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 (B)</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 (D)</p> Signup and view all the answers

Which drug can cause tardive dyskinesia as an adverse effect?

<p>metoclopramide (C)</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 (B)</p> Signup and view all the answers

Which reasons explains why combining antiemetic medications is preferred?

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

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

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

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

<p>Narrow-angle glaucoma (A)</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; (A)</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 (B)</p> Signup and view all the answers

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

<p>Ondansetron (A)</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 (A)</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 (B)</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 (D)</p> Signup and view all the answers

Which is the correct administration procedure for metoclopramide?

<p>Thirty minutes before meals and at bedtime (C)</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; (C)</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; (A)</p> Signup and view all the answers

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

<p>Glaucoma (A)</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. (A)</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; (A)</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 (A)</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. (A)</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 (A), Motion sickness (C)</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; (A), &quot;You should avoid driving because the drug may cause drowsiness.&quot; (B)</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 (A)</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 (A)</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 (C)</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 (B), Use hard candy for mouth dryness (C), Increase dietary fiber intake (D)</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 (B)</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 (B)</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 (B)</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 (B), Dexamethasone (C), Methylprednisolone (D)</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 (B), Constipation (C)</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 (C)</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 (D)</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 (B), Dronabinol (C), Dexamethasone (D)</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 (A)</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 (C)</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 (A)</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 (A)</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; (B)</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. (B)</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 (A), Dry mouth (B)</p> Signup and view all the answers

Flashcards

Scopolamine use

Scopolamine is commonly used to prevent motion sickness.

Metoclopramide administration time

Administer metoclopramide 30 minutes before meals and at bedtime.

Skin turgor assessment before promethazine

Assess dehydration before promethazine to avoid making it worse.

Warfarin and aprepitant lab review

Review blood clotting time for patients on warfarin and aprepitant.

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Scopolamine patch application site

Apply scopolamine patch to a hairless area behind the ear.

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Tardive dyskinesia risk factor

Metoclopramide can cause tardive dyskinesia as a side effect.

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Dronabinol side effect

Dronabinol can cause weight gain.

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Combining antiemetics

Combining antiemetics is often preferred to target various nausea/vomiting pathways.

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Chemotherapy nausea drugs

Serotonin blockers are helpful for nausea and vomiting associated with chemotherapy.

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Ondansetron mechanism

Ondansetron blocks serotonin in the GI tract, vomiting center, and CTZ.

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Scopolamine and glaucoma

Scopolamine is contraindicated in patients with narrow-angle glaucoma.

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Metoclopramide long-term use

Avoid long-term use of metoclopramide.

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Anticholinergic drug side effect

Dry mouth is a common side effect of anticholinergic drugs.

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Hyperemesis gravidarum treatment

Ondansetron is often used to treat hyperemesis gravidarum.

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Metoclopramide's intestine action

Metoclopramide increases small intestine motility to reduce postoperative nausea and vomiting.

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Nausea/vomiting neurotransmitter

Acetylcholine induces nausea and vomiting by affecting inner ear pathways.

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Pregnancy nausea drug

Ondansetron is a common choice for nausea during pregnancy.

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Metoclopramide administration procedure

Administer metoclopramide 30 minutes before meals and at bedtime.

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Incorrect scopolamine patch use

Rotating patch application sites is incorrect.

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Diphenhydramine alcohol

Avoid alcohol with diphenhydramine.

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Scopolamine and glaucoma

Glaucoma is a reason to avoid scopolamine.

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Ginger and warfarin

Patients taking warfarin should avoid ginger.

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IV promethazine administration

Administer promethazine intravenously for rapid symptom relief.

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Nausea/vomiting after ondansetron

If symptoms persist after ondansetron, a different antiemetic is needed.

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Metoclopramide and other contraindicated drugs

Avoid anticholinergics and opiates with metoclopramide.

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