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Ch 38,39, 40
Terms in this set (58)
what is a nonpharmacologic measure that is effective in treating nausea and vomiting in pregnant women
a client prescribed promethazine for nausea and vomiting should be monitored for which adverse effect?
a client who has been prescribed an antihistamine for nausea should be monitored for which adverse effect of this classification of medication
a clinet is administered a phenothiazine for nausea and vomiting. what is the action of phenothiazine?
antagonizes dopamine receptors
what is the recommended treatment of nausea and vomitng when caring for a child prescribed pediatric chemotherapy agents
chorticosteroids and 5-HT3 receptor antagonist
a postoperative school age pediatric client is experiencing nausea and vomiting. what is the antimetic drug of choice in children
an older adult clinet is administered dimenhydriante. which is the prority nursing intervention for this clinet
protect from injury
a pregnant client is experiencing morning sickness. which should be considered as a first-line treatment for the management of morningi sickness?
a client diagnosed with Parkinson's disease develops nausea and vomiting. Promethazine may be contraindicated because it deplets levels of what neurotransmitter?
the nurse is providing education to a clinet who has been prescribed hydroxyzine. which statement indicates that the client has understood the teaching?
"I may experience drowsiness with this medication"
a 1 year old postoperative clinetn has been experiencing repeated vomiting. what antimetic drug has a black box warning against use in a client of this age?
the nurse administers hydroxyzine to a clinet with nausea. after administration, the nurse should monitor for what adverse effect?
a client prescribed promethazine has an elevated creatinine level. which action is the heatlh care provider likely to take considering any possible related risk to this client
precribed administration of a lower dose
a client who has been scheduled to begin chemo for the treatment of breast cancer is anxious about the possiblity of experiencing nausea. when explaining the physiology of nausea and vomiting, the nurse should include what informational statement?
the chemoreceptor trigger zone (CTZ) is composed of neurons int eh fourth ventricle
an adult hosptial clinet has been experiencing intractable nausea and vominit for several hours, so the nurse has obtained a script for an antimetic from the health care provider. the script reads "Promethazine 25 mg subcutaneously every 6 hours PRN" the nurse should contact the health care provider to question what aspect of this script
the nurse is providing education to a client who has been prescribed hydroxyzine. what adverse effect should the nurse mention during teaching
what antimetic is the most common first line drug for the treatment of postoperative nausea and vomiting?
a client is undergoing a course of radiotherapy for the treatment of leukemia. the treatment in the pst have caused the client severe nausea and vomiting. teh oncology nurse should normally administer antimetics on what schedule
30-60 mins before treatment
when reviewing a newly admitted clietn previous medication recond, the nurse notes that the client has previously been treated with aprepitant. the nurse is justified in suspecting that this client medical history includes which therapy/treatment
a hospital client has a standing script for aprepitant on an as-needed basis. the client should be encourage to request a does of the drug in response to which event
anticipation of becoming nauseous
a clinet is using psyllium hydrophillic mucilloid to promote evacuation of stool. what is the action of this med
it increases mass and water content of the stool, promoting evacuation
which statement by a client leads the nurse to believe that the client understands how to safely and effectively use bulk-forming laxative?
" I will mix the medicaiton with around a cup of liquid and then drink the mixture"
a client is taking psyllium hydrophillic mucilloid dialy. what information should be included in the discharge plan
up to 30g of the med can be divided over several divided doses daily
when assessing a client bowel habits. which description is the best indication of normal bowel elimination
soft, formed stool
what is the result of failing to respond to the defecation relex
decreased sensory stimulation
the nurse has a script to administer a saline cathartic to a client who has a histrory of congestive heart failure (CHF) why is this type of cathartic contraindicated with this client
the client is at risk for excess fluid volume
the client is scheduled for a colonoscopy in the morning. the nurse will provide information concerning which laxative
the nurse should eduacte the client prescribed a stimulant cathartic to be alert for which common adverse effect
a client diagnosed with alcoholism and chronic liver failure is confused and has an elevated serum ammonia level. what laxative will be administered to lower the serum ammonia level
a child is diagnosed with fecal impation. what medication does the nurse expect the health care provider to prescribe
polyethylene glycol-electrolyte solution
the nurse is educating new parents about prevention and treatment of constipation in children. what is the most effective and safest way to treat constipation in a 2 year old child prior to bowel training
which client is at highest risk for alteration inbowel elimination
a client who is paralyzed from a spinal cord injury
defecation is normally stimulated by what physiologic trigger
movements and reflexes in the gastrointestinal tract
hwo is constipation best defined?
the infrequent and painful expulsion of hard,dry stools
the nurse should know that lactulose achieves a therapeutic effect by which means?
pulling water into the intestinal lumen by osmotic pressure
a middle aged client who is frustrated by increasingly frequent episodes of constipation is highly reluctant to take medication. what nonpharmacologic measures should the nurse recommend?
use of fiber supplement
a postoperative surgical client prescribed twice-daily administartion fo docusate sodium is concerned about developing diarrhea. what should the nurse teach the client about docuste sodium?
" this medication will only soften your stools over the next couple of days"
a community health nurse is conducting a health promotion sessiion with a group from a local seniors center. the nurse has addressed the issue of laxative overuse in this population. the nurse should highlight what consequene of the overuse of laxatives?
an adult resident of an assisted living facility has not responded appreciably to bull-forming laxatives, so the health care provider has prescribed bisacodyl. the nurse who oversees the care at the facility should know that this drug may be administed by what route
an older adult has regulary drunk mineral oil to treat occasional episodes of constipation. the nurse should encourage the client to explore other treatment because the use of oral mineral oil can result in what adverse effect
decreased absorption of drugs and vitamins
which oranism is most likely to cause gasttroenteritis and vomiting amongh the students and staff at a local school
Norwalk-like virus (Calicivirus)
the nurse is assessing an older adult client who reports diarrhea. what should the nurse explore as the most likely cause
the nurse is preparing to administer bismuth subsalicylate to a client. what assessement is most important to make before administration
alergy to aspirin
the nurse is preapring to administer polycarbophil to a client experiencing liquid stools. how should the nurse describe the action of this substance
it absorbs large amounts of water and decreases fluidity in stools
a client diagnosed with Crohns disease is experiencing diarrhea during an exacerbation of symptoms. what medicatio will the nurse most likely administer
the nurse is caring for a femail client diagnosed with chronic severe diarrhea-predominant irritable bowl syndrome. that has not responded to conventional therapy. which med should the nurse anticipate being precribed
a client who has been treated successfully for diarrhea has had only one loose bowel movement during the day which foods should be introduced back into the diet first
the nurse is reviewing the history of a client who has been prescribed diphenoxylate. the nurse is aware that documenation of what disorder in the history requires that the drug be administered cautiously
a client diagnnosed with HIV/AIDS has diarrhea that is not responding to antidiarrheal agents. which meds will best assist in treating this client diarrhea?
a 20 month old child is experiencing diarrhea. when planning the child care, the nurse should Prioritze assessment related to what health problems
an adult client has presented to the ED after 36 hours of severe diarrhea that shows no sign of abating. the ED nurse should be aware that the use of diphenoxylate would be contraindicated in which circumstances
the client diarrhea is caused by the ingestion of toxins
a client has contacted the clinic stating to the nurse "I have been taking loperaminde for the past day and a half and my diarrhea shows no signs of slowing down" the nurse should respond to the client knowledge that loperamide should be discontinued if the diarrhea does not improve within what time frame
an older adult client hs received a third dose of diphenoxylate. in addition to monitoring the number and consistency of the clients stools, the nurse shold prioritize what assessment
fluid and electrolyte balance
a client severe diarrhea has necessitated treatment with polycarbophil. the nurse should caution the client about the possibility of what adverse effect
abdominal fullness and bloating
when reviewing a client medication history, the nurse notes that the client has recently completed a course of treatment with nitazoxanide. the nurse is justified in suspecting that the client was infected with what microorganism
cholestryramine and colestripol are useful in treating diarrhea due to which cause?
bile salt accumulation
a nurse is caring for a client who has been diagnosed with diarrhea. the prescriber has ordered a clear liquid diet fo the first 24 hours of admission. what liquid can the nurse offer to the client during this period
the nurse is providing education to a client who has been prescribed diphenoxylate with atropine for diarrhea. what statement should the nurse include in teaching?
"once diarrhea slows down, stop using the drug"
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