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Pharm Ch. 47 And 48 – Questions & Answers
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Pharm Ch. 47 And 48 – Questions & Answers
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Pharm Ch. 47 And 48 – Questions & AnswersA patient who experiences motion sickness when flying asks the nurse the
best time to take the medication prescribed to prevent motion sickness for a
0900 flight. The nurse will instruct the patient to take the medication at which
time?
a. As needed, at the first sign of nausea
b. At 0700, before leaving for the airport
c. At 0830, just prior to boarding the plane
d. When seated, just prior to takeoff ✔️Ans -C
The nurse is caring for a patient who has unexplained, recurrent vomiting and
who is unable to keep anything down. Until the cause of the vomiting is
determined, the nurse will anticipate administering which medications?
a. Antibiotics and antiemetics
b. Intravenous fluids and electrolytes
c. Non-prescription antiemetics
d. Prescription antiemetics ✔️Ans -B
The parent of an 18-month-old toddler calls the clinic to report that the child
has vomited 5 times that day. The nurse determines that the child has had
three wet diapers in the past 6 hours. What will the nurse recommend for this
child?
a. Administering an OTC antiemetic medication such as diphenhydramine
b. Giving frequent, small amounts of Pedialyte
c. Keeping the child NPO until vomiting subsides
d. Taking the child to the emergency department for IV fluids ✔️Ans -B
The nurse is teaching a patient who is about to take a long car trip about using
dimenhydrinate (Dramamine) to prevent motion sickness. What information
is important to include when teaching this patient?
a. "Do not drive while taking this medication."
b. "Dry mouth is a sign of toxicity with this mediation."
c. "Take the medication 1 to 2 hours prior to beginning the trip."
d. "Take 100 mg up to 6 times daily for best effect." ✔️Ans -A
, The nurse is caring for a patient who has postoperative nausea and vomiting.
The surgeon has ordered promethazine HCl (Phenergan). Which aspect of this
patient's health history would be of concern?
a. Asthma
b. Diabetes
c. GERD
d. Glaucoma ✔️Ans -D
The nurse is teaching a group of nursing students about the use of
antipsychotic drugs for antiemetic purposes. The nurse will explain that, when
given as antiemetics, these drugs are given
a. in smaller doses.
b. less frequently.
c. with anticholinergics.
d. with antihistamines ✔️Ans -A
A patient who is receiving chemotherapy will be given dronabinol (Marinol)
to prevent nausea and vomiting. The nurse will tell the patient that this drug
will be given at which time?
a. Before and after the chemotherapy
b. During chemotherapy
c. Immediately prior to chemotherapy
d. 24 hours prior to chemotherapy ✔️Ans -A
A woman who is 2 months pregnant reports having morning sickness every
day and asks if she can take any medications to treat this problem. The nurse
will recommend that the patient take which action first?
a. Contact the provider to discuss a possible need for intravenous fluids.
b. Contact the provider to discuss a prescription antiemetic.
c. Use nonpharmacologic measures such as saltines.
d. Take over-the-counter antiemetics such as diphenhydramine. ✔️Ans -C
The parent of a child who is receiving chemotherapy asks the nurse why
metoclopramide (Reglan) is not being used to suppress vomiting. The nurse
will explain that, in children, this drug is more likely to cause which effect?
a. Excess sedation
b. Extrapyramidal symptoms
c. Paralytic ileus
d. Vertigo ✔️Ans -B
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