C HAPTER 33: D RUGS U SED TO T REAT N AUSEA
AND V OMITING
Willihnganz: Clayton’s Basic Pharmacology for Nurses, 19th Edition
MULTIPLE CHOICE
1. Which advantage explains the reason for 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 quickl y.
d. The antianxiet y effect helps, in addition to reducing the frequency of
nausea and vomiting.
ANS: D
Benzodiazepines (e.g., diazepam, lorazepam, midazolam) are effective in
reducing not onl y the frequency of nausea and vomiting but also the anxiet y
often associated with chemotherapy. Benzodiazepines do not affect the
effectiveness of other drugs. Although distraction can be an effective
intervention, using benzodiazepines is not a method to achieve this goal.
Tolerance to benzodiazepines can develop quickl y; they do not affect the
development of tolerance to other drugs.
DIF: Cognitive Level: Comprehension REF: p. 543 | p. 544
OBJ: 2
NAT: NCLEX Client Needs Category: Physiological Integrit y
, TOP: Nursing Process Step: Assessment CON: Clinical Judgment |
Anxiet y
2. Which condition is occurring when a patient experiences nausea
immediatel y on entering the clinic to receive another course of
chemotherapy?
a. Ps ychogenic
b. Chemotherapy induced
c. Hyperemesis gravidarum
d. Anticipatory nausea and vomiting
ANS: D
Anticipatory nausea and vomiting are a conditioned response triggered by the
sight or smell of the clinic or hospital or by the knowledge that treatment is
imminent. Delayed reaction from a previous treatment would have occurred
in a shorter interval after the other treatment. Delayed emesis occurs 24 to
120 hours after the administration of chemotherapy. Although smells can
trigger nausea, this is not likel y the cause of this patient‘s sickness.
Hyperemesis gravidarum is excessive vomiting and nausea associated with
pregnancy.
DIF: Cognitive Level: Comprehension REF: p. 532 OBJ: 2
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Assessment
CON: Clinical Judgment | Anxiet y | Mood and Affect
3. Which herb has been used in many cultures to provide relief of nausea
associated with pregnancy?
a. Mint
b. Hyssop
c. Echinacea
AND V OMITING
Willihnganz: Clayton’s Basic Pharmacology for Nurses, 19th Edition
MULTIPLE CHOICE
1. Which advantage explains the reason for 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 quickl y.
d. The antianxiet y effect helps, in addition to reducing the frequency of
nausea and vomiting.
ANS: D
Benzodiazepines (e.g., diazepam, lorazepam, midazolam) are effective in
reducing not onl y the frequency of nausea and vomiting but also the anxiet y
often associated with chemotherapy. Benzodiazepines do not affect the
effectiveness of other drugs. Although distraction can be an effective
intervention, using benzodiazepines is not a method to achieve this goal.
Tolerance to benzodiazepines can develop quickl y; they do not affect the
development of tolerance to other drugs.
DIF: Cognitive Level: Comprehension REF: p. 543 | p. 544
OBJ: 2
NAT: NCLEX Client Needs Category: Physiological Integrit y
, TOP: Nursing Process Step: Assessment CON: Clinical Judgment |
Anxiet y
2. Which condition is occurring when a patient experiences nausea
immediatel y on entering the clinic to receive another course of
chemotherapy?
a. Ps ychogenic
b. Chemotherapy induced
c. Hyperemesis gravidarum
d. Anticipatory nausea and vomiting
ANS: D
Anticipatory nausea and vomiting are a conditioned response triggered by the
sight or smell of the clinic or hospital or by the knowledge that treatment is
imminent. Delayed reaction from a previous treatment would have occurred
in a shorter interval after the other treatment. Delayed emesis occurs 24 to
120 hours after the administration of chemotherapy. Although smells can
trigger nausea, this is not likel y the cause of this patient‘s sickness.
Hyperemesis gravidarum is excessive vomiting and nausea associated with
pregnancy.
DIF: Cognitive Level: Comprehension REF: p. 532 OBJ: 2
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Assessment
CON: Clinical Judgment | Anxiet y | Mood and Affect
3. Which herb has been used in many cultures to provide relief of nausea
associated with pregnancy?
a. Mint
b. Hyssop
c. Echinacea
