CPHON Chemotherapy Administration and Safety 3

Question 1

A nurse is priming IV tubing for a cisplatin infusion. Which solution is appropriate for this agent?

Accepted Answer

0.9% Normal Saline

Answer

D5W

Answer

Lactated Ringer's

Answer

D5 0.45% NS

Question 2

Which lab value is MOST important to monitor before each dose of cisplatin?

Accepted Answer

Serum creatinine

Answer

Serum glucose

Answer

Serum sodium

Answer

WBC count

Question 3

A child on cyclophosphamide therapy should be instructed to:

Accepted Answer

Void frequently and maintain high fluid intake

Answer

Restrict fluid intake to 1 L/day

Answer

Avoid all physical activity

Answer

Wear sunscreen only on sunny days

Question 4

The nurse notes that a chemotherapy order includes the child's weight from 3 weeks ago. The BEST action is:

Accepted Answer

Obtain and document current weight before administering

Answer

Proceed — weight rarely changes significantly

Answer

Administer based on today's height only

Answer

Halve the dose as a safety measure

Question 5

Which intervention BEST prevents central line-associated bloodstream infection (CLABSI) during chemotherapy administration?

Accepted Answer

Use strict aseptic technique with each line access

Answer

Change IV tubing every 72 hours only when soiled

Answer

Apply antibiotic ointment to insertion site daily

Answer

Limit flushing to once weekly

Question 6

A child's chemotherapy protocol calls for dexamethasone pre-medication. The PRIMARY purpose of this is to:

Accepted Answer

Reduce the risk of hypersensitivity reaction

Answer

Prevent tumor lysis syndrome

Answer

Stimulate red blood cell production

Answer

Decrease peripheral neuropathy