OCC Chemotherapy-Induced Side Effects Management Flashcards
6 cards from real OCC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 OCC Chemotherapy-Induced Side Effects Management flashcards as text
A patient's ANC is 450/mm³ on day 10 of their chemotherapy cycle. What is the nurse's priority intervention?
Answer: Restrict all visitors and enforce neutropenic precautions
An ANC below 500/mm³ indicates severe neutropenia, requiring immediate implementation of neutropenic precautions to prevent life-threatening infection.
Which chemotherapy agent is MOST associated with hand-foot syndrome (palmar-plantar erythrodysesthesia)?
Answer: Capecitabine
Capecitabine is the agent most commonly associated with hand-foot syndrome, characterized by painful redness, swelling, and blistering of the palms and soles.
A patient receiving bleomycin develops new-onset dry cough and dyspnea. What is the nurse's FIRST action?
Answer: Stop the infusion and notify the provider immediately
New pulmonary symptoms in a patient receiving bleomycin may indicate pulmonary toxicity, which is potentially fatal and requires immediate cessation and provider notification.
Which instruction is MOST important for a patient experiencing chemotherapy-induced alopecia?
Answer: Avoid sun exposure to the scalp and use SPF protection
The exposed scalp is vulnerable to UV damage during chemotherapy-induced alopecia, so sun protection is the most important self-care instruction.
A patient on high-dose methotrexate reports decreased urine output and dark urine. Which intervention should the nurse anticipate?
Answer: Increasing urine alkalinization with sodium bicarbonate and aggressive hydration
Urine alkalinization and aggressive hydration prevent methotrexate precipitation in the renal tubules, reducing nephrotoxicity risk.
A patient experiencing chemotherapy-induced fatigue rates their fatigue as 8/10. Which recommendation has the STRONGEST evidence for managing cancer-related fatigue?
Answer: Moderate aerobic exercise tailored to tolerance
Moderate aerobic exercise is the intervention with the strongest evidence for reducing cancer-related fatigue during and after chemotherapy.
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