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Oncology Nursing Special Run (Post-Test)

Total questions: 15

Worksheet time: 8mins

Name
Class
Date
1.

The portacather needle of my patient should be changed after 3 days.

a)

True

b)

False

2.

Your patient is for cyclophosphamide infusion. You expect that Dr. Chua-Tan will include what order?

a)

Leucovorin (Folinic Acid) 200 mg in 250 PNSS x 1 hour

b)

Give Mannitol 100 ml prior to hooking cyclophosphamide.

c)

Give Mesna 500mg in 500 ml PNSS x 2 hours

d)

Clamp mainline while ongoing infusion.

3.

Patient Hanabi is admitted for chemotherapy. Her protocol includes oxaliplatin infusion. Which will you instruct?

a)

No cold food and beverages 30 minutes before infusion.

b)

No cold food and beverages for 24 - 48 hours.

c)

Regulate your air conditioner to 10 degrees celsius.

d)

Relax. No caution is needed.

4.

Cisplatin requires PRE and POST infusion of:

a)

Mesna

b)

Mannitol

c)

Sodium Bicarbonate

d)

Potassium Chloride

5.

Methotrexate, aside from being a chemotherapy agent, is also used to treat psoriasis and rheumatoid arthritis in low doses.

a)

True

b)

False

c)

Sometimes

6.

In high dose methotrexate, you are aware that patients are at high risk to develop:

a)

Heart failure

b)

Ototoxicity

c)

Acute Kidney Injury

d)

Hemorrhagic Cystitis

7.

Select all the expected parameters to check when your patient is for infusion of high dose methotrexate:

a)

Urine ph

b)

Methotrexate level

c)

Creatinine

d)

Na, K

e)

12 Lecg

8.

While ongoing rituximab infusion, your patient called and complains of severe pain on the injection site. Extravasation is present, you first stopped the chemotherapy infusion. Select all your next steps:

a)

Keep the cannula in place.

b)

Flush the line with normal saline.

c)

Aspirate the chemotherapy contents.

d)

Refer to resident on duty.

e)

Withdraw half the cannula and reposition.

9.

Herceptin (Trastuzumab) is indicated for cancer patients with:

a)

Colon cancer

b)

Non-Hodgkin's Lymphoma

c)

Breast Cancer

d)

Leukemia

10.

During your targeted therapy drug subcutaneous injection of rituximab, the patient suddenly complains of pain. How will you react?

a)

Aspirate and if there is blood, withdraw needle.

b)

Advise patient to inhale and exhale.

c)

Make a pause and check placement of the syringe.

11.

Trastuzumab subcutaneous injection is administered for how many minutes?

a)

5 - 10 minutes

b)

5 - 7 minutes

c)

2 - 5 minutes

12.

On the other hand, rituximab subcutaneous injection is usually administered for:

a)

5 - 7 minutes

b)

2 - 5 minutes

c)

1 hour

13.

After you administer your patient's subcutaneous targeted therapy drug, she called your attention and told you that the site is red and tender to touch.

a)

Assess and immediately call MROD.

b)

Assess and educate patient there is nothing to worry about.

c)

Assess and tell your patient this is normal and will resolve in 24-48 hrs.

d)

Apply ointment.

14.

At 10:30 am, you were able to give your chemotherapy pre-medications to your patient. At what time should you start chemotherapy infusion?

a)

11:30 AM

b)

10:45 AM

c)

11 AM

d)

12 NN

15.

ARE YOU MORE READY TO CARE FOR OUR CANCER PATIENTS?

a)

Yes

b)

No