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NM 236 EXAM 4 CH. 58/59
Terms in this set (40)
A 57-year-old patient is to receive metoclopramide (Reglan) for nausea. What statement by the patient leads the nurse to believe that the patient has understood the nurse's teaching?
I may be drowsy as a result of taking this medication.
A clinic nurse is caring for a 5-year-old brought to the clinic with a history of intermittent vomiting for 24 hours. The nurse would recognize that which drug is not recommended for use in children?
A patient who is taking metoclopramide (Reglan) has come to the clinic for a follow-up visit. The nurse will be most concerned about a drug-drug interaction when learning the patient is taking what other medication?
The nurse administers metoclopramide to the patient with what condition?
Chronic diabetic gastroparesis
The clinic nurse is caring for a 55-year-old farmer who has been prescribed an antiemetic for an inner ear problem. The patient states I need to get back to work. With this patient especially, what will the nurse caution him about?
The nurse is caring for a child who has been vomiting intermittently for 24 hours. What is the drug of choice for children who need an antiemetic?
The nurse is caring for a patient who has begun vomiting after undergoing bariatric surgery. When including this complication in the plan of care, what would be an appropriate nursing diagnosis related to the adverse effects of drowsiness and weakness associated with an antiemetic?
Risk for injury related to CNS effects
What is an example of a locally acting antiemetic?
How does buclizine (Bucladin) function as an effective antiemetic?
Promotes anticholinergic effects
What is the main action of antiemetics?
Depressing hyperactive vomiting reflex
When would the nurse recommend that a traveler take an oral antiemetic to prevent motion sickness?
30 minutes prior to trip
The nurse is discharging a patient being sent home on antiemetic therapy. How would the nurse evaluate the plan of care that this patient has had while hospitalized?
Monitor for adverse effects.
A nursing student correctly identifies which body system as being associated with most of the adverse effects of antiemetics?
Central nervous system (CNS)
The nurse administers loperamide (Imodium) to decrease the number and liquidity of stool by what mechanism?
Decreasing intestinal motility
The nurse teaches the patient that a common adverse effect of loperamide (Imodium) is what?
What is the antidiarrheal of choice the nurse will administer to children older than 2 years of age with diarrhea?
What antidiarrheal would the nurse administer to reduce the volume of discharge from the patient's ileostomy?
What drug does the nurse administer that inhibits intestinal peristalsis through direct effects on the longitudinal and circular muscles of the intestinal wall?
The nurse develops a teaching plan for a 77-year-old patient who has been prescribed loperamide PRN. The nurse's priority teaching point is what?
Take drug after each loose stool
A patient receiving loperamide (Imodium) should be alerted by the nurse to what possible adverse effect?
A 25-pound child is in the clinic because of vomiting the last 24 hours. The nurse is to administer trimethobenzamide (Tigan). What dose will the nurse administer by what route?
100 mg rectally
A female college student with migraine headaches that cause nausea and vomiting has been prescribed trimethobenzamide (Tigan). It is important for the nurse to caution the student to avoid using what?
The nurse administers psyllium hydrophilic mucilloid (Metamucil) expecting it to have what action?
Adds bulk to the stool
A 29-year-old female patient has sinusitis, so the physician orders a topical nasal decongestant. What instructions should be given?
Increase fluids to 2 L/d.
The nurse, providing patient teaching, explains that difenoxin and diphenoxylate are chemically related to what medication?
A new mother required an episiotomy during the birth of her baby. Two days after delivery, the patient is in need of a laxative. What will be the most effective drug for the nurse to administer?
A cancer patient is in the outpatient department to receive chemotherapy. The nurse administers prochlorperazine (Compazine) prophylactically before the infusion. What will the nurse's teaching for this patient include?
Avoid driving or any dangerous activities if dizziness or drowsiness occurs.
Prochlorperazine (Compazine) is contraindicated in which population?
What is the best indicator of decreased nausea after administering ondansetron (Zofran) IV?
Patient states, I feel less nauseated.
The nurse is caring for a patient who is receiving ondansetron (Zofran) for nausea associated with chemotherapy. The nurse would teach the patient that what adverse effect may occur with this medication?
Headache and myalgia
The nurse, teaching a patient to be discharged with an order to use chemical stimulant laxatives PRN, instructs the patient that one of the most common adverse effects of this type of laxative is what?
A patient taking a chemical stimulant laxative and medications for heart failure and osteoarthritis calls the clinic and reports to the nurse that she is not feeling right. What is the priority question the nurse should ask this patient?
Timing of medication administration
The nurse teaches the patient who was prescribed a chemical stimulant laxative that this medication may have either a slow, steady effect or may cause severe cramping and rapid evacuation of the contents of the large intestine. What drug is the nurse teaching this patient about?
What drug does the nurse recognize as being classified as a chemical stimulant?
The nurse is caring for a patient who has had impacted stools twice in the past month. What is an appropriate laxative for this patient?
A man with irritable bowel syndrome reports ongoing diarrhea and asks for a prescription for alosetron (Lotronex), which was helpful for his coworker who recently started taking the drug. What is the nurse's best response?
This drug is only approved for use in women.
The nurse is aware that patients who experience motion sickness are experiencing problems with which body system?
What should the nurse tell the patient who will begin taking rifaximin (Xifaxan) for traveler's diarrhea?
Do not take the drug if you have bloody diarrhea.
The nurse collects a stool culture from a patient diagnosed with traveler's diarrhea. What bacterium does the nurse expect the culture to grow?
STAR THESE ONES
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