

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  • What is the term for "eyelash overgrowth"?
    Trichomegaly
  • What is the classification of oral agents likely to cause skin reactions?
    EGFR Inhibitors
  • Which lab value is most commonly used to measure malnutrition & nutritional risk?
    Albumin
  • Name two chemotherapy agents highly associated with constipation?
    Vincristine & Vinblastine
  • What is the term defined as "continued exposure to opioids resulting in the decrease in its effects over time?
    Analgesia tolerance
  • What is the most effective non-pharmacologic intervention for the treatment of fatigue?
    Exercise
  • What is one of the most common dose-limiting toxicities of chemotherapy?
    Neutropenia
  • Name two types of pain?
    Nociceptive, Neuropathic
  • True or False: Patients with hematologic malignancies are at an increased risk of chemotherapy-induced neutropenia & sepsis
    True
  • What solid tumors have a higher risk of bleeding?
    Patients with large head/neck or central lung cancers
  • The patient receiving filgrastim complains of bone pain. Which medication would the nurse anticipate administering?
    Loratidine
  • What is a skin reaction commonly seen in patients recieving epidermal growth factor receptor (EGFR) )inhibitors?
    Hyperpigmentation of hands
    Invisibility
    Erythema of hands and feet
    Acneform rash without comedones
  • SL is a 45-year old breast cancer survivor who has undergone multimodal therapies. She reports having difficulty juggling multiple tasks at work. She is likely experiencing:
    Decreased self confidence
    Delirium
    Poorly concocted memory potion
    Cognitive impairment
  • What is the most common source of pain related to cancer?
    Bone metastases
  • True or False: Patients with neutropenic fevers should seek immediate medical attention via the clinic or direct hospital admissions
    True
  • True or False: Compression of ureters and hypercalcemia of malignancy are risk factors for renal dysfunction.
    True
  • What is urge incontinence?
    Involuntary loss of urine associated with an abrupt and strong desire to void
  • What are some chemotherapy agents that have an increased risk of peripheral neuropathy?
    Vincristine, Cisplatin, Paclitaxel, and Carboplatin
  • Name some interventions for cognitive impairment
    Brain exercises, using lists, and maintaining calendars
  • What are initial symptoms of peripheral neuropathy?
    “Pins & needles” sensation in tips of toes & fingers
  • Nausea and vomiting in patients undergoing radiation or chemotherapy is preventable or reduced by all of the following except:
    Phenothiazines
    Serotonin antagonists
    Platinum-containing compounds
    Cannabinoids
  • What is an FDA approved drug to reduce cardiotoxicity in adults?
    Dexrazoxane
  • True or False: Venous thromboembolism is the second most common cause of death in cancer patients?
    True
  • What are pharmacologic interventions for pruritus?
    Cimetidine, Naloxone, and Capsaicin
  • What is the term that describes "food tasting strange and unpleasant"?
    Dysgeusia
  • True or False: Frequent oral hygiene and saline rinses are effective interventions in minimizing oral mucositis?
    True
  • What is the best method in preventing the spread of infection?
    Handwashing
  • What is a common medication, or class of medications, used to manage anticipatory N/V?
    Lorazepam and/or other anxiolytics
  • Nursing evaluation of pain in a cancer patient should include all of the following except:
    Location
    Temporality
    Intensity
    Patient pain tolerance
  • What is the most common drug (chemo) related to long-term pulmonary complications?
    Bleomycin
  • What are interventions for musculoskeletal alterations?
    ROM exercises, changing positions, assistive devices, rehabilitation
  • Which of the following interventions has the strongest evidence for the management of cancer-related fatigue?
    Blood transfusions
    Dexamethasone
    Aggressive snacking
    Exercise
  • What is a common risk factor for the development of lymphedema?
    Infection in extremity post mastectomy
  • What group of drugs (chemo) are most likely to be associated with cardiac toxicities?
    Anthracyclines
  • What is the initial treatment for many immune-related adverse events?
    Steroids
  • What is the group of drugs that is frequently associated with immune-related adverse effects?
    Checkpoint Inhibitors
  • What are some interventions for palmar/plantar erythrodysesthesia syndrome?
    Well-fitting shoes/socks, gel inserts, & avoidance of excess pressure on soles/palms