Exam 4: NSG318 / NSG 318 (Latest Update ) Introduction to Pharmacology Exam | Questions and Verified Answers | 100% Correct | Grade A - GCU Question: antiemetic patient assessment Answer: -determine hx of vomiting episodes -health hx, VS, urinalysis -assess for dehydration Question: antiemetics nursing interventions Answer: check VS, monitor bowel sounds, provide mouth care after vomiting Question: antiemetics patient teaching Answer: do not use ETOH while taking antiemetics, avoid antiemetics during 1st trimester pregnancy, do not drive or engage in dangerous activities, nonpharmacologic methods for n/v Question: nonpharmacologic management of diarrhea Answer: clear liquids (gatorade, pedialyte, iv electrolyte solutions) Question: types of antidiarrheals Answer: opiates and opiate -related agents, somatostatin analogues, adsorbents, misc Question: diphenoxylate with atropine drug class Answer: antidiarrheal Question: diphenoxylate with atropine use Answer: to treat diarrhea by slowing intestinal motility Question: diphenoxylate with atropine action Answer: inhibits gastric motility by exerting effect on smooth muscle cells of GI tract Question: diphenoxylate with atropine side effects Answer: drowsiness, dizziness, confusion, euphoria, headache, restlessness, n/v, constipation, dry mouth, weakness, flushing, rash, urinary retention Question: diphenoxylate with atropine adverse/LT reactions Answer: angioedema, pancreatitis, tachycardia; LT: paralytic ileus, toxic megacolon, anaphylaxis Question: antidiarrheal assessment considerations Answer: hx of viral/bacterial infection, medications, foods ingested, baseline vital signs, determine frequency and consistency of bowel movements, assess bowel sounds Question: antidiarrheals nursing interventions Answer: assess respirations, monitor frequency of bowel movements and bowel sounds, check for s/s of dehydration, recognize that a drug may be withheld if diarrhea continues for more than 48 hours or acute abdominal pain develops, encourage client to drink clear fl uids Question: causes of constipation Answer: insufficient water intake, poor dietary habits, fecal impaction, bowel obstruction, chronic laxative use, neurologic disorders, ignoring urge to defecate, lack of exercise, various drugs
