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UPDATED 2024/2025 ONS ONCC CHEMO RENEWAL QUESTIONS AND ANSWERS100% VERIFIED AND GRADED A+ $17.99
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UPDATED 2024/2025 ONS ONCC CHEMO RENEWAL QUESTIONS AND ANSWERS100% VERIFIED AND GRADED A+
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Neoadjuvant therapy does not increase survival when compared to adjuvant therapy. It only changes the timing of treatment and can change surgical options if the tumor is shrunk enough. If this occurs, the patient may only require a lumpectomy plus radiation therapy instead of needing a mastectomy -...

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  • June 24, 2023
  • 22
  • 2022/2023
  • Exam (elaborations)
  • Questions & answers

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  • neoadjuvant therapy does not increase survival whe
  • updated ons oncc chemo renewal questions
  • updated ons oncc chemo renewal questions
  • updated ons oncc chemo renewal
  • updated ons oncc chemo renewal q

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ONS ONCC CHEMO RENEWAL 2023
QUESTIONS AND ANSWERS100%
VERIFIED AND GRADED A+
Neoadjuvant therapy does not increase survival when compared to adjuvant

therapy. It only changes the timing of treatment and can change surgical options if

the tumor is shrunk enough. If this occurs, the patient may only require a

lumpectomy plus radiation therapy instead of needing a mastectomy - CORRECT

ANS Main benefit of neoadjuvant chemotherapy (breast cancer patient)

A comprehensive geriatric assessment (CGA) is a multidisciplinary evaluation to

assess life expectancy and risk of morbidity and mortality in the older patient. This

assessment tool would evaluate and include the following areas: functional status,

socioeconomic issues, psychosocial distress, comorbidities, cognitive function,

nutritional status, polypharmacy, and a medication review (NCCN Older Adult

Oncology Guidelines, version 1.2015). - CORRECT ANS Due to Mrs. Turner's

age and comorbidities, her oncologist performs a comprehensive geriatric

assessment. You know that this assessment covers all but which of the following:

65 - CORRECT ANS The NCCN Older Adult Oncology Guidelines (version

1.2015) provides information on what is included in a comprehensive geriatric

assessment. Currently, more than 60% of cancers in the United States occur in

people age ______and older and as the oncology world ages, nearly half (46%) of

cancer survivors are 70 years of age or older

Two of the agents (docetaxel and carboplatin) that Mrs. Turner will receive are

categorized as irritants. Docetaxel can cause a significant reaction if it

extravasates. It can lead to edema, erythema, occasional pain and blister formation

(ONS Chemo/Bio guidelines, 2014). That is the most likely reason that Mrs. Turner

,ONS ONCC CHEMO RENEWAL 2023
QUESTIONS AND ANSWERS100%
VERIFIED AND GRADED A+
was given a port for her treatments. Some patients will receive their treatments

through a peripheral IV without incident. Just because they are intravenous agents

does not mean that a port is required and needing a port has nothing to do with her

being older in age. Since none of these agents are vesicants, they likely could have

been given safely via peripheral route but having a port placed is OK as well. -

CORRECT ANS What is your best explanation for why Mrs. Turner was given a

port to receive her chemotherapy?

Irrirtants - CORRECT ANS _____________can cause inflammation, pain, and

burning but rarely cause tissue necrosis comparable to a vesicant (unless a large

amount or a very high concentration of the irritant is extravasated).

Vesicants - CORRECT ANS _____________can cause blistering and significant

pain and tissue damage and destruction, leading to tissue death.

Non-DNA-binding solutions remain in the local area of the extravasation, which

improves the possibility of drug deactivation.

DNA-binding agents attach to DNA nucleic acids, causing the antagonist to be

ingested cellularly, leading to progressive tissue destruction - CORRECT ANS A

further classification of an antineoplastic agent's potential to cause damage is

whether its mechanism of action includes DNA binding.

Bendamustinea

Dactinomycin

Daunorubicin

Doxorubicin

, ONS ONCC CHEMO RENEWAL 2023
QUESTIONS AND ANSWERS100%
VERIFIED AND GRADED A+
Epirubicin

Idarubicin

Mechlorethamine

Mitomycin - CORRECT ANS DNA Binding Irritants

Amsacrine

Paclitaxel

Vinblastine

Vincristine

Vindesine

Vinorelbine - CORRECT ANS DNA Nonbinding vessicants

Sodium thiosulfate



Inject 2 ml of sodium thiosulfate for each milligram of

mechlorethamine extravasated.

Inject subcutaneously into extravasation site using a 25

gauge or smaller needle (change needle with each injection).

Monitor extravasation site according to the institution's

policies and procedures. - CORRECT ANS Extravasciation Alkylating /

Mechlorethamine tx

Apply warm compresses.

Dexamethasone

8 mg twice daily

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