- A patient is receiving a tube feeding through a gastrostomy. The nurse expects that which type of drug will be used to promote gastric emptying for this patient?
Prokinetic drugs, such as metoclopramide (Reglan)
- A patient who has AIDS has lost weight and is easily fatigued because of his malnourished state. The nurse anticipates an order for which antinausea drug to stimulate his appetite?
Dronabinol (Marinol), a tetrahydrocannabinoid
- A patient on chemotherapy is using ondansetron (Zofran) for treatment of nausea. The nurse will instruct the patient to watch for which adverse effect of this drug?
Diarrhea
- A patient who has severe nausea and vomiting following a case of food poisoning comes to the urgent care center. When reviewing his medication history, the nurse notes that he has an allergy to procaine. The nurse would question an order for which antiemetic drug if ordered for this patient?
Metoclopramide (Reglan)
- A mother calls the pediatrician’s office to report that her 18-month-old child has eaten half of a bottle of baby aspirin. She says, “I have a bottle of syrup of ipecac. Should I give it to him? He seems fine right now. What do I do?” What is the nurse’s best response?
“Don’t give him the ipecac. Call the Poison Control number immediately for instructions.”
- A patient is taking chemotherapy with a drug that has a high potential for causing nausea and vomiting. The nurse is preparing to administer an antiemetic drug. Which class of antiemetic drugs is most commonly used to prevent nausea and vomiting for patients receiving chemotherapy?
Serotonin blockers, such as ondansetron (Zofran)
- A patient who has been newly diagnosed with vertigo will be taking an antihistamine antiemetic drug. The nurse will include which information when teaching the patient about this drug?
The patient will need to avoid driving because of possible drowsiness.
- A patient with motion sickness is planning a cross-country car trip and has a new prescription for a scopolamine transdermal patch (Transderm-Scop). The nurse provides teaching for the use of this patch medication. The patient shows a correct understanding of the teaching with which statement?
“I will change the patch every 3 days.”
- A woman who is in the first trimester of pregnancy has been experiencing severe morning sickness. She asks, “I’ve heard that ginger tablets may be a natural way to ease the nausea and vomiting. Is it okay to try them?” What is the nurse’s best response?
“Some health care providers do not recommend ginger during pregnancy. Let’s check with your provider.”
- The nurse is reviewing new postoperative orders and notes that the order reads, “Give hydroxyzine (Vistaril) 50 mg IV PRN nausea or vomiting.” The patient is complaining of slight nausea. Which action by the nurse is correct at this time?
Call the prescriber to question the route that is ordered.
- A patient is on a chemotherapy regimen in an outpatient clinic and is receiving a chemotherapy drug that is known to be highly emetogenic. The nurse will implement which interventions regarding the pharmacologic management of nausea and vomiting? (Select all that apply.)
Administering antinausea drugs 30 to 60 minutes before chemotherapy is started
Instructing the patient that the antinausea drugs may cause extreme drowsiness
Instructing the patient to rise slowly from a sitting or lying position because of possible orthostatic hypotension
