Chemotherapy Agents & Neutropenia Management Quiz

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3. A client receiving chemotherapy agents asks about infection prevention. What is the most important instruction?

Avoid all social contact

Wash hands frequently and avoid crowds

Take antibiotics daily

Stay indoors at all times

4. True or False: All chemotherapy agents cause neutropenia to the same degree.

True

False

5. Which symptom in a neutropenic patient suggests a serious infection requiring immediate evaluation?

Mild headache

Fever with chills and hypotension

Occasional sneezing

Minor skin dryness

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7. Sargramostim (Leukine) is a GM-CSF that acts on which bone marrow cell line?

Erythroid progenitors only

Myeloid and monocytic progenitors

Megakaryocytic progenitors only

B-cell lymphocytes

8. A client on chemotherapy has an ANC of 800/mm³. Which activity should be restricted?

Reading and watching television

Visiting with family from home

Attending large public gatherings

Light walking in hospital hallways

9. True or False: Chemotherapy agents are selective and do not damage healthy bone marrow.

True

False

10. Which nursing intervention is essential for all neutropenic chemotherapy patients?

Daily blood draws

Hand hygiene and infection prevention

Complete bed rest

IV antibiotics prophylactically

11. Which chemotherapy agent is most likely to cause severe neutropenia requiring G-CSF support?

Doxorubicin

Methotrexate

Vinblastine

Cisplatin

12. A client asks why they need G-CSF during chemotherapy. What is the best explanation?

To kill remaining cancer cells

To speed recovery of white blood cells and prevent infection

To reduce chemotherapy side effects like nausea

To improve appetite and energy

13. Chemotherapy agents that cause neutropenia work by affecting which cell population?

Bone marrow stem cells

Red blood cells only

Platelets only

Lymph nodes

14. Which sign requires immediate intervention in a neutropenic chemotherapy client?

Mild fatigue

Fever over 100.4°F

Slight nausea

Dry mouth

15. True or False: A neutropenic patient can safely receive live vaccines during chemotherapy.

True

False

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18. Which food is contraindicated for a neutropenic client receiving chemotherapy?

Cooked chicken

Fresh salad

Pasteurized milk

Well-cooked eggs

19. Filgrastim (Neupogen) is prescribed for a neutropenic chemotherapy patient. What is its primary action?

Stimulates white blood cell production

Destroys cancer cells

Prevents nausea and vomiting

Reduces tumor size

20. A client receiving chemotherapy has an absolute neutrophil count (ANC) of 1,200/mm³. What nursing action is most appropriate?

Place client in protective isolation immediately

Monitor for infection signs and implement precautions

Administer G-CSF without physician order

Restrict all visitors and activities

Chemo Drug Quiz: Can You Manage Neutropenia?

1. Neutropenia from chemotherapy typically begins ____ days after drug administration.

2.

What first name or nickname would you like us to use?

2. Colony-stimulating factors like filgrastim reduce the duration of severe neutropenia by approximately ____.

3. A client receiving chemotherapy agents asks about infection prevention. What is the most important instruction?

4. True or False: All chemotherapy agents cause neutropenia to the same degree.

5. Which symptom in a neutropenic patient suggests a serious infection requiring immediate evaluation?

6. The lowest point of white blood cell count during chemotherapy is called the ____ nadir.

7. Sargramostim (Leukine) is a GM-CSF that acts on which bone marrow cell line?

8. A client on chemotherapy has an ANC of 800/mm³. Which activity should be restricted?

9. True or False: Chemotherapy agents are selective and do not damage healthy bone marrow.

10. Which nursing intervention is essential for all neutropenic chemotherapy patients?

11. Which chemotherapy agent is most likely to cause severe neutropenia requiring G-CSF support?

12. A client asks why they need G-CSF during chemotherapy. What is the best explanation?

13. Chemotherapy agents that cause neutropenia work by affecting which cell population?

14. Which sign requires immediate intervention in a neutropenic chemotherapy client?

15. True or False: A neutropenic patient can safely receive live vaccines during chemotherapy.

16. Pegfilgrastim is preferred over filgrastim for some patients because it has a longer ____.

17. A client's ANC drops below 500/mm³ during chemotherapy. This is classified as severe ____.

18. Which food is contraindicated for a neutropenic client receiving chemotherapy?

19. Filgrastim (Neupogen) is prescribed for a neutropenic chemotherapy patient. What is its primary action?

20. A client receiving chemotherapy has an absolute neutrophil count (ANC) of 1,200/mm³. What nursing action is most appropriate?