Exam (elaborations)

Chemo Test 100% Correct(Graded A+)

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Course
Chemo

Institution
Chemo

T or F: Chemotherapy consenting is to be performed by the patient's attending physician - ANSWERTrue A _______ consent is required if the chemo is being used in a new way and/or a new drug is added to the regimen - ANSWERnew T or F: A patient can leave their shoes on when height and weight are ob...

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chemo test 100 correctgraded a

Institution Chemo
Course Chemo

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Chemo Test 100% Correct(Graded A+)

T or F: Chemotherapy consenting is to be performed by the patient's attending physician -
ANSWERTrue

A _______ consent is required if the chemo is being used in a new way and/or a new drug is added
to the regimen - ANSWERnew

T or F: A patient can leave their shoes on when height and weight are obtained only if the patient is
suffering from peripheral neuropathy - ANSWERFalse

Who determines if actual, ideal, or adjusted body weight is to be used in chemo dosing? -
ANSWERthe physician

The Calvert formula is used to calculate the dose of what drug? - ANSWERCarboplatin

What does the AUC measure? - ANSWERArea under the curve/Drug exposure

T or F: Mrs. S is receiving Carboplatin dosed with an AUC of 6 and Mrs. H is receiving Carboplatin
with AUC of 2. The nurse knows Mrs. S may have more toxicity to the drug since her AUC is higher
than Mrs. H. - ANSWERTrue

A UPMC fellow cannot write orders independently in the first_______ - ANSWERThree months

T or F: The nurse should avoids bruised sites, the use of hand/antecubital veins, and sites distal to
veins that have experienced venipuncture in the past 24 hours when assessing where to place a new
intravenous site for chemotherapy administration - ANSWERTrue

__________ chemotherapy administered IV push should be administered at a rate of 5ml/min and
blood return should be assessed after every 2 to ______ml of drug administered - ANSWERVesicant;
3

T or F: The most accurate method to measure creatinine clearance is to collect urine for 24 hours to
measure level - ANSWERTrue

T or F: When administering an IV push medication the nurse should open the clamp of compatible
intravenous solution until increased flow is seen to dilute the agent during administration -
ANSWERTrue

During the 2 RN check, the correct patient and dose is to verified at the ________ -
ANSWERBedside/Chairside

Continuous infusion of vesicants must be through a ________ - ANSWERCentral line

Family and __________ of the patient need taught about excretion safety precautions -
ANSWERFriends

Excretion safety precautions last for _________ or _________ days - ANSWER3; 7

T or F: When evaluating a patient prior to chemotherapy, the nurse notes the patient recently had
weight loss. The nurse recalculates the dose and discovers a change in the dose greater than 10%.

, The next step for the nurse is to notify the attending physician that the patient will need re-
consented because of the dose adjustment - ANSWERFalse

Alkylating agents are cell cycle non-specific. They work on __________ and resting cells -
ANSWERDividing

Alkylating agents are effective in slow growing tumors and large tumors that have few actively
___________ cells - ANSWERDividing

List three toxicities common in all alkylating agents: - ANSWERNausea, vomiting, myelosuppression,
infertility, hypersensitivity reactions, alopecia, secondary malignancies, tumor lysis syndrome,
pregnancy category D

Which class of drugs can cross the blood brain barrier, increasing a patient's risk for CNS toxicities? -
ANSWERNitrosureas

__________ is the solvent for carmustine (BCNU) - ANSWERSterile alcohol

The ________ formula is used to calculate Carboplatin dosage - ANSWERCalvert

T or F: Temozolamide effectively crosses the blood brain barrier - ANSWERTrue

Patients may feel intoxicated during the administration of _________ - ANSWERCarmustine (BCNU)

Patients are prophylactically medicated with anticonvulsants before receiving __________ and for 24
hours after the last dose to prevent seizures - ANSWERBusulfan

T or F: Oxaliplatin should only be mixed with D5W - ANSWERTrue

Which drug should always be given with Mesna? - ANSWERIfosfamide

Pulmonary fibrosis is a late complication of patients who receive _______ - ANSWERBusulfan

The platinum alkylating agents include ________, ________, and _________ - ANSWERCisplatin;
Carboplatin; Oxaliplatin

Cisplatin is a ___________ emetogenic drug - ANSWERhighly

Pretreatment hydration is administered to prevent this toxicity of cisplatin: _________ -
ANSWERNephrotoxicity

T and F: Cisplatin should be administered before paclitaxel to prevent delayed paclitaxel excretion
and increased toxicity - ANSWERFalse

T or F: Electrolyte levels need to be closely monitored and often supplemented for cisplatin -
ANSWERTrue

The more treatments a patient receives _________ the risk for reaction with carboplatin -
ANSWERIncreases

A dose limiting adverse event associated with oxaliplatin is __________ - ANSWERNeurotoxicity

Patients should avoid cold fluids for 5 days after receiving ________ to help prevent _________ -
ANSWEROxaliplatin; Acute neurotoxicity

List 2 common side effects of antimetabolites: - ANSWERMyelosuppression, mucositis, GI symptoms,
liver dysfunction

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Chemo Test 100% Correct(Graded A+)

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