3S Oncology Chemo Certification | 44 Questions And Answers

3S Oncology Chemo Certification | 44 Questions And Answers When chemotherapy is used before primary treatment (surgery) to reduce the size of a solid tumor, it is called what? Neoadjuvant Therapy Which of the following class of drugs is cell cycle non-specific and therefore can affect the cancer in any phase of the cell cycle? Alkylating Agents Mutations in genetic material from exposure to chemotherapy are termed? Genotoxicity The Vinca Alkaloids act in which phase where they prevent cell division? M Phase Which of the following is likely the best way to ensure patient adherence to oral chemotherapy? Schedule a phone call with the patient 3-5 days after therapy is initiated To address the dose-limiting toxicity of cyclophosphamide, what should discharge education for the patient include? Encourage the intake of 2-3 liters of fluid per day Which of the following is true and should always be included in your discussion with patients when they go home after completing chemotherapy? Sexual relations are often allowed as long as special precautions are taken Your patient asks if it is okay to have contact with family members during chemotherapy treatments. your best response is: Normal contact and hugging and kissing are safe Your patient had an extravasation, which is a vinca alkaloid class of chemotherapy. What do you teach them about caring for the site when they get home? Apply a warm compress for 15 minutes, 4 times a day Which of the following actions reflect an understanding of safe-handling procedures? Wear two pairs of chemotherapy-tested gloves and gown when handling HD exposed bodily fluids Which of the following is TRUE about the use of chemotherapy gowns with administration of chemotherapy/biotherapy? Gowns should be worn while administering chemotherapy by IV, oral (if splashing is likely), topical, intracavitary, and if giving aerosolized drugs Because of the possibility of exposure through bodily fluids, what is the minimum amount of time to maintain hazardous drug precautions? 48 hours The nurse wearing a chemotherapy gown and gloves has assisted in cleaning an incontinent patient with chemotherapy infusing. The gown does not appear soiled. What should be done with the gown? Dispose in a yellow chemotherapy waste container Which of the following is true about pregnant nurses who care for patients receiving chemotherapy? Employee has the responsibility to notify employer of pregnancy PPE is required when administering chemotherapy using which of the following routes of administration? SATA Select all answers. When caring for the patient who is receiving chemotherapy, you notice a puddle of urine beneath the foley bag on the floor. What should be your first action? Remove unnecessary people from the area Which of the following may be included in a medical surveillance program? Administer periodic questionnaires tracking contact with HD, use of PPE, and adverse events The NCCN guidelines recommend that with the agent you are administering that you should give the following three drug combination as antiemetic premedication: 1. 5-HT3 Antagonist 2. NK1 Antagonist 3. Corticosteroid High emetic risk Prior to beginning any chemotherapy treatment, the nurse must perform an assessment where which of the following should occur? Discussion with the patient about a history of drug, allergic, or transfusion reactions Certain chemotherapy agents are safely administered intrathecally but which of the following should NEVER be administered intrathecally as it is almost certain to be fatal? Vincristine What is the very first thing you should do if you suspect a drug extravasation? Stop the infusion Prevention of infection is so important for most oncology patients. Which of the following is no longer recommended to prevent infection? Neutropenic Diet Which of the following is true about closed-system transfer devices? Use of full PPE is still required If you are administering a chemotherapy agent that is an irritant know to have some vesicant properties, which of the following is true? Treat an extravasation like it is a vesicant Out of the following, which is the safest way to administer vesicant therapy? MOST LIKELY: IV push via the free flow method DEFINITELY NOT: Short infusion over 2 hours OR IV Continuous Infusion Which of the following is a concern when using oral chemotherapy agents? Ensuring adherence to prescribed therapy With which of the following agents would the nurse need to educate the patient about ways to prevent acute, reversible neuropathy exacerbated by cold temperatures? Oxiplatin