The nurse is providing patient teaching regarding scopolamine transdermal patches (Transderm-Scōp) to a patient who is planning an ocean cruise. Which
... [Show More] instruction is most
appropriate?
a "Apply the patch the day before traveling."
b "Apply the patch at least 4 hours before traveling."
c "Apply the patch to the shoulder area."
d "Apply the patch to the temple just above the ear." - ✔✔ b "Apply the patch at least 4 hours before traveling."
2 A middle-aged woman is experiencing severe vertigo. The nurse expects this patient will receive which drug, which is considered the most appropriate drug treatment for vertigo?
a meclizine (Antivert)
b prochlorperazine (Compazine)
c metoclopramide (Reglan)
d dronabinol (Marinol) - ✔✔ a meclizine (Antivert)
3 A 33-year-old patient is in the outpatient cancer center for his first round of chemotherapy. The nurse knows that which schedule is the most appropriate timing for the intravenous antiemetic drug?
a Four hours before the chemotherapy begins
b Thirty minutes before the chemotherapy begins
c At the same time as the chemotherapy drugs
d At the first sign of nausea - ✔✔ b Thirty minutes before the chemotherapy begins
When reviewing the various types of anti nausea medications, the nurse recognizes that prokinetic drugs are also used for
a motion sickness.
b vertigo.
c delayed gastric emptying.
d GI obstruction. - ✔✔ c delayed gastric emptying.
A patient who has been receiving chemotherapy tells the nurse that he has been searching the Internet for anti nausea remedies and that he found a reference to a product called Emetrol (phosphorated carbohydrate solution). He wants to
know if this drug would help him. What is the nurse's best
answer?
a "This may be a good remedy for you. Let's talk to your
physician."
b "This drug is used only after other drugs have not worked."
c "This drug is used only to treat severe nausea and vomiting caused by chemotherapy."
d "This drug may not help the more severe nausea symptoms associated with chemotherapy." - ✔✔ d "This drug may not help the more severe nausea symptoms associated with chemotherapy."
The nurse is preparing to administer dronabinol (Marinol) to a patient. Which statements about dronabinol therapy are true? (Select all that apply.)
a It is approved for nausea and vomiting related to cancer chemotherapy.
b It is approved for use with hyperemesis gravidarum (nausea and vomiting associated with pregnancy).
c It is approved to help stimulate the appetite in patients with nutritional wasting due to cancer or AIDS.
d It may cause extrapyramidal symptoms.
e It may cause drowsiness or euphoria. - ✔✔ a It is approved for nausea and vomiting related to cancer
chemotherapy.
c It is approved to help stimulate the appetite in patients
with nutritional wasting due to cancer or AIDS.
e It may cause drowsiness or euphoria.
The nurse recognizes that metoclopramide (Reglan) is useful in treating postoperative nausea and vomiting because it
A. decreases motility in the gastrointestinal tract.
B. decreases chemoreceptor stimulation.
C. improves the body's response to analgesia.
D. promotes motility in the small intestine. - ✔✔ D. promotes motility in the small intestine.
R: Metoclopramide works by increasing gastrointestinal motility in the small intestine, thus minimizing gastric distention and accompanying stimulation of the vomiting center.
When planning administration of antiemetic medications to a patient, the nurse is aware that combination therapy is preferred because
A. the risk of constipation is decreased.
B. lower doses of medication are cost-effective.
C. different vomiting pathways are blocked.
D. increased sedation is achieved by higher doses of medication. - ✔✔ C. different vomiting pathways are blocked.
R: Combining antiemetic drugs from various categories allows the blocking of the vomiting center and chemoreceptor trigger zone through different pathways, thus enhancing the antiemetic effect.
In developing a plan of care for a patient receiving an antihistamine antiemetic drug, which nursing diagnosis would be of highest priority?
A. Deficient knowledge regarding medication administration
B. Deficient fluid volume related to nausea and vomiting
C. Risk for injury related to side effects of medication
D. Anxiety related to nausea and vomiting - ✔✔ B. Deficient fluid volume related to nausea and vomiting
R: Although all of the options are appropriate nursing diagnoses, fluid volume deficit is the highest priority because it has the highest associated mortality rate. Although a fall or injury could also prove fatal, this diagnosis is a risk; actual nursing diagnoses have priority over potential diagnoses.
A patient receiving an anticholinergic drug to treat nausea and vomiting should be taught to expect which side effect?
A. Diarrhea
B. Lacrimation
C. Dry mouth
D. Bradycardia - ✔✔ C. Dry mouth [Show Less]