NUR 125 Module 6

Chemotherapy Precautions

100

Prior to administering chemotherapy, what is a necessary finding to proceed?

Blood return from IV site

200

You enter a patient's room receiving chemotherapy and notice that the IV has become disconnected, what are the most appropriate interventions?

Remove the patients from the room, close off the area and call for someone trained in chemotherapy spills. 

300

You are caring for a patient who finished chemotherapy 12 hours ago, what is the correct PPE?

Double gloves or chemo gloves, gown, goggles. 

400

Which oral medications are chemotherapy and need to be given by a chemo certified nurse?

Fluorouracil and mercaptopurine

500

This drug needs to be given to counteract the bone marrow suppression with methotrexate.

leucovorin 

Nursing Interventions

100

The nurse understands that a patient will have nausea and vomiting after chemotherapy, when should antiemetics be given?

30-60 minutes prior 

200

A family member calls asking if their neutropenic family member has any restrictions on gifts. The nurse would educate on which items not to bring?

Fresh flowers, fruit and vegetables. 

300

A patient has had fevers with no known origin, what will the nurse anticipate?

An oncology workup

400

What medication is given 24 hours after chemotherapy to help decrease the duration of bone marrow suppression?

Filgrastim 

500

Your patient has concerns about losing their, what is the most appropriate intervention?

Discuss wig options, hats, scarves.

Biologic Drugs

100

Which drug contains latex in some dosage forms?

Etanercept

200

Abatacept should be used in caution with patients with this disease. 

COPD

300

When giving a patient a biologic drug, the nurse needs to monitor closely for.

Allergic reactions

400

Prior to administering a biologic, the following labs should be reviewed?

CBC, Renal and Liver Function. 

500

When educating a patient receiving methotrexate for RA, the nurse will include.

It can take 3-6 weeks to see a response.