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ONS ONCC Chemo Renewal II Questions and answers
ONS ONCC Chemo Renewal II Questions and answers
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ONS ONCC Chemo Renewal II Questionsand answers
Key Points for Combination Therapy - ANSWER-Oncology Nurses must consider
Consider the potential toxicity related to each drug.
Understand the monitoring guidelines for each drug.
Have knowledge of clinically significant signs and symptoms
ONS Evidence-Based Practice Resources - ANSWER-Evidence-based practice
can have positive effects, such as:
Improved patient outcomes
Increased nurse satisfaction
Potential cost savings
Risk Factors For Colon Cancer - ANSWER-Increased age is a risk factor for
developing colorectal cancer. The chance of developing colorectal cancer
increases markedly after age 50. Roughly 9 out of 10 people diagnosed with
colorectal cancer are at least 50 years old. Smoking, alcohol intake, and a
personal history of polyps are all things that increase risk. Other risk factors for
the development of colorectal cancer include:
Racial and ethnic backgrounds (African Americans and Jews of Eastern
European descent [Ashkenazi Jews] have highest incidence)
Diet high in red and processed meats
Physical inactivity, obesity
Type 2 diabetes
Family history of colon cancer or inflammatory bowel disease
Inherited familial syndromes (FAP, HNPCC)
Patient Education on Chemotherapy - ANSWER-Patients are provided with
verbal and written or electronic information as part of an education process
, before the first administration of treatment of each treatment plan. The content of
this educational material will be documented. Educational information includes
the following at a minimum:
Patient's diagnosis
Goals of treatment; that is, cure disease, prolong life, or reduce symptoms
Planned duration of treatment, schedule of treatment administration, drug names
and supportive medications, drug-drug and drug-food interactions, and plan for
missed doses
Potential long-term and short-term adverse effects of therapy, including infertility
risks for appropriate patients
Symptoms or adverse effects that require the patient to contact the healthcare
setting or to seek immediate attention
Symptoms or events that require immediate discontinuation of oral or other
self-administered treatments
Procedures for handling medications in the home, including storage, safe
handling, and management of unused medication
Procedures for handling body secretions and waste in the home
Follow-up plans, including laboratory and provider visits
Contact information for the healthcare setting, with availability and instructions on
when and who to call
The missed appointment policy of the healthcare setting and expectations for
rescheduling or cancelling
Education includes family, caregivers, or others based on the patient's ability to
assume responsibility for managing therapy. Educational activities will be
performed based on the patient's learning needs, abilities, preferences, and
readiness to learn.
Folfox 6 - ANSWER-he treatment regimen, FOLFOX6, consists of chemotherapy
in two-week cycles over a six-month period. Ensuring patient understanding of
the treatment and anticipated side effects before initiation of therapy is an
important safety standard and should be documented in the patient record
(Neuss et al., 2016). Mr. Patterson is also provided written information regarding
his chemotherapy regimen to review at home. Mr. Patterson's treatment plan with
FOLFOX6 consists of the following:
Oxaliplatin 100 mg/m2 and Leucovorin 400 mg/m2 IV over two hours, then
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