Fundamentals Of Chemotherapy Immunotherapy Administration Exam With 100% Correct And Verified Answers
2024
Hematologic cancer (blood cancer) - Correct Answer--cancer that begins in bone marrow or immune system cells.
-Ex: leukemia, lymphoma, multiple myeloma
Leukemia - Correct Answer-cancer starts in blood-forming tissues like bone marrow
-causes lots of abnormal blood cells to be produced and enter bloodstream
Lymphoma - Correct Answer--cancer that begins in immune system (WBC=lymphocytes)
-hodgkin and non-hodgkins
-B lymphocytes (B cells) - make antibodies (bacteria and viruses, most common lymphoma
-T lymphocytes (T cells) - boost/slow immune, destroy germs and abnormal cells
Hodgkin lymphoma - Correct Answer-Reed-Sternberg cell (cancer cells in classic)
-typically starts in B cells
Non-Hodgkin's Lymphoma - Correct Answer--large, diverse group of cancers in immune
system cells
-indolent (slow growing) or aggressive (fast)
Myeloma - Correct Answer-Cancer in plasma cells (WBC that produce antibodies)
Chemotherapy - Correct Answer-All antineoplastic agents used to treat cancer, given through oral and parenteral routes or other routes as specified in the standard, not including hormonal therapies.
Who can order chemotherapy? - Correct Answer-Written and signed by licensed independent practitioners (MD/DO, PA, Oncology NP)
Can you use verbal orders for chemotherapy? - Correct Answer-NO! Only when holding/stopping admin.
Who can mix Chemotherapy? - Correct Answer-Pharmacist, Pharmacy tech, MD/DO, qualified RN Who can administer chemotherapy? - Correct Answer-Registered Nurses with specialized education, prep and training. See specific state laws and statutes
How often is chemo competency reassessed> - Correct Answer-Annual continuing ed and competency assessment is recommended
What is the dose verification process? - Correct Answer--confirm plan with patient
-two practitioners verify: drug name, dose, volume, rate, route, expiration date, appearance -document verification in chart
What PPE is required for IV Chemotherapy? - Correct Answer--Gloves: two pairs, HD tested
-Gown: disposable, back closed, long sleeved
-Respirator: NIOSH approved -Eye & Face: face shield/mask
Neoadjuvant therapy (tumor burden) - Correct Answer-Chemo BEFORE primary treatment (common in breast and colon)
Adjuvant therapy - Correct Answer-Chemo AFTER primary treatment (common in solid tumor)
Bone Marrow - Correct Answer-soft, sponge-like tissue in center of most bones, produce WBC, RBC, and platelets.
Myelosuppression - Correct Answer-bone marrow activity is decreased, causing less RBC, WBC and Platelets.
Myeloablation - Correct Answer-severe myelosuppression
Induction phase - Correct Answer-initial phase, typically in hospital, intended myelosuppression
Consolidation phase (intensification/postremission therapy) - Correct Answer-after successful induction, kills cancer cells left in body (ex radiation, stem cell transplant)
Synergy - Correct Answer-when one chemo drug helps another work better at the same
time
Complete response - Correct Answer-no identifiable cancer present for at least one month or longer
Partial response - Correct Answer-Measurable tumor reduced by 50% for at least one month with no new tumors
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