Deck 34: Drugs Used to Treat Nausea and Vomiting

Question 1

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

A)THC (Marinol)
B)Haloperidol (Haldol)
C)Dexamethasone (Prednisone)
D)Metoclopramide (Reglan)

Answer 1

Metoclopramide (Reglan)

Question 2

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

A)The long half life will prolong the effectiveness of other drugs.
B)They increase a sense of euphoria.
C)The patient will not develop tolerance to the medications as quickly.
D)The antianxiety effect helps, in addition to reducing the frequency of nausea and vomiting.

Answer 2

The antianxiety effect helps, in addition to reducing the frequency of nausea and vomiting.

Question 3

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.)

A)"Positioning techniques such as placing the child facing forward and blocking out scenery through the side windows can be helpful."
B)"There is no such thing as car sickness."
C)"If your child does vomit, give over the counter Benadryl."
D)"I would check with the pharmacist regarding over the counter products available for young children."

Answer 3

"Positioning techniques such as placing the child facing forward and blocking out scenery through the side windows can be helpful."
"I would check with the pharmacist regarding over the counter products available for young children."

Question 4

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

A)Bradycardia, diarrhea, and flushing
B)Pallor, sweating, and tachycardia
C)Urinary urgency, chills, and dizziness
D)Fever, hyperventilation, and bradycardia

Question 5

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?

A)Prochlorperazine (Compazine) suppository daily, on the day of treatment and the next 3 days
B)Anticholinergic agents, such as diphenhydramine or meclizine
C)Parenteral ondansetron 1 hour before chemotherapy, with oral ondansetron to continue for the next 4 days
D)Parenteral ondansetron during chemotherapy, with prochlorperazine suppositories daily for 1 week

Question 6

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

A)Prolong the effects of anesthesia.
B)Decrease the potential for thrombus formation.
C)Prevent postoperative nausea and vomiting.
D)Decrease postoperative pain.

Question 7

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

A)Mint
B)Hyssop
C)Echinacea
D)Ginger

Question 8

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

A)Antihistamines may potentiate the effects.
B)Monitor the patient for fluid volume excess.
C)Previous use of marijuana requires increased dosage.
D)Inform the patient to avoid the intake of potassium.

Question 9

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

A)Psychogenic
B)Chemotherapy induced
C)Hyperemesis gravidarum
D)Anticipatory nausea and vomiting

Question 10

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

A)Initiates or induce vomiting
B)Coordinates the vomiting reflex
C)Activates the vomit center (VC) to induce vomiting
D)Samples blood and spinal fluid for potentially toxic substances

Question 11

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

A)Serotonin antagonists
B)Phenothiazines
C)Corticosteroids
D)Anticholinergics

Question 12

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.)

A)The majority of pregnant women experience nausea and vomiting.
B)Severe, persistent vomiting during pregnancy is known as anticipatory vomiting.
C)Vomiting during pregnancy is more common among primigravidas.
D)Prior fetal loss puts a woman at higher risk.
E)Nausea and vomiting during pregnancy can occur at any time of the day.

Question 13

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

A)Antiemetics are calculated according to body surface area.
B)Antiemetics are toxic, and the minimal dosage should be administered.
C)Weight loss is a common adverse effect associated with chemotherapy, and dosages may need to be readjusted.
D)Fluid overload is common, and antiemetic dosages are increased as treatment progresses.

Question 14

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

A)Relieves the distress associated with nausea and vomiting
B)Prevents aspiration of gastric contents into the lung
C)Prevents dehydration
D)Prevents electrolyte imbalances
E)Increases intracranial pressure

Question 15

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:

A)ondansetron.
B)scopolamine.
C)promethazine.
D)dexamethasone.

Question 16

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)A 5-year-old child undergoing a closed reduction procedure with regional anesthesia
B)A 50-year-old woman undergoing a total hysterectomy with general anesthesia
C)A 27-year-old man undergoing a middle ear manipulation with general anesthesia
D)An 80-year-old man undergoing a total hip replacement with spinal anesthesia