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

An ANC below 500/mm³ indicates severe neutropenia, requiring immediate implementation of neutropenic precautions to prevent life-threatening infection.

Question 2

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

Accepted Answer

Capecitabine

Answer

Capecitabine is the agent most commonly associated with hand-foot syndrome, characterized by painful redness, swelling, and blistering of the palms and soles.

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

New pulmonary symptoms in a patient receiving bleomycin may indicate pulmonary toxicity, which is potentially fatal and requires immediate cessation and provider notification.

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

The exposed scalp is vulnerable to UV damage during chemotherapy-induced alopecia, so sun protection is the most important self-care instruction.

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

Urine alkalinization and aggressive hydration prevent methotrexate precipitation in the renal tubules, reducing nephrotoxicity risk.

(OCC) Oncology Chemotherapy Certification Practice Test

(OCC) Oncology Chemotherapy Certification Practice Test

OCC OCC Chemotherapy-Induced Side Effects Management 2