OCC OCC Chemotherapy-Induced Side Effects Management 2

Question 1

A patient's ANC is 450/mm³ on day 10 of their chemotherapy cycle. What is the nurse's priority intervention?

Accepted Answer

Restrict all visitors and enforce neutropenic precautions

Answer

Administer prophylactic antibiotics without a provider order

Answer

Continue normal care with standard handwashing only

Answer

Delay the neutropenic precautions until ANC is below 100/mm³

Question 2

Which chemotherapy agent is MOST associated with hand-foot syndrome (palmar-plantar erythrodysesthesia)?

Accepted Answer

Capecitabine

Answer

Vincristine

Answer

Cyclophosphamide

Answer

Carboplatin

Question 3

A patient receiving bleomycin develops new-onset dry cough and dyspnea. What is the nurse's FIRST action?

Accepted Answer

Stop the infusion and notify the provider immediately

Answer

Administer a bronchodilator and monitor

Answer

Reassure the patient that this is a common side effect

Answer

Reduce the infusion rate by half

Question 4

Which instruction is MOST important for a patient experiencing chemotherapy-induced alopecia?

Accepted Answer

Avoid sun exposure to the scalp and use SPF protection

Answer

Use a firm-bristle brush to stimulate scalp circulation

Answer

Apply minoxidil twice daily to prevent hair loss

Answer

Shampoo the scalp daily with medicated shampoo

Question 5

A patient on high-dose methotrexate reports decreased urine output and dark urine. Which intervention should the nurse anticipate?

Accepted Answer

Increasing urine alkalinization with sodium bicarbonate and aggressive hydration

Answer

Restricting IV fluids to prevent overload

Answer

Administering leucovorin rescue immediately without provider order

Answer

Stopping oral medications only

Question 6

A patient experiencing chemotherapy-induced fatigue rates their fatigue as 8/10. Which recommendation has the STRONGEST evidence for managing cancer-related fatigue?

Accepted Answer

Moderate aerobic exercise tailored to tolerance

Answer

Complete bed rest until the end of treatment

Answer

High-dose vitamin C supplementation

Answer

Scheduled napping for 3 or more hours daily