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* 1. What type of oncology nursing role do you currently fulfill?

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* 2. What does CTCAE stand for and who published the tool?

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* 3. What is CTCAE?

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* 4. Why is it important for oncology nurses to use the CTCAE when grading adverse events. Check all that apply.

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* 5. What does the semicolon signify when examining the descriptors within the grade?

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* 6. What does the dash “ – “ signify when examining the descriptors within the grade?

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* 7. How well do you feel you have increased your knowledge about CTCAE after completing the educational content?

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* 8. After completing this education, how likely are you to utilize the tool in clinical practice?

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* 9. Would offering additional educational in-services on the CTCAE for grading adverse events enhance your willingness to use the tool in clinical practice?

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* 10. Would you be more willing to use the CTCAE tool to grade adverse events if drop down boxes within the nurse charting template included grading options for the most common adverse events associated with the therapy being given?

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* 11. What barriers exist or may existing using this tool in nursing care?

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* 12. The patient is a 59 year old female here for her 3rd infusion for her melanoma, and reports overall feeling well. Her energy has been fair and she completes her ADLs without difficulty. Her daughter who is her caregiver tells you that she has noticed her mom being more short of breath when walking to the car and in the store, and has an occasional dry cough. Her baseline sitting and ambulating POX is 98% on room air, but today, she is 95% sitting and 92% with ambulation. You notice after returning from the ambulating POX she is experiencing dyspnea. You are concerned that she may be developing pneumonitis and should report this to her care team immediately to determine the appropriate evaluation and intervention. Based on her symptoms, what grade of pneumonitis do you report to her care team?

The patient is a 59 year old female here for her 3rd infusion for her melanoma, and reports overall feeling well. Her energy has been fair and she completes her ADLs without difficulty. Her daughter who is her caregiver tells you that she has noticed her mom being more short of breath when walking to the car and in the store, and has an occasional dry cough. Her baseline sitting and ambulating POX is 98% on room air, but today, she is 95% sitting and 92% with ambulation. You notice after returning from the ambulating POX she is experiencing dyspnea. You are concerned that she may be developing pneumonitis and should report this to her care team immediately to determine the appropriate evaluation and intervention. Based on her symptoms, what grade of pneumonitis do you report to her care team?

Pneumonitis Definition: A disorder characterized by inflammation focally or diffusely affecting the lung parenchyma.

Grade 1- Asymptomatic; clinical or diagnostic observations only; intervention not indicated
Grade 2- Symptomatic; medical intervention indicated; limiting instrumental ADL
Grade 3-Severe symptoms; limiting self-care ADL; oxygen indicated
Grade 4-Life-threatening respiratory compromise; urgent intervention indicated (e.g., tracheotomy or intubation)
Grade 5-Death

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