What type of analgesia is used to access an implanted port for
vesicant administration?
A. Subcutaneous lidocaine
B. Intradermal bacteriostatic saline
C. Intradermal lidocaine
D. Topical short acting anesthesic* Correct Answer D. Topical
short acting anesthesic*
To help prevent dose-limiting myelosuppression, give paclitaxel
before:
A. Antitumor antibodies
B. Antimetabolites
C. Alkylating agents*
D. Vinca Alkaloids Correct Answer C. Alkylating agents*
Which of the following medications is a non-anthracycline
antitumor antibiotic?
A. Daunorubicin
B. Idarubicin
C. Mitomycin-C
D. Epirubicin Correct Answer C. Mitomycin-C
A patient receiving an infusion of mitomycin reports slight
discomfort above the peripheral IV site. What is an appropriate
action for the nurse to take?
A. Restart the IV below the previous site.
B. Wrap the arm in a warm blanket
C. Reduce the infusion rate and monitor the site.
,D. Stop the infusion and aspirate for a blood return.* Correct
Answer D. Stop the infusion and aspirate for a blood return.*
A patient's IV infiltrates. The nurse restarts the IV in:
A. A site proximal to the previous site.
B. A lower extremity.
C. The ventral surface of the wrist.
D. The antecubital fossa.* Correct Answer D. The antecubital
fossa.*
*Which statement by a patient indicates the need for additional
teaching regarding the side effects doxorubicin? "I need to report
any..."
A. Fever above 100.5
B. Shortness of breath
C. Changes in the color of urine*
D. Sudden weight gain Correct Answer C. Changes in the color of
urine*
A patient reports leaking at the chemotherapy infusion site. After
assessing and warning others, the nurse:
A. Consults the pharmacist for instructions
B. Relocates the patient to another room
C. Contacts the physician for additional orders.
D. Retrieves the hazardous medication spill kit.* Correct Answer
D. Retrieves the hazardous medication spill kit.*
A patient on flourouracil reports flaky, painful hands. What does
the nurse suspect?
A. Flair reaction to the treatment.
B. Holt-Oram syndrome
C. Palmar-plantar erythrodysesthesia*
D. Hypersensitivity reaction Correct Answer C. Palmar-plantar
erythrodysesthesia*
, Which of the following information is included in a sorafenib
teaching plan?
A. Agent is an IV medication that does not require routine
premedications.
B. Doses are taken at least 1 hour before or two hours after a
meal.*
C. Elevated calcium levels are monitored after the first and before
the third cycles.
D. Baseline ejection fraction is obtained prior to initial treatment.
Correct Answer B. Doses are taken at least 1 hour before or two
hours after a meal.*
The lifetime cumulative doxorubicin dose is 450 mg/m2 when a
patient has received:
A. Chest irradiation
B. Bleomycin
C. Bracytherapy
D. Rituximab* Correct Answer A. Chest irradiation
Oncogenes occur when there is mutation in the:
A. DNA*
B. Epidermal growth factor
C. RNA
D. Vascular endothelial growth factor Correct Answer A. DNA*
Which of the following statements indicates understanding of
dose adjustments for adverse events related to checkpoint
inhibitors?
A. Dose reductions are based on the severity of the adverse
events*
B. Steroid therapy should be discontinued to effectively control
side effects.
C. To treat more severe adverse reactions, the medication is
either withheld or discontinued.
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