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ONS/ONCC Chemotherapy Immunotherapy Certificate Renewal Course| Questions and Complete Solutions
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ONS/ONCC Chemotherapy Immunotherapy Certificate Renewal Course| Questions and Complete Solutions
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ONS/ONCC ChemotherapyImmunotherapy Certificate Renewal
Course| Questions and Complete
Solutions
You review with Mrs. Turner what the evidence recommends to prevent infections. Which of the
following is unlikely to be effective for infection prevention?
Recommended for Practice:
Adherence to General Infection Control Recommendations Antibiotic Prophylaxis in At-Risk
Patients
Antifungal Prophylaxis in At-Risk Patients Antiviral Prophylaxis for Select At-Risk Patients
Catheter Care Bundle for Prevention of Central Line Associated Infection (CLABSI)
Chlorhexidine Skin Prep
,Colony-Stimulating Factors Including Biosimilars for At-Risk Patients Contact Precautions
for Resistant Organisms Environmental Interventions Hand Hygiene With Alcohol Sanitizer
Influenza Vaccination
Pneumococcal and Meningococcal Vaccination
Likely to Be Effective:
Antibiotic Abdominal Lavage in Colorectal Surgery Antimicrobial Coated CVC Catheters in
Adults
Chlorhexidine Impregnated Washcloths—Chlorhexidine Bath
Institutional Initiatives
Positive Expiratory Pressure and Self-Monitoring
Pre-construction Planning
Preoperative Antibiotics - Prevention of Infections: Practice Recommended
Effectiveness Unlikely:
Colony Stimulating Factors By Intravenous Rather Than Subcutaneous Route Frequent
IV Tubing and Component Changes Restriction of Fresh Fruits and Vegetables
Not Recommended for Practice:
, Extended Post-Operative Antibiotics
Implantable Gentamycin Sponge
Use of Live Attenuated Vaccines - Prevention on Infections: Practices No Long Recommended
Per the NCCN Guidelines
(http://www.nccn.org/professionals/physician_gls/pdf/myeloid_growth.pdf), because of Mrs.
Turner's age ≥ 65 as well as a previous neutropenic episode, she would be a candidate to receive
a GCSF. Her febrile neutropenic episode requiring hospitalization puts her at high risk for
additional neutropenia. - Which of the following do you feel will be done with the remaining
cycles of chemotherapy to hopefully prevent Mrs. Turner from having additional problems with
neutropenia?
full dose - Evidence shows that older patients with cancer can safely obtain the same treatment
benefits as younger patients when they receive ________ standard
chemotherapy regimens. Many physicians are reluctant to give full-dose chemotherapy to older
adults perhaps due to of fear of adverse events like febrile neutropenia. Suboptimal dosing from
increasing the length of time between cycles or from dose reduction is a serious issue because
large, randomized clinical trials have demonstrated that the delivery of lower doses or shorter
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