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CHEMOTHERAPY STUDY GUIDE QUESTIONS AND VERIFIED ANSWERS

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CHEMOTHERAPY STUDY GUIDE QUESTIONS AND VERIFIED ANSWERS

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A patient with CNS lymphoma is scheduled to receive high dose methotrexate. Prior
to starting methotrexate, the nurse would:


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administer IV fluids with sodium bicarb and monitor pH and UOP




What test should be done prior to starting treatment with anthracyclines (ex.
idarubicin, adriamycin)?


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ECHO to know the ejection fraction

,A patient receives irinotecan, is experiencing cramping and diarrhea. The nurse notes
that the patient is flushed and diaphoretic. The nurse should obtain an order and give:


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Atropine 0.25mg IV




FOLFIRI


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Leucovorin-FOL
5FU-F
Irinotecan-IRI




After tumor type and staging, the most important factor to consider when
determining appropriate treatment is:


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Performance status




What drug is a substitute for Cinvanti?


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, fosaprepitant




Irritant


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drugs that cause burning in the IV




A cancer patient who has been restaged and does not have any detectable s/s of
cancer:


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is in complete remission




What premeds are administered prior to giving Taxol?


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Dexamethasone, Zofran, Benadryl, and Pepcid




A patient reviewing a copy of his pathology report asks what is meant by well
defferentiated. The nurse explains that well-differentiated tumors:


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, Resemble the tissue of origin




What is done to prevent hemorrhagic cystitis with Ifex administration?


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mesna is given usually in 3 divided doses or mixed in with Ifosfamide.




Routes of chemotherapy administration


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oral, intravenous, subcutaneous, intramuscular, intraperitoneal, intrathecal,
intrapleural, intravesicular, intraarterial, and HIPEC




What precautions are taken with neutropenic patients?


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-Good hand washing
-Avoid people with obvious s/s of infection
-Notify physician before having dental work done
-No enemas or rectal suppositories
-Oral hygiene use swish with NS after each meal and before bed
-Wear a mask when out of room
-no live plants or flowers
-Low bacteria diet. Don't eat unwashed or unpeeled fresh fruits/vegetables

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