A Patient Is Being Treated for Chemotherapy-Induced Nausea and Vomiting

A patient is being treated for chemotherapy-induced nausea and vomiting (CINV) with ondansetron [Zofran] and dexamethasone. The patient reports getting relief during and immediately after chemotherapy but has significant nausea and vomiting several days after each chemotherapy treatment. What will the nurse do?

A) Contact the provider to discuss increasing the dose of ondansetron.
B) Suggest giving prolonged doses of dexamethasone.
C) Suggest adding aprepitant [Emend] to the medication regimen.
D) Tell the patient to ask the provider about changing the ondansetron to aprepitant.

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