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0 [{"id":174707,"quiz_id":"10657","answer_id":null,"answerType_id":"0","created_at":"2017-02-25 21:29:24","updated_at":"2017-02-25 22:47:00","questionName":"The nurse is caring for a patient who is receiving ondansetron (Zofran) for nausea associated with chemotherapy. The nurse would teach the patient that what adverse effect may occur with this medication?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":24,"explanation":"Patients receiving ondansetron (Zofran) most commonly experience headache, dizziness, and myalgia. There may also be pain at the injection site, rash, constipation, hypotension, and urinary retention. Options A, B, and D are not correct.","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":174704,"quiz_id":"10657","answer_id":null,"answerType_id":"0","created_at":"2017-02-25 21:27:41","updated_at":"2017-02-25 22:47:00","questionName":"What is the main action of antiemetics?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":21,"explanation":"Antiemetics act by depressing the hyperactive vomiting reflex, either locally or through alteration of CNS actions. Options A, B, and D are not the main action of antiemetics.","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":174705,"quiz_id":"10657","answer_id":null,"answerType_id":"0","created_at":"2017-02-25 21:28:18","updated_at":"2017-02-25 22:47:00","questionName":"When would the nurse recommend that a traveler take an oral antiemetic to prevent motion sickness?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":22,"explanation":"For prevention of motion sickness, give antiemetics 30 minutes before travel and every 4 to 6 hours, if necessary. The nurse would not recommend taking them with the first symptoms, 10 minutes before the trip, or 1 day prior to the trip.","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":174698,"quiz_id":"10657","answer_id":null,"answerType_id":"0","created_at":"2017-02-25 21:23:45","updated_at":"2017-02-25 22:47:00","questionName":"A clinic nurse is caring for a 5-year-old brought to the clinic with a history of intermittent vomiting for 24 hours. The nurse would recognize that which drug is not recommended for use in children?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":15,"explanation":"Metoclopramide is indicated for treatment of nausea and vomiting, especially related to chemical stimulation of the chemoreceptor trigger zone in adults. It does not have a pediatric dose for use as an antiemetic. Options A, B, and D are not correct.","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":174708,"quiz_id":"10657","answer_id":null,"answerType_id":"0","created_at":"2017-02-25 21:29:57","updated_at":"2017-02-25 22:47:00","questionName":"The obstetrics nurse is caring for a patient who started vomiting before delivering her son. The patient is still complaining of nausea and vomiting an hour after her delivery. What medicine would the nurse expect the physician to order for this patient?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":25,"explanation":"Hydroxyzine is used for nausea and vomiting before or after obstetric delivery or surgery. It is rapidly absorbed, metabolized in the liver, and excreted in urine. It has not been associated with fetal problems during pregnancy and is not thought to enter","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":174702,"quiz_id":"10657","answer_id":null,"answerType_id":"0","created_at":"2017-02-25 21:26:30","updated_at":"2017-02-25 22:47:00","questionName":"What is the therapeutic action of the phenothiazines in reducing nausea?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":19,"explanation":"Phenothiazines are centrally acting antiemetics, which change the responsiveness or stimulation of the CTZ in the medulla.","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":174706,"quiz_id":"10657","answer_id":null,"answerType_id":"0","created_at":"2017-02-25 21:28:50","updated_at":"2017-02-25 22:47:00","questionName":"The nurse is caring for a patient who is vomiting. Which nursing intervention is most important after the patient vomits?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":23,"explanation":"Provide the patient with water and a basin to rinse mouth after vomiting. This decreases the bad taste and the corrosion of tooth enamel by gastric acid. Options B, C, and D are not correct.","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":174701,"quiz_id":"10657","answer_id":null,"answerType_id":"0","created_at":"2017-02-25 21:25:55","updated_at":"2017-02-25 22:47:00","questionName":"What is an example of a locally acting antiemetic?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":18,"explanation":"An antacid is an example of a locally acting antiemetic. Phenothiazines, nonphenothiazines, and antihistamines are examples of centrally acting antiemetics.","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":174703,"quiz_id":"10657","answer_id":null,"answerType_id":"0","created_at":"2017-02-25 21:27:06","updated_at":"2017-02-25 22:47:00","questionName":"How does buclizine (Bucladin) function as an effective antiemetic?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":20,"explanation":"These drugs are anticholinergics that act as antihistamines and block the transmission of impulses to the chemoreceptor trigger zone (CTZ). Options A, B, and C are not correct.","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":174700,"quiz_id":"10657","answer_id":null,"answerType_id":"0","created_at":"2017-02-25 21:24:51","updated_at":"2017-02-25 22:47:00","questionName":"What is the best indicator of decreased nausea after administering ondansetron (Zofran) IV?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":17,"explanation":"Monitor patient's response to the drug (relief of nausea and vomiting).Nausea is a subjective symptom. The patient telling the nurse about a decrease in nausea would be the best indication the drug is working. Therefore, answers A, B, and C are incorrect.","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":174711,"quiz_id":"10657","answer_id":null,"answerType_id":"0","created_at":"2017-02-25 21:32:11","updated_at":"2017-02-25 22:47:00","questionName":"What are some nonpharmacologic measures a nurse can use to help a patient who is nauseated or vomiting? (Select all that apply.)","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":28,"explanation":"Provide support and encouragement, as well as other measures (quiet environment, carbonated drinks, deep breathing), to help the patient cope with the discomfort of nausea and vomiting and drug effects. Visitors do not support the quiet environment needed","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":174709,"quiz_id":"10657","answer_id":null,"answerType_id":"0","created_at":"2017-02-25 21:30:28","updated_at":"2017-02-25 22:47:00","questionName":"The patient has begun complaining about nausea and vomiting. What would the nurse assess to determine the need for therapy?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":26,"explanation":"Assess complaints of nausea and evaluate emesis, and note color, amount, and frequency of vomiting episodes to determine need for therapy. The nurse is assessing the patient, not the family in this instance. How well the patient is eating is not an indica","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":174710,"quiz_id":"10657","answer_id":null,"answerType_id":"0","created_at":"2017-02-25 21:31:03","updated_at":"2017-02-25 22:47:00","questionName":"The nurse is caring for an oncology patient who is vomiting. When writing a plan of care for this patient, what would be an appropriate nursing diagnosis?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":27,"explanation":"Nursing diagnoses related to drug therapy might include decreased cardiac output related to cardiac effects. Answers A, B, and D are not appropriate nursing diagnoses for this patient.","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":174699,"quiz_id":"10657","answer_id":null,"answerType_id":"0","created_at":"2017-02-25 21:24:15","updated_at":"2017-02-25 22:47:00","questionName":"A 54-year-old patient is going on an ocean cruise. What medication would be most effective for motion sickness?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":16,"explanation":"Meclizine (Antivert) is the drug of choice to treat motion sickness associated with an ocean voyage. Options B, C, and D are not correct.","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":174712,"quiz_id":"10657","answer_id":null,"answerType_id":"0","created_at":"2017-02-25 21:32:47","updated_at":"2017-02-25 22:47:00","questionName":"The nurse is discharging a patient being sent home on antiemetic therapy. How would the nurse evaluate the plan of care that this patient has had while hospitalized?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":29,"explanation":"Monitor for adverse effects (dizziness, confusion, gastrointestinal alterations, cardiac arrhythmias, hypotension, gynecomastia, pink-to-brown-tinged urine, photosensitivity). The evaluation of the patient care plan would not include monitoring laboratory","question_score_id":null,"lang":null,"questionAudioPath":null}]
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The nurse is caring for a patient who is receiving ondansetron (Zofran) for nausea associated with chemotherapy. The nurse would teach the patient that what adverse effect may occur with this medication?

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