ONS ONCC Chemo Renewal
Exam | Questions and Answers
Graded A+ Latest 2024
Main benefit of neoadjuvant chemotherapy (breast cancer patient)
- Correct Answer - Neoadjuvant therapy does not increase survival when compared to adjuvant therapy. It only changes the timing of treatment and can change surgical options if the tumor is
shrunk enough. If this occurs, the patient may only require a lumpectomy plus radiation therapy instead of needing a mastectomy
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: - Correct Answer - A comprehensive geriatric assessment (CGA) is a multidisciplinary evaluation 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, comorbidities, cognitive function, nutritional status, polypharmacy, and a medication review (NCCN Older Adult Oncology Guidelines, version 1.2015).
The NCCN Older Adult Oncology Guidelines (version 1.2015) provides information 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 - Correct Answer - 65
What is your best explanation for why Mrs. Turner was given a port to receive her chemotherapy? - Correct Answer - 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.
_____________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). - Correct Answer - Irrirtants
_____________can cause blistering and significant pain and tissue damage and destruction, leading to tissue death. - Correct Answer - Vesicants
A further classification of an antineoplastic agent's potential to cause damage is whether its mechanism of action includes DNA binding. - Correct Answer - 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
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