Nursing Application: Antiemetic and Antinausea Drugs

A patient was prescribed an antiemetic and asks why he needs to take another pill. What is the nurse's best response related to the therapeutic action of antiemetic medications?​

"It is to treat and relieve your nausea and vomiting."

Which assessment findings should the nurse monitor in a client receiving antiemetic medications? (Select all that apply.)

*Abdominal pain *Bowel sounds *Blood pressure *Pulse rate *Nausea and vomiting

The nurse is caring for a patient with nausea and vomiting after an overdose of morphine. Which antiemetic medication class(es) should be avoided? (Select all that apply.)

*Antidopaminergics *Prokinetics *Antihistamines

Which are the priority assessments when administering anticholinergics? (Select all that apply.)​

*Electrolyte imbalances *Dehydration

A patient is prescribed an antiemetic to be given sublingual route. The nurse knows that this medication will be administered where?​

Dissolved under the tongue

Which items should be included in your patient teaching regarding antiemetic medications? (Select all that apply.)

*Avoid driving and other high-response activities until you learn how the medication affects your body. *Antiemetic medications may cause drowsiness. *Slowly change position to help avoid a quick drop in your blood pressure known as orthostatic hypotension. *The goal of this treatment is to prevent or decrease your nausea and vomiting. *Call for assistance with ambulating to avoid falling from the drowsiness and/or dizziness.

Which of the following antiemetic medications may cause a patient to have CNS depressant interactions? (Select all that apply.)

*Prokinetics *Antidopaminergics *Antihistamines

1. Anticholinergics 2. Serotonin blockers and tetrahydrocannabinoids 3. Antidopaminergics, antihistamines, and prokinetics 4. Neurokinin receptor antagonists

1. Drying effects 2. No significant interactions 3. CNS depression with alcohol or other CNS depressants 4. Induce warfarin and reduce oral contraceptive effectiveness

1. Anticholinergics 2. Antihistamines 3. Antidopaminergics 4. Neurokinin Receptor Antagonists 5. Prokinetics 6. Serotonin Blockers 7. Tetrahydrocannabinoids

1. dry mouth, difficulty urinating, constipation, rash 2. dizziness, vision changes, urinary retention 3. orthostatic hypotension, tachycardia, headaches 4. Fatigue, diarrhea, abdominal pain and discomfort 5. supraventricular tachycardia, sedation, restlessness 6. bronchospasm, prolonged QT interval 7. anxiety, confusion, euphoria, visual changes

What medications are used to treat and relieve nausea and vomiting?​

Antiemetic

A 35-year-old patient has been experiencing gastroesophageal reflux for several months. What antiemetic medication class(es) do you anticipate will be ordered for her? (Please drag the class(es) that would be appropriate options for this patient.)​

Appropriate -Prokinetics Inappropriate -Neurokinin antagonists -Antihistamines -Anticholinergics -Tetrahydrocannabinoids -Serotonin blockers -Antidopaminergics

A 60-year-old post-operative patient is experiencing nausea and vomiting. All of his vital signs are within normal limits. What medication class(es) do you anticipate will be ordered for him? (Please drag the class(es) that would be appropriate options for this patient.)​

Appropriate -Serotonin blockers Inappropriate -Neurokinin antagonists -Antihistamines -Anticholinergics -Tetrahydrocannabinoids -Prokinetics -Antidopaminergics

A 70-year-old patient is prepping for mouth surgery. The health care provider is explaining that they will need to dry up his secretions in his mouth to help with the procedure. What medication class(es) do you anticipate will be ordered for him? (Please drag the class(es) that would be appropriate options for this patient.)

Appropriate: -Anticholinergics Inappropriate: -Neurokinin antagonists -Antihistamines -Serotonin blockers -Tetrahydrocannabinoids -Prokinetics -Antidopaminergics

A 25-year-old patient comes in with complaints of sickness when she is in the car. She also was very sick this past weekend when she was on a fishing boat with some friends. What medication class(es) do you anticipate will be ordered for her? (Please drag the class(es) that would be appropriate options for this patient.)

Appropriate: -Anticholinergics -Antihistamines Inappropriate: -Antidopaminergics -Neurokinin antagonist -Prokinetics -Serotonin blockers -Tetrahydrocannabinoids

A 40-year-old cancer patient states that she has been experiencing nausea and vomiting after her first chemotherapy treatment and is wondering if there is anything that can help. What medication class(es) do you anticipate will be ordered for her? (Please drag the class(es) that would be appropriate options for this patient.)​

Appropriate: -Serotonin blockers -Tetrahydrocannabinoids -Neurokinin antagonist Inappropriate: -Anticholinergics -Antihistamines -Prokinetics -Antidopaminergics

Which of the following is not a type of antiemetic drug?

Parasympatholytics