Term
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Definition
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Term
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Definition
| Drugs that prevent development, growth, or proliferation of malignant cells |
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Term
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Definition
| Anything harmful to humans, other species, or the environment |
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Term
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Definition
| Treatment of cancer with cytotoxic drugs |
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Term
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Definition
| Decrease in white blood cells |
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Term
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Definition
| Toxicity involving kidneys |
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Term
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Definition
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Term
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Definition
| Medical branch dealing with tumors |
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Term
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Definition
A detrimental effect on hearing organs
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Term
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Definition
| Inflammation of oral mucosa |
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Term
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Definition
| Decrease in platelet count |
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Term
| What are the goals of chemotherapy? |
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Definition
Cure, control, and palliation
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Term
| A statement that applies to cytotoxic drug actions is that they: |
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Definition
| interfere with cell division and growth. |
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Term
| According to Missouri Rule 4 CSR 200-6.010, an IV therapy-certified LPN may: |
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Definition
| only closely monitor chemotherapy patients for evidence of side effects or toxicities. |
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Term
| Chemotherapy-related hematological side effects include which of the following? |
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Definition
| Thrombocytopenia and leukopenia |
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Term
| Which of the following conditions is characterized by increased sensitivity to hot and cold foods and fluids and citrus juices and fruits: |
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Definition
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Term
| Which of the following statements applies to chemotherapy-related alopecia? |
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Definition
| The extent of severity depends on specific drug/dosage. |
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Term
| Which of the following measures can be employed to prevent chemotherapy-related hemorrhagic cystitis? |
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Definition
| Maintainging a high fluid intake of 3-4L/day |
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Term
| Ototoxicity occurring in a chemotherapy patient is commonly evidenced by: |
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Definition
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Term
| Parathesia of hands and/or feet is usually the first sign of chemotherapy-related: |
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Definition
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Term
| Which nursing consideration should the IV therapy-certified LPN observe when monitoring a patient for clinical manifestations of chemotherapy side effects or toxicities? |
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Definition
| Document and report observations to the physician |
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Term
| Personnel handling blood, vomitus, or excreta from patients who have received chemotherapy within the previous 48 hours: |
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Definition
| should always wash hands after removing gloves. |
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Term
| If there is accidental skin exposure to a chemotherapy agent, the LPN should decontaminate the skin by: |
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Definition
| Washing thoroughly with soap and water. |
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Term
| If the eyes are accidentally exposed to a chemotherapy agent, what action should the LPN take? |
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Definition
| Flood the eyes with water or isotonic eye wash for at least 5 minutes, and obtain a medical evaluation as soon as possible. |
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Term
| Which of the following principles applies to accidental chemotherapy spills? |
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Definition
| The person performing the cleanup procedure should be gowned and double gloved. |
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Term
| Where should two nurses cross-check all identifying data relative to a blood transfusion before initiating the trasfusion? |
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Definition
| At the patient's bedside. |
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Term
| Which one of the following statements applies to monitoring a blood transfusion? |
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Definition
| It requires close observation at the patient's bedside during the initial 5-15 minutes of the transfusion. |
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Term
Which tasks can the LPN perform in blood transfusion therapy?
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Definition
| Obtain unit from blood bank, crosscheck identifying data with RN before initiation, and monitor during the transfusion. |
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Term
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Definition
| Type C is predominantly reaction associated with blood transfusions |
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Term
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Definition
| Occurrs in 1%-2% of blood transfusions administered |
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Term
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Definition
| Characterized by erythema, hives, and itching |
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Term
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Definition
| Caused by contamination of blood hemolytic reaction during donation, preparation, or storage. |
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Term
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Definition
| Results when patient is transfused too rapidly or when volume administered was excessive |
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Term
| Delayed Extravascular Hemolytic Reaction |
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Definition
| Usually characterized by fever, anemia, and mild jaundice |
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Term
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Definition
| Rarely associated with transfusions |
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Term
| Transfusion-Related Febrile Nonhemolytic Reaction |
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Definition
| Most frequently occurring transfusion reaction |
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Term
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Definition
| Distinguished by lack of fever and onset after only a few mL of blood or plasma administered |
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Term
| Human T-Cell Lymphotrophic Virus (HTLV) |
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Definition
| Transmission is a predominant concern of potential transfusion recepeints |
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Term
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Definition
| Treatment is the administration of calcium chloride if patient is severely symptomatic |
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Term
| Oozing blood at the venipuncture sire and at the surgical wound is characteristic of what adverse blood transfusion response? |
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Definition
| Acute Intravascualr Hemolytic Reaction |
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Term
| Which adverse reactions are classified as an immunologic immediate reaction? |
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Definition
| Acute hemolytic, urticarial reaction, and febrile. |
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Term
| Which transfusion reactions has a high propensity for causing chronic liver disease? |
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Definition
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Term
| The cause of an acute intravascular hemolytic reaction is: |
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Definition
| the administration of incompatible blood. |
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Term
| What is the most frequently encountered type of adverse blood transfusion reaction? |
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Definition
| Febrile Nonhemolytic Reaction |
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Term
| A urticarial reaction is manifested by: |
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Definition
| Hives, erythema, and pruritis. |
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Term
| What delayed transfusion reaction do patients often incorrectly attribute to influenza? |
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Definition
| Febrile Nonhemolytic Reaction |
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Term
| What conditions place patients at increased risk for a febrile reaction? |
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Definition
| Thrombocytopenia and chills |
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Term
| What immediate nursing intervention should be taken in response to an acute intravascular hemolytic reaction? |
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Definition
| Stop transfusion, KVO w/ NS, disconnect administration set from cannula and initiate NS infusion w/ new tubing if a Y tubing is used. |
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Term
| The transfusion is often continued after the administration of an antihistamine for which type of reaction? |
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Definition
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Term
| The most severe reaction caused by leukocyte antibodies is considered to be: |
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Definition
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Term
| Transfusion-related fatalities must be reported to the: |
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Definition
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Term
| TPN is the provision of nutrients intravenously in sufficient amounts to: |
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Definition
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Term
| Total parenteral nutrition is also occasionally referred to as: |
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Definition
| Hyperal, hyperalimentation, or intravenous hyperalimintation. |
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Term
| Which of the following are common indicators for TPN therapy? |
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Definition
| Hepatic failure, hypermetabolic states, and malabsorption of enteral therapy. |
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Term
| What is the most common carbohydrate used for TPN? |
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Definition
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Term
| What is the source of protein used in TPN? |
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Definition
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Term
| What substances are generally added to total parenteral nutrition solutions? |
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Definition
| Electrolytes, trace elements, and vitamins. |
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Term
| Which of the following is indicated to treat essential fatty acid deficiency? |
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Definition
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Term
| A solution of three-in-one refers to the combination in one container of: |
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Definition
| Lipids, dextrose, and amino acids |
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Term
| Which one of the following statements accurately reflects principles of peripheral parenteral nutrition? |
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Definition
| Crystalline amino acids used are within the 2-5% range. |
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Term
| Which of the following statements accurately reflects principles of central venous parenteral nutrition? |
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Definition
| It is useful for long-tern therapy. |
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Term
| The regimen of time for the delivery of cyclic TPN therapy is usually how many hours? |
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Definition
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