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Chemotherapy agents
Education
Side Effects
Monitoring
100

What is Oxaliplatin?

Patients receiving this drug should be educated to avoid exposure to cold during treatment.

100
For what ongoing side effect would you instruct your patient to avoid tampons and dental floss?
Thrombocytopenia/neutropenia
100
List the symptoms you would ask a patient to report when he or she is receiving a peripheral vesicant?
Pain and burning at the site.
100
What lab values would you want to check prior to giving Cisplatin?
What is BUN, Creatinine and CBC with platelet and differential
200
Corticosteroid eye drops are ordered with high-dose cytarabine to prevent what side effect?
Drug-induced conjunctivitis
200
What are two tips you can give patients to prevent mouth sores?
visit your dentist 2 weeks before starting chemotherapy, keep your mouth moist, check for mouth sores daily, keep your mouth clean and be careful what you are eating with mouth sores.
200
What antiemetic might you suspect is contributing to your patient’s diarrhea?
Reglan, Zofran
200
If vincristine extravasates will you use warm packs or ice packs? .
Warm packs, Vinca alkaloids require warm packs after an extravasation
300
If your patient experiences an extravasation, what should be added to the patient record in addition to a detailed narrative of the event?
Pictures of the site of extravasation, camera is located in the staffing office
300
What anticipatory guidance would you offer a patient receiving doxorubicin regarding elimination?
That he or she might experience a transient red color in their urine and it is not blood
300
Which of the following drugs does not put the patient at risk for hemorrhagic cystitis: Cyclophosphamide, ifosfamide or etoposide?
Etoposide- it does not contain the metabolite that causes hemorrhagic cystitis
300
What is the first thing you should do if you suspect a hypersensitivity reaction?
Stop the infusion and keep the line open with saline to allow for emergency medications to be delivered. Patients can experience venous collapse during a reaction making line placement difficult.
400
What drug is likely cause for the following side effect profile: myelosuppression, alopecia, mucositis, nausea and vomiting, diarrhea, anorexia, hepatic dysfunction, renal dysfunction, photophobia, conjunctivitis and cerebellar toxicity?
High-dose cytarabine.
400
A 78-year-old male is receiving chemotherapy and is asking why he can't just get one chemotherapeutic agent just once and be done? What explanation would you offer him?
Treatment with multiple agents at repeated intervals increase the likelyhood of "killing" the cancer cells.
400

How long will it take for a patient's hair to grow back?

It usually grows back within 2-3 months.

400
Why is it important to document blood return every time you give chemotherapy?
For legal proof that you followed the standard of care.
500
A client is taking vincristine (Oncovin). The nurse should instruct the client:
About bowel regimen
500
A client’s absolute neutrophil count is less than 1000/mm3 during a course of chemotherapy. Which of the following interventions would be most appropriate for the nurse to implement?
Washing hands before entering the room
500

What is Tumor Lysis Syndrome?

Rapid destruction of cancer cells can lead to this syndrome of electrolyte imbalances and renal failure.

500
When administering methotrexate what should you maintain the urine ph at and why?
7.0 or greater to protect kidneys from damage and acute failure