Chemo and TPN Exam Study Questions – Flashcards
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What is the average 24-hour requirement of dextrose (per kg of an adult patient's body weight) as a TPN base component?
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1.5 grams/kg
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A jejunum tube is surgically placed through the skin of the...?
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Abdomen
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Peripheral parenteral nutrition is also known as...?
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Partial parenteral nutrition
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Premixed TPN solutions are used primarily in what kind of situations?
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Home healthcare
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The long-term administration of PPN is rarely done due to the risk of?
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Extravasation
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TPN solutions are generally comprised of highly concentrated ______ and water solutions.
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Dextrose
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The gravity draining method is a method of?
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Manually compounding a TPN solution
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Which of the following is not listed as a common ingredient in TPN solutions?
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Antibiotics
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TPNs are sometimes administered in the chest through the ________ vein.
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Subclavian
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Your additional reading on TPNs lists several medical conditions that can lead to the prescription of TPN. Which of the following is not one of them?
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Pregnancy
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USP Chapter requires that an ACD be cleaned and calibrated __________ prior to TPN preparation.
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Daily
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Hickman, BROVIAC, triple lumen, and Quinton are types of...?
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CVCs
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The underfill method of preparing TPNs uses a partially filled bag of _________ solution.
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Dextrose
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Which ingredient is part of a 3-in-1 TPN solution but not a component of a 2-in-1 TPN solution
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fatty acids
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Which ingredient in a TPN solutions is the primary source of carbohydrates?
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Dextrose
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Three types of feeding tubes are discussed in the beginning of your additional reading. Which of the following is not one of them?
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Buretrol
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Which of the following medications may be added to a TPN solution?
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Heparin, insulin, H2 antagonists
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When ordering sterile TPN components, prescribers consider several factors, including the functions of these two organs.
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Kidney and liver
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An automated compounding device (ACD) used in TPN preparation is also referred to as a(n)
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Automix
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What is the approximate yearly cost to run a fully automated TPN preparation system?
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$25,000
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Besides cancer, what other disease is sometimes treated with chemotherapy?
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Lupus
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Cancer chemotherapy has three classifications, including each of the following except...?
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Preventive
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______ chemotherapy is commonly prescribed after a surgical procedure to remove a tumor.
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Adjuvant
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_________ are drugs that bind to specific DNA cells and stop their replication.
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Alkylating agents
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This class of chemotherapy drugs blocks the use of nutrients essential to the growth of cancer cells. What is it?
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Antimetabolite medications
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Which types of cancer are often treated with hormone therapy?
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breast cancer and prostate cancer
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This type of chemotherapy drug disrupts DNA repair functions within the cancer cell.
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Topoisomerase inhibitor
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Chemotherapy CSPs are typically _________ solutions.
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LVP
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A chemotherapy medication is said to be ______ when it reduces or prevents the growth of cancer cells.
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Antineoplastic
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Some chemotherapy medications are vesicants, or drugs that cause
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blisters
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What type of medication or solution would most likely be prescribed in a chemotherapy support order?
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Hydration preparation
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Antiemetics are used to relieve
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anxiety
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Chemotherapy medications are often dosed based on a patient's
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body surface area (BSA)
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Hazardous drug chemotherapy should be prepared in
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a vertical laminar airflow hood
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This type of hood is a completely enclosed system accessed through the use of a fixed pair of gloves at the front of the hood.
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compounding aseptic containment isolator
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Which of the following organizations does not issue regulatory and safety guidelines for the safe handling of chemotherapy CSPs?
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NSF
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Who produces material safey data sheets?
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drug manufacturers
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Sterile compounding personnel who prepare chemotherapy CSPs must be specially trained. Upon completion of that training, how often must be evaluated?
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annually
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Chemotherapy CSPs are most often administered in the
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subclavian vein
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Upon completion of chemotherapy compounding procedures, a chemotherapy gown should be removed and
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discarded in the chemotherapy sharps container in the clean room.
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Chemotherapy gloves are made to be worn _____ standard, sterile gloves.
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over
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A chemotherapy _____ is a small plastic device with a spike at one end, a Luer-lock syringe adaptor at the other end, and a small vent with a 0.22-micron HEPA filter in the middle.
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dispensing pin
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The injector Luer-lock expansion chamber device and the protector device are types of
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CSTDs
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When compounding a chemotherapy CSP, where should the small chemotherapy sharps container be placed?
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to one side of the interior work surface of the BSC
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When drawing fluid from a chemotherapy vial, the vial should be
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inverted
