NUR209 EXAM 6 QUESTIONS WITH
CORRECT ANSWERS
Person has motion sickness and asks the nurse when the best time to take meclizine if flight
leaves at 9? - CORRECT ANSWER -At least 30 minutes before due to PO
PO: 25-50 mg 1 h before travel, after meal; may repeat q24h (p 678)
18 month old toddler calls clinic to report vomiting 5 times a day, and has had 3 wet diapers in
past 6 hours, what nursing intervention? - CORRECT ANSWER -Pedialyte first, then come in
- Start with small amount of fluids first, gradually increase. If number of wet diapers decreases
and dehydration becomes more severe, then go into ER
- nonpharmacologic methods of decreasing nausea and vomiting include pedialyte (for use in
children). When dehydration becomes severe, IV fluids are needed to restore body fluid
balance.
Post op nausea and vomiting -- prescribed Phenergan. What would part of patient's health
history would be contraindicated for taking Phenergan? - CORRECT ANSWER -Contraindication
of a co-morbidity
Phenothiazines have antihistamine and anticholinergic properties.
Caution: Cardiovascular disease, liver dysfunction, asthma, respiratory dysfunction,
hypertension, older adults and debilitated patients
Hypersensitivity, narrow-angle glaucoma, severe liver disease, intestinal obstruction, blood
dyscrasias, bone marrow depression
Contraindicated in patients with hypersensitivity to drug or any component, CNS depression, or
coma
Use caution in patients with cardiovascular disease; not recommended for subQ or intraarterial
administration; injection may contain sulfites, which may cause allergic reaction
,A patient receiving chemotherapy is give Marinol for nausea and vomiting, when is it given? -
CORRECT ANSWER -Antiemetics should be given before any chemotherapy drug is administered,
often 30 to 60 minutes before treatment, but not immediately before chemotherapy is
administered. Do not wait until the nausea begins.
Quizlet: A 33-year-old patient is in the outpatient cancer center for his first round of
chemotherapy. the nurse knows that which schedule is the most appropriate timing for the IV
antiemetic drug? - CORRECT ANSWER -thirty minutes before chemotherapy begins
This person is receiving chemo is gonna get Reglan, not used to suppress vomiting, nurse
explains in children is most likely to cause which effect? - CORRECT ANSWER -SIde effects: High
doses can cause tardive dyskinesia, sedation and diarrhea. With this agent, the occurrence of
Extra Pyramidal Symptoms (EPS) is more prevalent in children than in adults.
Metoclopramide (Reglan) suppresses emesis by blocking the dopamine receptors in the CTZ. It
is used in the treatment of postoperative emesis, cancer chemotherapy, and radiation therapy.
A group of patients about to receive syrup of ipecac, nurse provides what instruction? -
CORRECT ANSWER -Ask what was ingested? Inducing vomiting is sometimes contraindicated.
Induces vomiting after poisoning. Administer within 60 minutes of poisoning to an alert and
conscious individual
When the patient purchases ipecac, instruct the patient to buy ipecac syrup and not ipecac fluid
extract, which is more potent and may cause fatalities.
Ipecac should be taken with a glass of water (do not give with milk or carbonated beverages).
The onset of emesis production following administration of ipecac syrup is usually 15 to 30
minutes.
When vomiting is not induced, patients should be treated with an adsorbent, such as activated
charcoal, or gastric lavage
Individuals with bulimia and anorexia nervosa often abuse ipecac, which may lead to
cardiomyopathy, ventricular fibrillation, and death
, A child is going to hospital because they ingested kerosene 20 minutes ago. What would be
done to assist the patient? - CORRECT ANSWER -Activated charcoal to absorb kerosene.
a. Vomiting should be avoided.
a. Activated charcoal is given when emesis is contraindicated.
Nurse caring or older patient taking Lomotil for severe diarrhea, what do we monitor closest for
this drug? - CORRECT ANSWER -Increase serum liver enzymes, amylase
a. With prolonged use of these drugs, physical dependence may occur.
Appropriate goal for teaching patient with diarrhea? - CORRECT ANSWER -The cause of diarrhea
should be identified. Nonpharmacologic treatment for diarrhea is recommended until the
underlying cause can be determined. This includes use of clear liquids and oral solutions
(Gatorade; Pedialyte or Rehydralyte [both for use in children]) and IV electrolyte solutions.
Antidiarrheal drugs are frequently used in combination with nonpharmacologic treatment.
b. Check for signs and symptoms of dehydration resulting from persistent diarrhea. Fluid
replacement may be necessary. With prolonged diarrhea, check serum electrolytes. (686)
c. Instruct patient not to take sedatives, tranquilizers, or other narcotics with drug. CNS
depression may occur.
d. Tell patient to avoid OTC preparations (they may contain alcohol promoting liver damage and
concurrent use with loratadine and loperamide may lead to significant interaction).
e. Advise patient to take the drug only as prescribed. Drug may be habit-forming; do not exceed
recommended dose.
f. Encourage patient to drink clear liquids.
g. Advise patient not to ingest fried foods or milk products until diarrhea has stopped.
a. Teach patient that constipation can result from overuse of antidiarrheal drugs.
The nurse is instructing a patient taking metamucil for constipation. What teaching would she
give to the patient about fiber? - CORRECT ANSWER -Teach patient to mix drug with water
immediately before use to avoid GI obstruction.
CORRECT ANSWERS
Person has motion sickness and asks the nurse when the best time to take meclizine if flight
leaves at 9? - CORRECT ANSWER -At least 30 minutes before due to PO
PO: 25-50 mg 1 h before travel, after meal; may repeat q24h (p 678)
18 month old toddler calls clinic to report vomiting 5 times a day, and has had 3 wet diapers in
past 6 hours, what nursing intervention? - CORRECT ANSWER -Pedialyte first, then come in
- Start with small amount of fluids first, gradually increase. If number of wet diapers decreases
and dehydration becomes more severe, then go into ER
- nonpharmacologic methods of decreasing nausea and vomiting include pedialyte (for use in
children). When dehydration becomes severe, IV fluids are needed to restore body fluid
balance.
Post op nausea and vomiting -- prescribed Phenergan. What would part of patient's health
history would be contraindicated for taking Phenergan? - CORRECT ANSWER -Contraindication
of a co-morbidity
Phenothiazines have antihistamine and anticholinergic properties.
Caution: Cardiovascular disease, liver dysfunction, asthma, respiratory dysfunction,
hypertension, older adults and debilitated patients
Hypersensitivity, narrow-angle glaucoma, severe liver disease, intestinal obstruction, blood
dyscrasias, bone marrow depression
Contraindicated in patients with hypersensitivity to drug or any component, CNS depression, or
coma
Use caution in patients with cardiovascular disease; not recommended for subQ or intraarterial
administration; injection may contain sulfites, which may cause allergic reaction
,A patient receiving chemotherapy is give Marinol for nausea and vomiting, when is it given? -
CORRECT ANSWER -Antiemetics should be given before any chemotherapy drug is administered,
often 30 to 60 minutes before treatment, but not immediately before chemotherapy is
administered. Do not wait until the nausea begins.
Quizlet: A 33-year-old patient is in the outpatient cancer center for his first round of
chemotherapy. the nurse knows that which schedule is the most appropriate timing for the IV
antiemetic drug? - CORRECT ANSWER -thirty minutes before chemotherapy begins
This person is receiving chemo is gonna get Reglan, not used to suppress vomiting, nurse
explains in children is most likely to cause which effect? - CORRECT ANSWER -SIde effects: High
doses can cause tardive dyskinesia, sedation and diarrhea. With this agent, the occurrence of
Extra Pyramidal Symptoms (EPS) is more prevalent in children than in adults.
Metoclopramide (Reglan) suppresses emesis by blocking the dopamine receptors in the CTZ. It
is used in the treatment of postoperative emesis, cancer chemotherapy, and radiation therapy.
A group of patients about to receive syrup of ipecac, nurse provides what instruction? -
CORRECT ANSWER -Ask what was ingested? Inducing vomiting is sometimes contraindicated.
Induces vomiting after poisoning. Administer within 60 minutes of poisoning to an alert and
conscious individual
When the patient purchases ipecac, instruct the patient to buy ipecac syrup and not ipecac fluid
extract, which is more potent and may cause fatalities.
Ipecac should be taken with a glass of water (do not give with milk or carbonated beverages).
The onset of emesis production following administration of ipecac syrup is usually 15 to 30
minutes.
When vomiting is not induced, patients should be treated with an adsorbent, such as activated
charcoal, or gastric lavage
Individuals with bulimia and anorexia nervosa often abuse ipecac, which may lead to
cardiomyopathy, ventricular fibrillation, and death
, A child is going to hospital because they ingested kerosene 20 minutes ago. What would be
done to assist the patient? - CORRECT ANSWER -Activated charcoal to absorb kerosene.
a. Vomiting should be avoided.
a. Activated charcoal is given when emesis is contraindicated.
Nurse caring or older patient taking Lomotil for severe diarrhea, what do we monitor closest for
this drug? - CORRECT ANSWER -Increase serum liver enzymes, amylase
a. With prolonged use of these drugs, physical dependence may occur.
Appropriate goal for teaching patient with diarrhea? - CORRECT ANSWER -The cause of diarrhea
should be identified. Nonpharmacologic treatment for diarrhea is recommended until the
underlying cause can be determined. This includes use of clear liquids and oral solutions
(Gatorade; Pedialyte or Rehydralyte [both for use in children]) and IV electrolyte solutions.
Antidiarrheal drugs are frequently used in combination with nonpharmacologic treatment.
b. Check for signs and symptoms of dehydration resulting from persistent diarrhea. Fluid
replacement may be necessary. With prolonged diarrhea, check serum electrolytes. (686)
c. Instruct patient not to take sedatives, tranquilizers, or other narcotics with drug. CNS
depression may occur.
d. Tell patient to avoid OTC preparations (they may contain alcohol promoting liver damage and
concurrent use with loratadine and loperamide may lead to significant interaction).
e. Advise patient to take the drug only as prescribed. Drug may be habit-forming; do not exceed
recommended dose.
f. Encourage patient to drink clear liquids.
g. Advise patient not to ingest fried foods or milk products until diarrhea has stopped.
a. Teach patient that constipation can result from overuse of antidiarrheal drugs.
The nurse is instructing a patient taking metamucil for constipation. What teaching would she
give to the patient about fiber? - CORRECT ANSWER -Teach patient to mix drug with water
immediately before use to avoid GI obstruction.
