Mastery EAQ Ch. 52

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Question #1

Which condition might the patient with dehydration experience?

A Hypertension, Bronchospasm

B Bronchospasm, Bradycardia

C Dizziness, Dry mouth

D Bradycardia, Hypertension

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 Avoid prescribing for patients who have been prescribed chemotherapy.

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

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 place the medication patch on my skin at least 4 days before travel.”

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

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

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 Dronabinol with metoclopramide

B Meclizine with benzodiazepines

C Scopolamine with meclizine

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 Ondansetron

B Lorazepam

C Aprepitant

D Metoclopramide

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 Metoclopramide

B Meclizine

C Ondansetron

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 Ondansetron

C Promethazine

D Scopolamine

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, Lorazepam, Morphine

B Atenolol, Dexamethasone, Morphine

C Atenolol, Morphine, Dronabinol

D Lorazepam, Dronabinol, Dexamethasone

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 Metoclopramide

B Lorazepam

C Prochlorperazine

D Ondansetron

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 Cisplatin

B Prochlorperazine

C Lisinopril

D Megestrol

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 Diarrhea, Sedation

B Dry mouth, Constipation

C Sedation, Bradycardia

D Bradycardia, Diarrhea

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 Methylprednisolone, Warfarin, Verapamil

C Warfarin, Verapamil, Ondansetron

D Warfarin, Verapamil, Dexamethasone

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 serum creatinine levels

C Increased nausea and vomiting

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 thyroid hormone levels

D Monitoring the patient’s blood pressure

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 Complete blood count

B Liver function tests

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, Use hard candy for mouth dryness

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

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

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

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 Assess for extrapyramidal effects

B Monitor cardiac rhythm

C Evaluate pain rating

D Obtain blood pressure

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 Aprepitant

B Prochlorperazine

C Scopolamine

D Promethazine

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 Change the route to a suppository

B Dilute the drug with saline

C Slow the rate of administration

D Discontinue the infusion

Question #20

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

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

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

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

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

Question #21

Which clinical condition is an indication for meclizine?

A Delayed gastric emptying, Gastroesophageal reflux

B Secretion, Gastroesophageal reflux

C Delayed gastric emptying, Secretion

D Vertigo, Motion sickness

Question #22

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

A Avoid taking anticholinergics and opiates.

B Blurred vision is an adverse effect of radiation therapy.

C Avoid driving and other activities that require mental alertness.

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

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 Promethazine

B Granisetron

C Dolasetron

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 Take ginger in large quantities.

B Discontinue taking ginger.

C Continue administration of warfarin in low doses.

D Administer ginger with honey for immediate relief.

Question #26

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

A Glaucoma

B Rheumatoid arthritis

C Hyperthyroidism

D Gastroenteritis

Question #27

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

A “You should not practice relaxation techniques.”

B “You should not consume oral fluids.”

C “You should consume coffee frequently.”

D “You should not consume alcohol.”

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

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

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

Question #29

Which is the correct administration procedure for metoclopramide?

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

B Thirty minutes before meals and at bedtime

C With food to decrease gastrointestinal upset

D Every 6 hours around the clock

Question #30

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

A Promethazine

B Ondansetron

C Palonosetron

D Dolasetron

Question #31

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

A Acetylcholine

B Prostaglandins

C Serotonin (5-HT3)

D Dopamine (D2)

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 Dimenhydrinate

B Dronabinol

C Diphenhydramine

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 use relaxation techniques while taking this medication.”

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

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

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

Question #36

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

A Narrow-angle glaucoma

B Color and turgor of skin

C Dryness of mucous membranes

D Longitudinal furrows on tongue

Question #37

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

A Ondansetron

B Droperidol

C Metoclopramide

D Meclizine

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 Increased sedation is achieved by higher doses of medication.

C Different vomiting pathways are blocked.

D Lower doses of medication are cost-effective.

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 have amnesia.

D The patient may gain weight.

Question #41

Which drug can cause tardive dyskinesia as an adverse effect?

A Ondansetron

B Promethazine

C Prochlorperazine

D Metoclopramide

Question #42

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

A On the chest

B On the shoulder

C On a hairless area behind the ear

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 Hemoglobin concentrations

C White blood cell count

D Red blood cell count

Question #44

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

A To assess for adverse effects of orthostatic hypotension and tardive

B To assess for signs and symptoms of dehydration

C To assess for adverse effects of tachycardia and urinary retention

D To assess for drug interactions between anticholinergics and promethazine

Question #45

At which time would the nurse administer metoclopramide?

A Thirty minutes before meals and at bedtime

B In combination with phenothiazines

C In combination with opiates

D After meals to decrease gastrointestinal upset

Question #46

Which anticholinergic drug is commonly used to prevent motion sickness?

A Droperidol

B Metoclopramide

C Scopolamine

D Prochlorperazine

Question #47

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

A Via the rectal route

B With meals

C By moistening it with petrolatum

D Via the oral route

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