chapter 52 adaptive quizzing pharmacology antiemetic and anti-nausea medications

The primary health care provider has prescribed scopolamine as prophylactic treatment for a patient with motion sickness. The nurse teaches the medication administration technique to the patient. Which statement of the patient indicates effective learning?

"I should apply one patch of medication on the hairless area behind the ear."

Which classes of antiemetic drugs do primary health care providers prescribe to pediatric patients to treat nausea and vomiting? Select all that apply.

Antidopaminergics and serotonin blockers

The primary health care provider prescribes dronabinol as a second-line antiemetic drug for the treatment of nausea and vomiting associated with chemotherapy in a patient who has cancer. Which action will the nurse perform before administering the medication to the patient?

Assess motor and cognitive abilities

Medication "X" is effective in patients who have cancer and experience nausea and vomiting associated with chemotherapy. During postmarketing surveillance, the drug is found to produce ventricular dysrhythmias. What recommendations do the U.S. Food and Drug Administration (FDA) make for such a medication?

Avoid prescribing for patients who have been prescribed chemotherapy.

The primary health care provider prescribes aprepitant to a pregnant patient to treat nausea and vomiting. After assessment, the nurse finds that the patient is taking warfarin. What will the nurse assess from the laboratory test reports in this situation?

Clotting time of blood

The nurse is caring for a patient who has severe nausea and vomiting caused by food poisoning. The patient is prescribed antiemetic medications as a combination therapy. Of what will the nurse be aware while administering the medications?

Combination therapy blocks various vomiting pathways.

When planning administration of antiemetic medications to a patient, the nurse is aware that combination therapy is preferred for what reason?

Different vomiting pathways are blocked.

A woman who is pregnant reports to her primary health care provider that she takes ginger daily for nausea. The nurse learns that the patient is also taking warfarin as prophylaxis for venous thrombosis. What will the nurse suggest to the patient?

Discontinue taking ginger

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

Dronabinol

The nurse is caring for an older adult who has nausea and vomiting and has been prescribed diphenhydramine. How will the nurse administer this medication to the patient?

In a single dose at a rate of 25 mg/min

The nurse is caring for a patient who has been prescribed metoclopramide for the treatment of postoperative nausea and vomiting. What is the action of this drug?

It increases motility in the small intestine.

A patient has nausea and vomiting associated with motion sickness. The patient is prescribed meclizine. Which statement is true about contraindications of this drug?

It is contraindicated in lactating patients.

Which drug can cause tardive dyskinesia as an adverse effect?

Metoclopramide

The primary health care provider prescribes scopolamine to a patient who has motion sickness. Which conditions will cause concern for this patient?

Narrow-angle glaucoma

The nurse recognizes that metoclopramide is useful in treating postoperative nausea and vomiting due to which effect?

Promotes motility in the small intestine

The nurse is caring for a patient with cancer who is experiencing nausea and vomiting. The patient has been prescribed the drug dronabinol. What would be a possible reaction in the patient after administration of the medication?

Reduced symptoms of glaucoma

A patient reports having nausea and vomiting associated with motion sickness. Which antiemetic commonly used to prevent motion sickness will the nurse expect the primary health care provider to prescribe?

Scopolamine

The nurse would expect to teach a patient about which anticholinergic commonly used to prevent motion sickness?

Scopolamine

A patient reports nausea and vomiting associated with chemotherapy. Which class of drugs is helpful in this condition?

Serotonin blockers

The nurse is caring for a patient who has nausea and vomiting and is prescribed metoclopramide. The nurse instructs the patient about what possible side effect?

Tardive dyskinesia

Sugarless candy and gum production of saliva and alleviate the patients discomfort

The nurse is caring for an older adult who is prescribed meclizine. The nurse finds that the patient's mouth is dry. What may the primary care provider order to alleviate this symptom?

The nurse is assessing a patient diagnosed with cancer who is experiencing nausea and vomiting and has been prescribed dronabinol. Which side effect will the nurse anticipate in this patient?

The patient may gain weight.

The nurse is caring for a patient who has nausea and vomiting who has been prescribed metoclopramide. How will the nurse administer the medication?

Thirty minutes before meals and at bedtime

Before administering promethazine to a patient who has nausea and vomiting, the nurse examines the patient's skin turgor before administering the drug. Why does the nurse perform this assessment?

To assess for the signs and symptoms of dehydration

The nurse is caring for a patient who has nausea and vomiting and has been prescribed promethazine in suppository form. How will the nurse administer this medication?

Via the rectal route

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

acetacoline

The primary health care provider prescribes metoclopramide to a patient for the treatment of nausea and vomiting. What will the nurse advise the patient when administering this drug?

avoid long term use of this medication because it causes tardive dyskinesia

which conditions might the patient with dehydration experience?

dizziness and drymouth

A patient receiving an anticholinergic drug to treat nausea and vomiting should be taught to expect which adverse effect?

dry mouth

Before administering the anticholinergic drug scopolamine, the nurse would be careful to assess the patient for a history of which condition?

glaucoma

The nurse assesses a hospitalized patient who has nausea and vomiting who has been prescribed promethazine. What side effect might the nurse expect in this patient?

increased risk of low blood pressure

The nurse is caring for a patient who has cancer and exhibits symptoms of nausea and vomiting. The patient has been prescribed radiation therapy and metoclopramide. What is the most appropriate nursing action in this situation?

instruct the patient to not take anticholinergic and opiates

scopolamine

is used to reduce secretion before surgery

A patient who is receiving chemotherapy has developed nausea and vomiting. Which drug will the nurse expect to be added to the treatment plan along with the chemotherapeutic agent?

ondansetron

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

ondansetron

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

ondasterone

The primary health care provider prescribes hydroxyzine to a patient to treat motion sickness. How may this drug be administered? Select all that apply.

oral route intramuscular route

The nurse is caring for a patient who has nausea and vomiting and has been prescribed scopolamine. Upon reviewing the patient's case history, the nurse finds that the patient has narrow-angle glaucoma and reports this to the primary health care provider. Which drug will likely be added to the treatment plan?

pro,ethazine

When planning to administer metoclopramide, the nurse is aware that this drug is most effective when given at what time?

take 30 minutes before meals and before bedtime

Besides treating nausea and vomiting, what are the uses of antidopaminergic drugs? Select all that apply.

treat anxiety, schizophrenia and intractable hiccups

metoclopramide

treatment of delayed gastric emptying and gastroesophageal reflux

The nurse is caring for a patient who has cancer and has been prescribed dronabinol twice a day. Which laboratory test will the nurse expect the patient to undergo to facilitate further evaluation?

urinary analysis with specific gravity

What are the clinical uses of meclizine? Select all that apply.

vertigo and motion sickness,

The primary health care provider prescribes diphenhydramine to a patient who has nausea and vomiting. What advice will the nurse give to the patient while administering this drug?

you should not consume alcohol