NURS 1140 EXAM III
KICKASS CRASH COURSE BY P & D2
Chapter 34: Drugs Used to Treat Nausea and Vomiting My Nursing Test Banks
Chapter 34: Drugs Used to Treat Nausea and Vomiting Test Bank
MULTIPLE CHOICE
1. A patient is beginning the second round of high dose cisplatin. Severe, chemoth...
,Chapter 34: Drugs Used
to Treat Nausea and
Vomiting My Nursing Test
Banks
Chapter 34: Drugs Used to Treat Nausea and Vomiting
Test Bank
MULTIPLE CHOICE
1. A patient is beginning the second round of high dose cisplatin. Severe,
chemotherapy induced nausea and vomiting (CINV) occurred following the
first treatment, requiring 72 hours of continuous IV hydration. In addition to her
chemotherapy regimen, which medication would be best to administer?
a.
Prochlorperazine (Compazine) suppository daily, on the day
of treatment and the next 3 days
b.
Anticholinergic agents, such as diphenhydramine or meclizine
c.
Parenteral ondansetron 1 hour before chemotherapy, with
oral ondansetron to continue for the next 4 days
d.
Parenteral ondansetron during chemotherapy, with
prochlorperazine suppositories daily for 1 week
ANS: C
Page 3 of 267
, With the patients first treatment history and the emetogenic chemotherapy agent,
cisplatin, ondansetron has shown to be the most effective for prevention of severe
nausea and vomiting. Prochlorperazine and anticholinergic agents are not used for the
treatment of CINV. The ondansetron should be administered 1 hour before the
chemotherapy and continued for the next several days to prevent vomiting and
dehydration associated with chemotherapy administration.
DIF: Cognitive Level: Application REF: p. 538 | p.
2. A patient expresses concerns about motion sickness. Which medication is most
effective in preventing motion sickness?
a.
Serotonin antagonists
b.
Phenothiazines
c.
Corticosteroids
d.
Anticholinergics
ANS: D
Anticholinergic agents are used to treat motion sickness by counterbalancing the
excessive amounts of acetylcholine present. Serotonin antagonists are used in the
treatment of emesis associated with cancer chemotherapy, radiation therapy, and
postoperative nausea and vomiting. Phenothiazines are used in the treatment of mild
Page 4 of 267
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