Oncology II

Question 1

What are 4 things considered when planning chemo?

Answer 1

• Which phase of the cell cycle the drug attacks
• Time/how often the drug is given
• Growth fraction
• Tumor burden (how much tumor is present)

Question 2

How often is chemo usually scheduled?

Answer 2

every 3 - 4 weeks

Question 3

When does pt excrete chemo med?

Answer 3

3 - 7 days after dose

Question 4

S/S of extravasation:

Answer 4

pain, swelling, no blood return

Question 5

What should we remember when administering a vesicant?

Answer 5

• Stay with client the entire time

- The #1 thing to remember to avoid extravasation is PREVENTION

Question 6

What are cancer-related transplants?

Answer 6

Stem cell

Bone marrow

Question 7

Stem cell/blood or bone marrow can come from what 3 sources?

Answer 7

• client
• matched donor
• identical sibling/twin

Question 8

#1 cause of cancer related deaths;
#2 cause

Answer 8

infection

DVT

Question 9

Cancer pt should come to hospital/clinic when oral temp is ____ (___) degrees or greater

Answer 9

100.4 (38)

Question 10

Why should absolute neutrophil count be monitored closely?

Answer 10

Don’t have classic signs of infection b/c decreased # of neutrophils to respond

Question 11

Nadir is the ___ point of neutrophil levels

Answer 11

lowest

Question 12

Neutropenic precautions involve general infection prevention, plus

Answer 12

• vitals q4h
• private room, door closed and sign
• antimicrobial soap
• no invasive procedures
• limit use of acetaminophen (can be toxic to liver)

Question 13

RBC transfusions for pts with ____ anemia

Answer 13

symptomatic

Question 14

RBCs needed if Hgb/Hct drops below ___ and ___.

Answer 14

Hgb 8

Hct 24%