EAQ 19 final
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Questions and Answers

Which anticholinergic drug is commonly used to prevent motion sickness?

  • Droperidol
  • Scopolamine (correct)
  • Prochlorperazine
  • Metoclopramide
  • At which time would the nurse administer metoclopramide?

  • A. in combination with opiates
  • B. in combination with phenothiazines
  • C. thirty minutes before meals and at bedtime (correct)
  • D. after meals to decrease gastrointestinal upset
  • Which reason explains why the nurse performs a skin turgor assessment before administering promethazine?

  • to assess for signs and symptoms of dehydration (correct)
  • to assess for adverse effects of tachycardia and urinary retention
  • to assess for drug interactions between anticholinergics and promethazine
  • to assess for adverse effects of orthostatic hypotension and tardive dyskinesia
  • Which laboratory report will the nurse review for a patient who is taking warfarin and is prescribed aprepitant?

    <p>Clotting time of blood</p> Signup and view all the answers

    Which site is appropriate for the application of scopolamine patch?

    <p>on a hairless area behind the ear</p> Signup and view all the answers

    Which drug can cause tardive dyskinesia as an adverse effect?

    <p>metoclopramide</p> Signup and view all the answers

    Which side effect would the nurse teach to a patient prescribed dronabinol?

    <p>the patient may gain weight</p> Signup and view all the answers

    Which reasons explains why combining antiemetic medications is preferred?

    <p>different vomiting pathways are blocked</p> Signup and view all the answers

    Which class of drugs is helpful for nausea and vomiting associated with chemotherapy?

    <p>Serotonin blockers</p> Signup and view all the answers

    Which drug works by blocking serotonin in the gastrointestinal tract, vomiting center, and chemoreceptor trigger zone (CTZ)?

    <p>ondansetron (Zofran)</p> Signup and view all the answers

    Which condition will cause concern for a patient taking scopolamine for motion sickness?

    <p>Narrow-angle glaucoma</p> Signup and view all the answers

    Which advice would the nurse provide to a patient prescribed metoclopramide?

    <p>&quot;You should avoid long-term use of this medication.&quot;</p> Signup and view all the answers

    Which adverse effect would the nurse teach regarding anticholinergic drugs to treat nausea and vomiting?

    <p>Dry mouth</p> Signup and view all the answers

    Which medication can be prescribed for the treatment of hyperemesis gravidarum?

    <p>Ondansetron</p> Signup and view all the answers

    Which action of metoclopramide results in a reduction of postoperative nausea and vomiting?

    <p>Promotes motility in the small intestine</p> Signup and view all the answers

    Which neurotransmitter induces nausea and vomiting by triggering vestibular and labyrinthine pathways in the inner ear?

    <p>Acetylcholine</p> Signup and view all the answers

    Which antinausea drug would the nurse expect to be prescribed for a patient who is pregnant and experiencing morning sickness?

    <p>Ondansetron</p> Signup and view all the answers

    Which is the correct administration procedure for metoclopramide?

    <p>Thirty minutes before meals and at bedtime</p> Signup and view all the answers

    Which statement regarding antiemetic medications made by the patient indicates the need for further patient teaching?

    <p>&quot;I will apply the scopolamine patches to rotating sites on my arms.&quot;</p> Signup and view all the answers

    Which advice will the nurse give to the patient while administering diphenhydramine?

    <p>&quot;You should not consume alcohol.&quot;</p> Signup and view all the answers

    Which condition would cause the nurse to request an alternate prescription to scopolamine?

    <p>Glaucoma</p> Signup and view all the answers

    Which advice would the nurse provide to a pregnant woman who takes warfarin for venous thrombosis prophylaxis and states that she takes ginger daily for nausea?

    <p>Discontinue taking ginger.</p> Signup and view all the answers

    Which is the appropriate instruction for the nurse to follow to quickly relieve the patient's symptoms of nausea and vomiting when administering promethazine?

    <p>&quot;Administer promethazine through the intravenous route.&quot;</p> Signup and view all the answers

    The nurse is caring for a patient diagnosed with cancer who experiences nausea and vomiting and has now been prescribed ondansetron. After administering the medication, the nurse finds that the symptoms persist. Which medication will the primary health care provider prescribe for the patient with this condition?

    <p>Dronabinol</p> Signup and view all the answers

    Which instruction would the nurse provide to a patient who has been prescribed metoclopramide?

    <p>Avoid taking anticholinergics and opiates.</p> Signup and view all the answers

    Which clinical condition is an indication for meclizine? Select all that apply. One, some, or all responses may be correct.

    <p>Vertigo</p> Signup and view all the answers

    Which information will the nurse include in the teaching plan for a patient who is prescribed promethazine? Select all that apply. One, some, or all responses may be correct.

    <p>&quot;You should avoid consuming alcohol.&quot;</p> Signup and view all the answers

    Which action would the nurse take when after administering an intravenous (IV) dose of promethazine the patient reports burning at the IV site? Select all that apply.

    <p>Discontinue the infusion</p> Signup and view all the answers

    Which antiemetic would the nurse expect to be prescribed in addition to ondansetron to enhance its effects for a patient receiving cisplatin intravenously to treat breast cancer? Select all that apply. One, some, or all responses may be correct.

    <p>Aprepitant</p> Signup and view all the answers

    The nurse is preparing to administer a dose of ondansetron to a patient who has been vomiting. Based on the patient's history below, which action would the nurse take after administering the dose? Health History Hypertension DyslipidemiaAtrial fibrillation Depression Ovarian cancer

    <p>Monitor cardiac rhythm</p> Signup and view all the answers

    Which information would the nurse include regarding adverse effects when providing education to a patient newly prescribed scopolamine for nausea prevention due to motion sickness? Select all that apply. One, some, or all responses may be correct.

    <p>Change positions slowly</p> Signup and view all the answers

    The nurse is preparing to administer dronabinol to a patient with nausea and vomiting related to chemotherapy. Prior to giving the dose, which laboratory parameter would the nurse assess? Select all that apply

    <p>Serum electrolytes</p> Signup and view all the answers

    Which nursing intervention helps prevent complications in a patient who is scheduled for a tonsillectomy and has been prescribed metoclopramide?

    <p>Monitoring the patient's blood pressure</p> Signup and view all the answers

    Which adverse condition is likely to be found in a patient taking scopolamine for the last 2 weeks?

    <p>Increased intraocular pressure</p> Signup and view all the answers

    Which drug will the nurse expect to be added to the treatment plan to enhance the antiemetic effect of aprepitant? Select all that apply. One, some, or all responses may be correct.

    <p>Ondansetron</p> Signup and view all the answers

    Which side effect would the nurse include in the teaching plan for a patient who is prescribed an anticholiergic drug for the treatment of nausea and vomiting? Select all that apply. One, some, or all responses may be correct.

    <p>Dry mouth</p> Signup and view all the answers

    The nurse is reviewing the assessment data of a patient who requests an antiemetic due to nausea and vomiting. Based on the findings, which drug would be contraindicated? Assessment Data Temperature 97.5° F (36.4° C) Heart rate 74 beats/min Respirations 13 breaths/min Blood pressure 112/66 mmHg Oxygen saturation 95% 2 L O2 nasal cannula Alert and oriented x 4 Breath sounds diminished bases Absent bowel sounds Peripheral pulses 1+ bilaterally

    <p>Metoclopramide</p> Signup and view all the answers

    A patient informs the nurse of uncontrolled facial and tongue movements over the past 48 hours. After reviewing the medication administration record, which medication is most likely the cause of these symptoms? Medication Administration Record Cisplatin 100 mg IV every 4 weeks Lisinopril 10 mg PO dailyMegestrol 125 mg PO daily Prochlorperazine 5 mg PO Q 6 hours PRN

    <p>Prochlorperazine</p> Signup and view all the answers

    Which medication would the nurse anticipate may be added to the treatment plan for a patient who has been prescribed ondansetron for the prevention of chemotherapy-induced nausea and vomiting? Select all that apply. One, some, or all responses may be correct.

    <p>Lorazepam</p> Signup and view all the answers

    Which drug will the nurse expect to be added to the treatment plan along with the chemotherapeutic agent for a patient who has developed nausea and vomiting?

    <p>Ondansetron</p> Signup and view all the answers

    Which drug acts by blocking serotonin receptors in the gastrointestinal (GI) tract, vomiting center of the brain, and chemoreceptor trigger zone (CTZ)?

    <p>Ondansetron</p> Signup and view all the answers

    Which antiemetic drug would the nurse anticipate for a patient who has been prescribed a high-dose regimen of cisplatin and develops severe nausea and vomiting?

    <p>Aprepitant</p> Signup and view all the answers

    Which combination of drugs does the nurse suspect is causing dry mouth, constipation, and urinary retention in a patient who is receiving medication to control nausea and vomiting?

    <p>Scopolamine with meclizine</p> Signup and view all the answers

    Which statement by the patient indicates effective learning about how to administer scopolamine prescribed for motion sickness?

    <p>&quot;I should apply one medication patch on a hairless area behind the ear.&quot;</p> Signup and view all the answers

    Which recommendation would the US Food and Drug Administration (FDA) make for a medication initially effective in patients who have cancer and experience nausea and vomiting associated with chemotherapy that, during postmarketing surveillance, is found to produce ventricular dysrhythmias?

    <p>Avoid prescribing for patients who have been prescribed chemotherapy.</p> Signup and view all the answers

    Which condition might the patient with dehydration experience? Select all that apply. One, some, or all responses may be correct.

    <p>Dizziness</p> Signup and view all the answers

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