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Nursing · NCLEX-RN · Healthcare and Nursing

Oncology Nursing Fundamentals

Chemotherapy administration safety, neutropenic precautions, and oncologic emergency recognition for the bedside nurse.

About this set

35 basic cards for NCLEX-RN Nursing. It opens with "What is a vesicant chemotherapy drug?" and "What is the first nursing action if extravasation of a vesicant is suspected?". Study it alongside the other NCLEX-RN sets below.

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What is a vesicant chemotherapy drug?
Show answerA drug that causes tissue damage or necrosis if it leaks into surrounding tissue
What is the first nursing action if extravasation of a vesicant is suspected?
Show answerStop the infusion immediately
What PPE is required when administering IV chemotherapy?
Show answerChemotherapy-rated gloves (often double gloved) and a disposable gown
Why are closed-system transfer devices (CSTDs) used with chemotherapy?
Show answerTo prevent aerosolization and leakage of the hazardous drug during preparation and administration
How long after chemotherapy administration should body fluid precautions continue?
Show answer48 hours
Which staff members should avoid handling chemotherapy drugs?
Show answerThose who are pregnant or breastfeeding
How many nurses must independently verify a chemotherapy order before administration?
Show answerTwo nurses
What type of IV access is preferred for administering vesicant chemotherapy?
Show answerA central venous line
What should be readily available wherever chemotherapy is administered?
Show answerA chemotherapy spill kit
How should chemotherapy waste be disposed of?
Show answerIn a designated hazardous or cytotoxic waste container
What must the nurse confirm before starting a vesicant chemotherapy infusion?
Show answerThat the IV is patent with a good blood return
Do oral chemotherapy pills require special handling precautions?
Show answerYes, gloves are required and the pills should not be crushed or split
What lab value defines neutropenia?
Show answerAbsolute neutrophil count (ANC) below 1000/mm3
What ANC defines severe neutropenia?
Show answerBelow 500/mm3
What is the single most important intervention to prevent infection in a neutropenic patient?
Show answerHand hygiene

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