Chemotherapy Administration and Safety Flashcards
6 cards from real CPHON practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Chemotherapy Administration and Safety flashcards as text
A nurse is priming IV tubing for a cisplatin infusion. Which solution is appropriate for this agent?
Answer: 0.9% Normal Saline
Cisplatin must be administered in normal saline because dextrose-containing solutions can cause cisplatin degradation and precipitation.
Which lab value is MOST important to monitor before each dose of cisplatin?
Answer: Serum creatinine
Cisplatin is nephrotoxic; serum creatinine must be checked before each dose because impaired renal function can cause dangerous drug accumulation.
A child on cyclophosphamide therapy should be instructed to:
Answer: Void frequently and maintain high fluid intake
High fluid intake and frequent voiding flush acrolein metabolites from the bladder, reducing hemorrhagic cystitis risk.
The nurse notes that a chemotherapy order includes the child's weight from 3 weeks ago. The BEST action is:
Answer: Obtain and document current weight before administering
Chemotherapy dosing is weight-based; pediatric patients can gain or lose weight rapidly, so current weight must be used.
Which intervention BEST prevents central line-associated bloodstream infection (CLABSI) during chemotherapy administration?
Answer: Use strict aseptic technique with each line access
Strict aseptic technique during every central line access is the most effective intervention to prevent CLABSI in immunocompromised patients.
A child's chemotherapy protocol calls for dexamethasone pre-medication. The PRIMARY purpose of this is to:
Answer: Reduce the risk of hypersensitivity reaction
Dexamethasone is used as premedication to reduce the risk of hypersensitivity reactions and infusion-related reactions to certain chemotherapy agents.