Symptom Management and Supportive Care 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 Symptom Management and Supportive Care flashcards as text
Which antiemetic class works by blocking serotonin (5-HT3) receptors and is first-line for chemotherapy-induced nausea?
Answer: Serotonin (5-HT3) antagonists (ondansetron)
5-HT3 antagonists like ondansetron block serotonin receptors in the gut and brain that trigger nausea during chemotherapy.
A child undergoing stem cell transplant is on neutropenic precautions. Which food should the nurse instruct the family to AVOID?
Answer: Fresh salads and raw fruits
Raw fruits, vegetables, and salads can harbor bacteria and fungi that are dangerous to severely immunocompromised patients.
A child with cancer has not urinated in 8 hours and is receiving IV hydration. The nurse should:
Answer: Notify the provider and assess for bladder distension or obstruction
No urine output for 8 hours despite IV hydration is abnormal and may indicate urinary retention or renal dysfunction requiring immediate evaluation.
To prevent oral candidiasis during immunosuppression, children are commonly prescribed:
Answer: Oral nystatin suspension or fluconazole
Nystatin or fluconazole are antifungal agents used prophylactically to prevent oral candidiasis in immunocompromised pediatric patients.
A child with cancer develops delirium on the oncology unit. The nurse's FIRST action is:
Answer: Assess for and correct reversible causes (infection, medications, hypoxia)
Delirium in oncology is often multifactorial; identifying and treating reversible causes (infection, metabolic, medication toxicity) is the priority.
A child receiving radiation to the abdomen develops diarrhea and cramping. The nurse should recommend:
Answer: Low-residue diet, adequate hydration, and antidiarrheal agents as ordered
Radiation-induced enteritis is managed with a low-residue diet to reduce bowel stimulation, adequate hydration, and antidiarrheals as prescribed.