OCN Review-Missed Questions-Chemo(Answered correctly)

OCN Review-Missed Questions-Chemo Using high dose IV interferon with stage 3 melanomas ANS: increase in ALT and AST Inadequate sources of client tumor is an obstacle in clinical trials with what type of vaccine therapy? ANS: Autologous vaccine therapy Side effect of high dose interleukin-2 ANS: weight gain greater than 5% Most common side effect of interferon ANS: fatigue Neuropathic side effect of vincristine ANS: constipation Premed/prevention of pulmonary edema with docetaxel ANS: Dexamethasone 8 mg BID day before, day of and day after Target organs of chronic GVHD ANS: mouth, eyes, vagina Target organs of acute GVHD ANS: skin, liver, gut What supplement is protective against colon cancer? ANS: Calcium Most common cancers worldwide ANS: Lung, stomach, liver Increased risk for pancreatic cancer with what factors? ANS: smoking, smoked/processed meat, H. pylori, diabetes What is secondary prevention ANS: cancer screening, detection, or surveillance What is tertiary prevention? ANS: monitoring long term survivors Primary benefit to individual undergoing cancer risk assessment ANS: Selection of appropriate cancer prevention tools The ONS Standards of Care can be used to ANS: Develop performance appraisal tools for oncology nurse generalist What do the ONS 14 high incidence priority areas refer to ANS: Clinical problems that oncology pts most often experience Independent contractors in health care ANS: don't pose liability on agency as long as they take prudent measures to limit exposure-should identify staff as independent contractor What is no solicitation rule? ANS: To inhibit union solicitation within the health care agency How are client rights identified? ANS: Informed consent documents Role of the Data and Safety Monitoring Board ANS: Review progress of the clinical trial. 2 questions: Are there any expected or severely toxic effects? What is the treatment outcome so far? What principle is concerned with equal access and equal opportunity? ANS: Justice What would be an example of equal access and equal opportunity? ANS: Social Security, Medicare, Medicaid What concept would follow "doctor knows best"? ANS: Beneficence What is hermeneutics? ANS: Interpreting the case in its whole context: the individual's life plans and values How do you practice hermeneutics? ANS: By seeking and gathering info from family and friends The number of oncology certified nurses has ANS: decreased Cost of prescription drugs and benefits programs has ANS: increased How many uninsured are in the US ANS: 41 million With more RN-provided care ANS: Better care for pts, shorter length of stay, lower rates of UTI/pneumonia/gi bleeding/thrombosis, sepsis, shock, cardiac arrest An ethical issue with managed care involves ANS: financial incentives given to primary care physicians to keep costs to a minimum Rising number of uninsured residents can ANS: threaten a community's stability What has had a direct and significant impact on quality care? ANS: Nononcology nurses giving chemo What has reduced available governmental funds to address cancer care and the nursing shortage? ANS: aging population in the US What is the primary concern of certification? ANS: Present nurses who have a body of knowledge specific to cancer that would promote their safe practice and protect the public What does the scope of oncology nursing practice define? ANS: practice of oncology nursing along the continuum of care and across care delivery settings