Question 1

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

Accepted Answer

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 
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 A,B,C,D

Question 2

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

Accepted Answer

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

Question 3

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

Accepted Answer

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

Question 4

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

Accepted Answer

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

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

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. 
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 6

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

Accepted Answer

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. 
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 7

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

Accepted Answer

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

Question 8

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

Accepted Answer

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. 
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.

Question 9

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

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 
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 10

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

Accepted Answer

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

Question 11

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

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." 
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."

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.)

Accepted Answer

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. 
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

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

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

Question 14

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

Accepted Answer

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

Question 15

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

Accepted Answer

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

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)?

Accepted Answer

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 
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

Exam 33: Drugs Used to Treat Nausea and Vomiting

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

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

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

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

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

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

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

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

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

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 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 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

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

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

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)?

Drug Definitions, Standards, and Information Sources

Basic Principles of Drug Action and Drug Interactions

Drug Action Across the Life Span

The Nursing Process and Pharmacology

Patient Education to Promote Health

Principles of Medication Administration and Medication Safety

Percutaneous Administration

Enteral Administration

Parenteral Administration: Safe Preparation of Parenteral Medications

Parenteral Administration: Intradermal, Subcutaneous, and Intramuscular Routes

Parenteral Administration: Intravenous Route

Drugs That Affect the Autonomic Nervous System

Drugs Used for Sleep

Drugs Used for Parkinson’s Disease

Drugs Used for Anxiety Disorders

Drugs Used for Depressive and Bipolar Disorders

Drugs Used for Psychoses

Drugs Used for Seizure Disorders

Drugs Used for Pain Management

Introduction to Cardiovascular Disease and Metabolic Syndrome

Drugs Used to Treat Dyslipidemias

Drugs Used to Treat Hypertension

Drugs Used to Treat Dysrhythmias

Drugs Used to Treat Angina Pectoris

Drugs Used to Treat Peripheral Vascular Disease

Drugs Used to Treat Thromboembolic Disorders

Drugs Used to Treat Heart Failure

Drugs Used for Diuresis

Drugs Used to Treat Upper Respiratory Disease

Drugs Used to Treat Lower Respiratory Disease

Drugs Used to Treat Oral Disorders

Drugs Used to Treat Gastroesophageal Reflux and Peptic Ulcer Disease

Drugs Used to Treat Constipation and Diarrhea

Drugs Used to Treat Diabetes Mellitus

Drugs Used to Treat Thyroid Disease

Corticosteroids

Gonadal Hormones

Drugs Used in Obstetrics

Drugs Used in Men’s and Women’s Health

Drugs Used to Treat Disorders of the Urinary System

Drugs Used to Treat Glaucoma and Other Eye Disorders

Drugs Used to Treat Cancer

Drugs Used to Treat the Musculoskeletal System

Antimicrobial Agents

Nutrition

Herbal and Dietary Supplement Therapy

Substance Abuse

Miscellaneous Agents

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