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[{"id":174694,"quiz_id":"10657","answer_id":null,"answerType_id":"0","created_at":"2017-02-25 21:21:16","updated_at":"2017-02-25 22:47:00","questionName":"What symptom may be related to the use of dronabinol (Marinol)?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":11,"explanation":"Dronabinol and nabilone are only approved for use in managing nausea and vomiting associated with cancer chemotherapy in patients who have not responded to other treatment. The exact mechanisms of action of dronabinol and nabilone are not understood. They","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":174686,"quiz_id":"10657","answer_id":null,"answerType_id":"0","created_at":"2017-02-25 21:15:39","updated_at":"2017-02-25 22:47:00","questionName":"A female college student with migraine headaches that cause nausea and vomiting has been prescribed trimethobenzamide (Tigan). It is important for the nurse to caution the student to avoid using what?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":3,"explanation":"","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":174691,"quiz_id":"10657","answer_id":null,"answerType_id":"0","created_at":"2017-02-25 21:19:19","updated_at":"2017-02-25 22:47:00","questionName":"The nurse is caring for a child who has been vomiting intermittently for 24 hours. What is the drug of choice for children who need an antiemetic?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":8,"explanation":"Prochlorperazine is often the drug of choice with children because it has established oral, rectal, and parenteral doses. The other three options are not recommended for children.","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":174687,"quiz_id":"10657","answer_id":null,"answerType_id":"0","created_at":"2017-02-25 21:16:27","updated_at":"2017-02-25 22:47:00","questionName":"A cancer patient is in the outpatient department to receive chemotherapy. The nurse administers prochlorperazine (Compazine) prophylactically before the infusion. What will the nurse's teaching for this patient include?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":4,"explanation":"Prochlorperazine is an antiemetic that can cause dizziness and drowsiness. A patient who is taking it should be advised not to drive or undertake dangerous activities if these adverse effects occur. The drug does not cause heat loss or inability to sweat ","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":174690,"quiz_id":"10657","answer_id":null,"answerType_id":"0","created_at":"2017-02-25 21:18:37","updated_at":"2017-02-25 22:47:00","questionName":"A women's community group is attending the first-aid class the nurse is teaching. The nurse will instruct the women to do what if a child ingests a possible overdose of medication or other potential poison?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":7,"explanation":"New guidelines suggest that potential ingestion with poison should prompt an immediate call to the local poison control center and then follow their directions. An ambulance may not be needed and it may take too long to get an appointment with a health ca","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":174685,"quiz_id":"10657","answer_id":null,"answerType_id":"0","created_at":"2017-02-25 21:14:58","updated_at":"2017-02-25 22:46:59","questionName":"The clinic nurse is caring for a 55-year-old farmer who has been prescribed an antiemetic for an inner ear problem. The patient states \u201cI need to get back to work.\u201d With this patient especially, what will the nurse caution him about?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":2,"explanation":"","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":174688,"quiz_id":"10657","answer_id":null,"answerType_id":"0","created_at":"2017-02-25 21:17:12","updated_at":"2017-02-25 22:47:00","questionName":"What is an appropriate nursing action for a hospitalized patient receiving aprepitant (Emend)?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":5,"explanation":"Because dehydration is an adverse effect of aprepitant, the nurse will want to encourage the patient to drink as much liquid as possible. Elevating the head of the bed would be unnecessary; the patient's temperature would not be affected by aprepitant; we","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":174692,"quiz_id":"10657","answer_id":null,"answerType_id":"0","created_at":"2017-02-25 21:20:08","updated_at":"2017-02-25 22:47:00","questionName":"The nurse is caring for a patient who has begun vomiting after undergoing bariatric surgery. When including this complication in the plan of care, what would be an appropriate nursing diagnosis related to the adverse effects of drowsiness and weakness associated with an antiemetic?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":9,"explanation":"Because the patient is experiencing CNS effects, the nurse will be concerned about the patient's safety. The appropriate nursing diagnosis would be risk for injury related to CNS effect. Acute pain related to CNS, skin, and GI effects; decreased cardiac o","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":174697,"quiz_id":"10657","answer_id":null,"answerType_id":"0","created_at":"2017-02-25 21:23:09","updated_at":"2017-02-25 22:47:00","questionName":"Prochlorperazine (Compazine) is contraindicated in which population?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":14,"explanation":"Caution should be used in individuals with renal dysfunction, moderate liver impairment, active peptic ulcer, or during pregnancy and lactation. Compazine can be used in children under the age of 12, preoperative patients, and people weighing \uf03c100 pounds.","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":174689,"quiz_id":"10657","answer_id":null,"answerType_id":"0","created_at":"2017-02-25 21:17:50","updated_at":"2017-02-25 22:47:00","questionName":"The nurse is working in the medical station at a local amusement park. An adult is being seen complaining of dizziness and feelings of \u201cseasickness\u201d after going on several rides. What would the nurse suspect the patient may benefit from?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":6,"explanation":"Nausea and vomiting associated with motion sickness is best treated with an anticholinergic that acts as an antihistamine. Histamine H2 blockers affect gastric acid production. Substance P\/neurokinin 1 receptor antagonists and cannabis are prescribed only","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":174696,"quiz_id":"10657","answer_id":null,"answerType_id":"0","created_at":"2017-02-25 21:22:36","updated_at":"2017-02-25 22:47:00","questionName":"A 57-year-old patient is to receive metoclopramide (Reglan) for nausea. What statement by the patient leads the nurse to believe that the patient has understood the nurse's teaching?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":13,"explanation":"Adverse effects include drowsiness, fatigue, restlessness, extrapyramidal symptoms, and diarrhea. The other statements are incorrect and would tell the nurse that this patient does not understand the teaching about this drug.","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":174684,"quiz_id":"10657","answer_id":null,"answerType_id":"0","created_at":"2017-02-25 21:14:21","updated_at":"2017-02-25 22:46:59","questionName":"A 25-pound child is in the clinic because of vomiting the last 24 hours. The nurse is to administer trimethobenzamide (Tigan). What dose will the nurse administer by what route?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":1,"explanation":"","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":174683,"quiz_id":"10657","answer_id":null,"answerType_id":"0","created_at":"2017-02-25 21:13:12","updated_at":"2017-02-25 22:46:59","questionName":"A high school student starts vomiting and goes to see the school nurse. The student asks the nurse what part of his brain makes him vomit. What area of the brain will the nurse tell the student must be stimulated for vomiting to occur?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":0,"explanation":"The CTZ has to be stimulated in order for vomiting to occur. The GI mucosa, hypothalamus, and thalamus are not associated with eliciting vomiting. The forebrain, hypothalamus, and thalamus have no part in vomiting.","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":174693,"quiz_id":"10657","answer_id":null,"answerType_id":"0","created_at":"2017-02-25 21:20:40","updated_at":"2017-02-25 22:47:00","questionName":"What medication, given with aprepitant (Emend), is used to effectively manage chemotherapy-induced emesis?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":10,"explanation":"Aprepitant acts directly in the central nervous system to block receptors associated with nausea and vomiting with little to no effect on serotonin and dopamine levels, nor corticosteroid receptors. It is approved for use in treating nausea and vomiting a","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":174695,"quiz_id":"10657","answer_id":null,"answerType_id":"0","created_at":"2017-02-25 21:21:54","updated_at":"2017-02-25 22:47:00","questionName":"People taking phenothiazines need to be assessed for extrapyramidal symptoms. What effects are considered adverse effects of the phenothiazines?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":12,"explanation":"Adverse effects include drowsiness, dystonia, photophobia, blurred vision, and discolored pink to red-brown urine. Adverse effects of the phenothiazines do not include dysphoria, urinary retention, or confusion.","question_score_id":null,"lang":null,"questionAudioPath":null}]