Question 1

A patient going on vacation asks the nurse what she can give to her 3-year-old child who becomes car sick.Which response(s)would be accurate? (Select all that apply.)

Accepted Answer

Positioning techniques such as facing forward and blocking out scenery can help alleviate car sickness in children. It is important to check with a pharmacist for over-the-counter options for young children, as some medications may not be appropriate for their age or weight. Option B is incorrect because car sickness is a real condition that affects many individuals, especially children. Option C is incorrect because Benadryl is not an appropriate treatment for car sickness and may have unwanted side effects.

Question 2

What is an advantage of using benzodiazepines as an adjunctive treatment for nausea and vomiting associated with chemotherapy?

Accepted Answer

The antianxiety effect of benzodiazepines is an advantage in addition to reducing the frequency of nausea and vomiting. This can be beneficial for patients who experience anxiety or stress related to their chemotherapy treatment. The other options (A, B, and C) are not advantages of using benzodiazepines as an adjunctive treatment for nausea and vomiting associated with chemotherapy.

Question 3

Why does the nurse monitor daily weights prior to the administration of antiemetic medications to chemotherapy patients?

Accepted Answer

Weight loss is a common adverse effect associated with chemotherapy, which can result in changes in metabolism and distribution of the drug. Therefore, dosages may need to be readjusted to ensure optimal treatment efficacy and safety. Daily monitoring of the patient's weight allows for accurate adjustments in the drug dosage.

Question 4

The nurse would expect to administer which drug when treating hyperemesis gravidarum?

Accepted Answer

Metoclopramide (Reglan) is commonly used to treat nausea and vomiting in pregnancy, including hyperemesis gravidarum. THC (Marinol) is a synthetic form of marijuana and is not recommended for use during pregnancy. Haloperidol (Haldol) is an antipsychotic medication that may be used in severe cases of hyperemesis gravidarum, but it has a higher risk of adverse effects compared to metoclopramide. Dexamethasone (Prednisone) is a steroid medication that may also be used in severe cases, but it is not the first-line treatment for hyperemesis gravidarum.

Question 5

The nurse is caring for a 27-year-old patient taking a cannabinoid during chemotherapy.Which consideration will the nurse take into account?

Accepted Answer

Antihistamines can potentiate the effects of cannabinoids, leading to increased sedation or drowsiness. This interaction is important for nurses to consider when caring for patients using cannabinoids, especially during chemotherapy, to ensure patient safety and comfort.

Question 6

Why is drug therapy important for selected causes of nausea and vomiting? (Select all that apply.)

Accepted Answer

Drug therapy can help relieve the distress associated with nausea and vomiting, prevent aspiration of gastric contents into the lungs, prevent dehydration, and prevent electrolyte imbalances. However, drug therapy that causes sedation or mental status changes can increase intracranial pressure, which is harmful in patients with increased intracranial pressure. Therefore, drug therapy should be carefully selected for these patients.

Question 7

Which herb has been used in many cultures to provide relief of nausea associated with pregnancy?

Accepted Answer

Ginger has been used in many cultures for its anti-nausea properties, especially in pregnant women experiencing morning sickness. Mint, hyssop, and echinacea do not have specific history or research supporting their effectiveness in relieving nausea during pregnancy.

Question 8

A prepared childbirth nurse educator is discussing potential discomforts during pregnancy with a group of women.When relaying information about nausea and vomiting,the nurse will include which statement(s)? (Select all that apply.)

Accepted Answer

The answer of A prepared childbirth nurse educator is discussing...

Question 9

The recovery room nurse is preparing to assist with the care of several postoperative patients.Which patient would the nurse prioritize care for regarding the potential for postoperative nausea and vomiting (PONV)?

Accepted Answer

Patients undergoing general anesthesia have a higher risk for PONV than those undergoing regional or spinal anesthesia. Additionally, certain procedures such as abdominal surgeries or procedures lasting longer than 2 hours also increase the risk for PONV. A total hysterectomy typically involves an abdominal incision and can last several hours, putting this patient at higher risk for PONV.

Question 10

A patient expresses concerns about motion sickness.Which medication is most effective in preventing motion sickness?

Accepted Answer

Anticholinergics, such as scopolamine, are most effective in preventing motion sickness because they inhibit the vestibular system's input to the central nervous system, which is responsible for causing symptoms of motion sickness.

Question 11

A patient is beginning the second round of high-dose cisplatin.Severe,chemotherapy-induced nausea and vomiting (CINV)occurred following the first treatment,requiring 72 hours of continuous IV hydration.In addition to her chemotherapy regimen,which medication would be best to administer?

Accepted Answer

Ondansetron is a highly effective antiemetic medication that has been shown to significantly reduce CINV, especially when administered before chemotherapy. In this case, giving it 1 hour before chemotherapy and continuing with oral ondansetron for the next 4 days can help prevent severe CINV. Prochlorperazine can be considered as a rescue medication if CINV still occurs but should not be the primary medication for preventative measures. Anticholinergic agents are not typically used to prevent CINV.

Question 12

What is the purpose for the nurse administering metoclopramide (Reglan)IV postoperatively?

Accepted Answer

Metoclopramide (Reglan) is an antiemetic medication commonly used postoperatively to prevent nausea and vomiting.

Question 13

What condition is occurring when a patient experiences nausea immediately on entering the clinic to receive another course of chemotherapy?

Accepted Answer

Anticipatory nausea and vomiting is a learned response that occurs before chemotherapy administration due to previous experiences with chemotherapy-induced nausea and vomiting. The patient may associate the sights, sounds, or smells of the clinic with the unpleasant experience of chemotherapy and as a result, experience nausea and vomiting before receiving treatment. Psychogenic nausea may also be a possibility, but in this case, there is a clear trigger (the clinic visit) that is associated with chemotherapy administration. Hyperemesis gravidarum is a form of severe nausea and vomiting that occurs during pregnancy and is unrelated to chemotherapy.

Question 14

The nurse is administering medications to various patients during morning medication pass.The patient at the lowest risk of having an adverse reaction is the patient receiving:

Accepted Answer

Dexamethasone is a corticosteroid and is typically well tolerated with a low risk of adverse reactions. Ondansetron, scopolamine, and promethazine are antiemetic medications that can cause side effects such as dizziness, drowsiness, and gastrointestinal effects. Therefore, dexamethasone is the best choice for the patient with the lowest risk of adverse reactions.

Question 15

What is the role of the chemoreceptor trigger zone (CTZ)in vomiting? (Select all that apply.)

Accepted Answer

The answer of What is the role of the chemoreceptor...

Question 16

The nurse is assessing a patient with nausea and vomiting.Which additional autonomic symptoms that often accompany vomiting will the nurse observe?

Accepted Answer

Pallor (pale skin), sweating, and tachycardia (fast heart rate) are commonly observed autonomic symptoms accompanying vomiting. Bradycardia (slow heart rate), diarrhea, flushing, urinary urgency, chills, fever, and hyperventilation are not typically associated with vomiting.

Quiz 33: Drugs Used to Treat Nausea and Vomiting

A patient going on vacation asks the nurse what she can give to her 3-year-old child who becomes car sick.Which response(s) would be accurate? (Select all that apply.)

What is an advantage of using benzodiazepines as an adjunctive treatment for nausea and vomiting associated with chemotherapy?

Why does the nurse monitor daily weights prior to the administration of antiemetic medications to chemotherapy patients?

The nurse would expect to administer which drug when treating hyperemesis gravidarum?

The nurse is caring for a 27-year-old patient taking a cannabinoid during chemotherapy.Which consideration will the nurse take into account?

Why is drug therapy important for selected causes of nausea and vomiting? (Select all that apply.)

Which herb has been used in many cultures to provide relief of nausea associated with pregnancy?

A prepared childbirth nurse educator is discussing potential discomforts during pregnancy with a group of women.When relaying information about nausea and vomiting,the nurse will include which statement(s) ? (Select all that apply.)

The recovery room nurse is preparing to assist with the care of several postoperative patients.Which patient would the nurse prioritize care for regarding the potential for postoperative nausea and vomiting (PONV) ?

A patient expresses concerns about motion sickness.Which medication is most effective in preventing motion sickness?

A patient is beginning the second round of high-dose cisplatin.Severe,chemotherapy-induced nausea and vomiting (CINV) occurred following the first treatment,requiring 72 hours of continuous IV hydration.In addition to her chemotherapy regimen,which medication would be best to administer?

What is the purpose for the nurse administering metoclopramide (Reglan) IV postoperatively?

What condition is occurring when a patient experiences nausea immediately on entering the clinic to receive another course of chemotherapy?

The nurse is administering medications to various patients during morning medication pass.The patient at the lowest risk of having an adverse reaction is the patient receiving:

What is the role of the chemoreceptor trigger zone (CTZ) in vomiting? (Select all that apply.)

The nurse is assessing a patient with nausea and vomiting.Which additional autonomic symptoms that often accompany vomiting will the nurse observe?