Mastery EAQ Ch. 52

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Question #1

Which condition might the patient with dehydration experience?

A Bronchospasm, Bradycardia

B Dizziness, Dry mouth

C Bradycardia, Hypertension

D Hypertension, Bronchospasm

Question #2

Which recommendation would the US Food and Drug Administration (FDA) make for a medication initially effective in patients who have cancer and experience nausea and vomiting associated with chemotherapy that, during postmarketing surveillance, is found to produce ventricular dysrhythmias?

A Avoid prescribing for patients with hypertension and cardiac arrhythmia.

B Prescribe for the treatment of nausea and vomiting in geriatric patients.

C Avoid prescribing for patients who have been prescribed chemotherapy.

D Prescribe in low doses for the treatment of nausea associated with chemotherapy.

Question #3

Which statement by the patient indicates effective learning about how to administer scopolamine prescribed for motion sickness?

A “I should apply moisturizer to the skin before placing the medication patch.”

B “I should place the medication patch on my skin at least 4 days before travel.”

C “I should change the medication patch every week.”

D “I should apply one medication patch on a hairless area behind the ear.”

Question #4

Which combination of drugs does the nurse suspect is causing dry mouth, constipation, and urinary retention in a patient who is receiving medication to control nausea and vomiting?

A Meclizine with benzodiazepines

B Scopolamine with meclizine

C Dronabinol with metoclopramide

D Ondansetron with tetrahydrocannabinol

Question #5

Which antiemetic drug would the nurse anticipate for a patient who has been prescribed a high-dose regimen of cisplatin and develops severe nausea and vomiting?

A Metoclopramide

B Ondansetron

C Aprepitant

D Lorazepam

Question #6

Which drug acts by blocking serotonin receptors in the gastrointestinal (GI) tract, vomiting center of the brain, and chemoreceptor trigger zone (CTZ)?

A Ondansetron

B Metoclopramide

C Meclizine

D Droperidol

Question #7

Which drug will the nurse expect to be added to the treatment plan along with the chemotherapeutic agent for a patient who has developed nausea and vomiting?

A Diphenhydramine

B Promethazine

C Scopolamine

D Ondansetron

Question #8

Which medication would the nurse anticipate may be added to the treatment plan for a patient who has been prescribed ondansetron for the prevention of chemotherapy-induced nausea and vomiting?

A Atenolol, Morphine, Dronabinol

B Atenolol, Lorazepam, Morphine

C Lorazepam, Dronabinol, Dexamethasone

D Atenolol, Dexamethasone, Morphine

Question #9

The nurse is reviewing the assessment data of a patient who requests an antiemetic due to nausea and vomiting. Based on the findings, which drug would be contraindicated?

Assessment Data
o Temperature 97.5° F (36.4° C)
o Heart rate 74 beats/min
o Respirations 13 breaths/min
o Blood pressure 112/66 mmHg
o Oxygen saturation 95% 2 L O2 nasal cannula
o Alert and oriented x 4
o Breath sounds diminished bases
o Absent bowel sounds
o Peripheral pulses 1+ bilaterally

A Ondansetron

B Metoclopramide

C Prochlorperazine

D Lorazepam

Question #10

A patient informs the nurse of uncontrolled facial and tongue movements over the past 48 hours. After reviewing the medication administration record, which medication is most likely the cause of these symptoms?

Medication Administration Record
o Cisplatin 100 mg IV every 4 weeks
o Lisinopril 10 mg PO daily
o Megestrol 125 mg PO daily
o Prochlorperazine 5 mg PO Q 6 hours PRN

A Lisinopril

B Megestrol

C Cisplatin

D Prochlorperazine

Question #11

Which side effect would the nurse include in the teaching plan for a patient who is prescribed an anticholiergic drug for the treatment of nausea and vomiting?

A Sedation, Bradycardia

B Diarrhea, Sedation

C Bradycardia, Diarrhea

D Dry mouth, Constipation

Question #12

Which drug will the nurse expect to be added to the treatment plan to enhance the antiemetic effect of aprepitant?

A Ondansetron, Dexamethasone, Methylprednisolone

B Warfarin, Verapamil, Ondansetron

C Warfarin, Verapamil, Dexamethasone

D Methylprednisolone, Warfarin, Verapamil

Question #13

Which adverse condition is likely to be found in a patient taking scopolamine for the last 2 weeks?

A Increased blood glucose levels

B Increased nausea and vomiting

C Increased serum creatinine levels

D Increased intraocular pressure

Question #14

Which nursing intervention helps prevent complications in a patient who is scheduled for a tonsillectomy and has been prescribed metoclopramide?

A Providing a fiber-rich diet to the patient

B Providing a potassium-rich diet to the patient

C Monitoring the patient’s blood pressure

D Monitoring the patient’s thyroid hormone levels

Question #15

The nurse is preparing to administer dronabinol to a patient with nausea and vomiting related to chemotherapy. Prior to giving the dose, which laboratory parameter would the nurse assess?

A Liver function tests

B Complete blood count

C Lipid panel

D Serum electrolytes

Question #16

Which information would the nurse include regarding adverse effects when providing education to a patient newly prescribed scopolamine for nausea prevention due to motion sickness?

A Monitor heart rate, Report extrapyramidal effects, Change positions slowly

B Increase dietary fiber intake, Monitor heart rate, Report extrapyramidal effects

C Monitor heart rate, Report extrapyramidal effects, Use hard candy for mouth dryness

D Change positions slowly, Increase dietary fiber intake, Use hard candy for mouth dryness

Question #17

The nurse is preparing to administer a dose of ondansetron to a patient who has been vomiting. Based on the patient’s history below, which action would the nurse take after administering the dose?

Health History
o Hypertension
o Dyslipidemia
o Atrial fibrillation
o Depression
o Ovarian cancer

A Obtain blood pressure

B Evaluate pain rating

C Assess for extrapyramidal effects

D Monitor cardiac rhythm

Question #18

Which antiemetic would the nurse expect to be prescribed in addition to ondansetron to enhance its effects for a patient receiving cisplatin intravenously to treat breast cancer?

A Scopolamine

B Aprepitant

C Promethazine

D Prochlorperazine

Question #19

Which action would the nurse take when after administering an intravenous (IV) dose of promethazine the patient reports burning at the IV site?

A Dilute the drug with saline

B Discontinue the infusion

C Change the route to a suppository

D Slow the rate of administration

Question #20

Which information will the nurse include in the teaching plan for a patient who is prescribed promethazine?

A “You should take the medication 1 hour after meals.”
“You should discontinue taking the medication after 5 days.”

B “You should avoid consuming alcohol.”
“You should avoid driving because the drug may cause drowsiness.”

C “You should increase your intake of tea and coffee.”
“You should take the medication 1 hour after meals.”

D “You should discontinue taking the medication after 5 days.”
“You should increase your intake of tea and coffee.”

Question #21

Which clinical condition is an indication for meclizine?

A Delayed gastric emptying, Gastroesophageal reflux

B Delayed gastric emptying, Secretion

C Vertigo, Motion sickness

D Secretion, Gastroesophageal reflux

Question #22

Which instruction would the nurse provide to a patient who has been prescribed metoclopramide?

A Blurred vision is an adverse effect of radiation therapy.

B Avoid taking anticholinergics and opiates.

C Administer dolasetron in the first 24 to 48 hours of radiation therapy.

D Avoid driving and other activities that require mental alertness.

Question #23

The nurse is caring for a patient diagnosed with cancer who experiences nausea and vomiting and has now been prescribed ondansetron. After administering the medication, the nurse finds that the symptoms persist. Which medication will the primary health care provider prescribe for the patient with this condition?

A Granisetron

B Dolasetron

C Promethazine

D Dronabinol

Question #24

Which is the appropriate instruction for the nurse to follow to quickly relieve the patient’s symptoms of nausea and vomiting when administering promethazine?

A “Administer electrolytes to the patient to prevent dehydration caused by vomiting.”

B “Administer promethazine through the intraarterial route.”

C “Administer promethazine through the intravenous route.”

D “Administer promethazine through the oral route.”

Question #25

Which advice would the nurse provide to a pregnant woman who takes warfarin for venous thrombosis prophylaxis and states that she takes ginger daily for nausea?

A Discontinue taking ginger.

B Administer ginger with honey for immediate relief.

C Continue administration of warfarin in low doses.

D Take ginger in large quantities.

Question #26

Which condition would cause the nurse to request an alternate prescription to scopolamine?

A Rheumatoid arthritis

B Hyperthyroidism

C Gastroenteritis

D Glaucoma

Question #27

Which advice will the nurse give to the patient while administering diphenhydramine?

A “You should not consume alcohol.”

B “You should not consume oral fluids.”

C “You should not practice relaxation techniques.”

D “You should consume coffee frequently.”

Question #28

Which statement regarding antiemetic medications made by the patient indicates the need for further patient teaching?

A “I should take my prescribed antiemetic before receiving my chemotherapy dose.”

B “I may take acetaminophen to treat the headache caused by ondansetron.”

C “I will not drive while I am taking these medications because they may cause drowsiness.”

D “I will apply the scopolamine patches to rotating sites on my arms.”

Question #29

Which is the correct administration procedure for metoclopramide?

A Thirty minutes before meals and at bedtime

B With a full glass of water, first thing in the morning

C Every 6 hours around the clock

D With food to decrease gastrointestinal upset

Question #30

Which antinausea drug would the nurse expect to be prescribed for a patient who is pregnant and experiencing morning sickness?

A Palonosetron

B Ondansetron

C Promethazine

D Dolasetron

Question #31

Which neurotransmitter induces nausea and vomiting by triggering vestibular and labyrinthine pathways in the inner ear?

A Dopamine (D2)

B Prostaglandins

C Acetylcholine

D Serotonin (5-HT3)

Question #32

Which action of metoclopramide results in a reduction of postoperative nausea and vomiting?

A Improves the body’s response to analgesia

B Promotes motility in the small intestine

C Decreases motility in the gastrointestinal (GI) tract

D Decreases chemoreceptor stimulation

Question #33

Which medication can be prescribed for the treatment of hyperemesis

A Diphenhydramine

B Dimenhydrinate

C Dronabinol

D Ondansetron

Question #34

Which adverse effect would the nurse teach regarding anticholinergic drugs to treat nausea and vomiting?

A Diarrhea

B Dry mouth

C Lacrimation

D Bradycardia

Question #35

Which advice would the nurse provide to a patient prescribed metoclopramide?

A “You should take the medication with prochlorperazine for fast action.”

B “You should avoid long-term use of this medication.”

C “You should take the medication without regard to meals.”

D “You should use relaxation techniques while taking this medication.”

Question #36

Which condition will cause concern for a patient taking scopolamine for motion sickness?

A Color and turgor of skin

B Dryness of mucous membranes

C Narrow-angle glaucoma

D Longitudinal furrows on tongue

Question #37

Which drug works by blocking serotonin in the gastrointestinal tract, vomiting center, and chemoreceptor trigger zone?

A Meclizine

B Metoclopramide

C Droperidol

D Ondansetron

Question #38

Which class of drugs is helpful for nausea and vomiting associated with

A Anticholinergics

B Antihistamines

C Serotonin blockers

D Antidopaminergics

Question #39

Which reason explains why combining antiemetic medications is preferred?

A The risk of constipation is decreased.

B Different vomiting pathways are blocked.

C Lower doses of medication are cost-effective.

D Increased sedation is achieved by higher doses of medication.

Question #40

Which side effect would the nurse teach to a patient prescribed dronabinol?

A The patient may lose weight.

B The patient may have glaucoma.

C The patient may gain weight.

D The patient may have amnesia.

Question #41

Which drug can cause tardive dyskinesia as an adverse effect?

A Promethazine

B Prochlorperazine

C Ondansetron

D Metoclopramide

Question #42

Which site is appropriate for the application of a scopolamine patch?

A On the chest

B On a hairless area behind the ear

C On the shoulder

D On the irritated skin

Question #43

Which laboratory report will the nurse review for a patient who is taking warfarin and is prescribed aprepitant?

A Clotting time of blood

B White blood cell count

C Red blood cell count

D Hemoglobin concentrations

Question #44

Which reason explains why the nurse performs a skin turgor assessment before administering promethazine?

A To assess for adverse effects of tachycardia and urinary retention

B To assess for signs and symptoms of dehydration

C To assess for adverse effects of orthostatic hypotension and tardive

D To assess for drug interactions between anticholinergics and promethazine

Question #45

At which time would the nurse administer metoclopramide?

A In combination with opiates

B After meals to decrease gastrointestinal upset

C Thirty minutes before meals and at bedtime

D In combination with phenothiazines

Question #46

Which anticholinergic drug is commonly used to prevent motion sickness?

A Scopolamine

B Metoclopramide

C Prochlorperazine

D Droperidol

Question #47

Which is the correct administration procedure for promethazine in suppository form?

A Via the rectal route

B Via the oral route

C By moistening it with petrolatum

D With meals

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