ONS ONCC CHEMO RENEWAL
EXAM / 60+ QUESTIONS AND
CORRECT ANSWERS 2023/2024 /
GRADED A+.
2 / 12
1. Neoadjuvant therapy does not increase survival when compared to adjuvanttherapy. It only changes the timing of
treatment and can change surgical op-tionsif the tumor isshrunk enough.If this occurs...
ONS ONCC CHEMO RENEWAL EXAM / 60+ QUESTIONS AND CORRECT ANSWERS 2023/2024 / GRADED A+. 1. Neoadjuvant therapy does not increase survival when compared to adjuvant therapy. It only changes the timing of treatment and can change surgical op - tions if the tumor is shrunk enough. If this occurs, the patient may only require a lumpectomy plus radiation therapy instead of needing a mastectomy: ANSW Main benefit of neoadjuvant chemotherapy (breast cancer patient) 2. A comprehensive geriatric assessment (CGA) is a multidisciplinary evalua - tion to assess life expectancy and risk of morbidity and mortality in the older patient. This assessment tool would evaluate and include the following areas: functional status, socioeconomic issues, psychosocial distress, comorbidi - ties, cognitive function, nutritional status, polypharmacy, and a medication review (NCCN Older Adult Oncology Guidelines, version 1.2015).: ANSW Due to Mrs. Turner's age and comorbidities, her oncologist performs a comprehensive geriatric assessment. You know that this assessment covers all but which of the following: 3. 65: The NCCN Older Adult Oncology Guidelines (version 1.2015) provides in - formation on what is included in a comprehensive geriatric assessment. Currently, more than 60% of cancers in the United States occur in people age and older and as the oncology world ages, nearly half (46%) of cancer survivors are 70 years of age or older 4. Two of the agents (docetaxel and carboplatin) that Mrs. Turner will receive are categorized as irritants. Docetaxel can cause a significant reaction if it extravasates. It can lead to edema, erythema, occasional pain and blister formation (ONS Chemo/Bio guidelines, 2014). That is the most likely reason that Mrs. Turner was given a port for her treatments. Some patients will receive their treatments through a peripheral IV without incident. Just because they are intravenous agents does not mean that a port is required and needing a port has nothing to do with her being older in age. Since none of these agents are vesicants, they likely could have been given safely via peripheral route but having a port placed is OK as well.: What is your best explanation for why Mrs. Turner was given a port to receive her chemotherapy? 5. Irrirtants: can cause inflammation, pain, and burning but rarely cause tissue necrosis comparable to a vesicant (unless a large amount or a very high concentration of the irritant is extravasated). 6. Vesicants: can cause blistering and significant pain and tissue damage and destruction, leading to tissue death. 7. Non-DNA -binding solutions remain in the local area of the extravasation, which improves the possibility of drug deactivation. DNA -binding agents attach to DNA nucleic acids, causing the antagonist to be ingested cellularly, leading to progressive tissue destruction: A further
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