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

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* 2. How likely are you to report adverse events to the provider using the CTCAE?

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* 3. How familiar are you with using the CTCAE tool and how to grade an adverse event?

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* 4. If you do not use the CTCAE criteria to grade adverse event severity, why not?

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* 5. Does your facility provide patients with the Patient Reported Outcome -CTCAE for patient reporting of adverse event?

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* 6. Does your electronic medical record system provide a drop-down option for selecting grading of an adverse event when charting?

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* 7. What does CTCAE stand for and who published it?

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* 8. What is CTCAE?

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* 9. Why is it important for oncology nurses and advanced practice providers to use the CTCAE tool when grading adverse events? Check all that apply.

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

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

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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?

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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