Following administration of a dose of
metoclopramide (Reglan) to the patient, the nurse determines that the medication has been effective when which of the following is noted?
A) Decreased blood pressure
B) Absence of muscle tremors
C) Relief of nausea an
C) Relief of nausea and vomiting.
(Metoclopramide is classified as a prokinetic and antiemetic medication. If it is effective, the patient's nausea and vomiting should resolve).
The patient receiving chemotherapy rings the call bell and reports an onset of nausea. The nurse should prepare a prn dose of which of the following medications?
A) Morphine sulfate
B) Zolpidem (Ambien)
C) Ondansetron (Zofran)
D) Dexamethasone (Decadron)
C) Ondansetron (Zofran)
(Ondansetron is a 5-HT3 receptor antagonist antiemetic that is especially effective in reducing cancer chemotherapy-induced nausea and vomiting.)
3.The patient who is admitted with a diagnosis of diverticulitis and a history of irritable bowel disease and gastroesophageal reflux disease (GERD) has received a dose of Mylanta 30 ml PO. The nurse would evaluate its effectiveness by questioning the pat
B) Heartburn
(Mylanta is an antacid that contains both aluminum and magnesium. It is indicated for the relief of GI discomfort, such as with heartburn associated with GERD.)
When administered a dose of metoclopramide (Reglan), a patient complains of nausea. The nurse would teach the patient to report which of the following potential adverse effects?
A) Tremors
B) Constipation
C) Double vision
D) Numbness in the fingers and do
A) Tremors
(Extrapyramidal side effects, including tremors and dyskinesias, may occur as a result of metoclopramide (Reglan) administration.)
After administering a dose of promethazine (Phenergan) to a patient with nausea and vomiting, the nurse explains that which of the following may be experienced as a common temporary adverse effect of the medication?
A) Drowsiness
B) Reduced hearing
C) Sen
A) Drowsiness
(Although being given to this patient as an antiemetic, promethazine also has sedative and amnesic properties. For this reason, the patient is likely to experience drowsiness as an adverse effect of the medication.)
The nurse is caring for a patient treated with intravenous fluid therapy for severe vomiting. As the patient recovers and begins to tolerate oral intake, the nurse understands that which of the following food choices would be most appropriate?
A) Ice tea
B) Dry toast (Dry toast or crackers may alleviate the feeling of nausea and prevent further vomiting. Extremely hot or cold liquids and fatty foods are generally not well tolerated.)
The nurse determines that a patient has experienced the beneficial effects of medication therapy with famotidine (Pepcid) when which of the following symptoms is relieved?
A) Nausea
B) Belching
C) Epigastric pain
D) Difficulty swallowing
C) Epigastric pain
Famotidine is an H2-receptor antagonist that inhibits parietal cell output of HCl acid and minimizes damage to gastric mucosa related to hyperacidity, thus relieving epigastric pain.
A patient reports having dry mouth and asks for some liquid to drink. The nurse reasons that this symptom can most likely be attributed to a common adverse effect of which of the following medications?
A) Digoxin (Lanoxin)
B) Cefotetan (Cefotan)
C) Famoti
D) Promethazine (Phenergan)
A common adverse effect of promethazine, an antihistamine antiemetic agent, is dry mouth; another is blurred vision.
A patient with a history of peptic ulcer disease has presented to the emergency department with complaints of severe abdominal pain and a rigid, boardlike abdomen, prompting the health care team to suspect a perforated ulcer. Which of the following action
A) Providing IV fluids and inserting a nasogastric tube
A perforated peptic ulcer requires IV replacement of fluid losses and continued gastric aspiration by NG tube. Nothing is given by mouth and gastric pH testing is not a priority. Calcium gluconate is
The results of a patient's recent endoscopy indicate the presence of peptic ulcer disease (PUD). Which of the following teaching points should the nurse provide to the patient in light of his new diagnosis?
A) "You'll need to drink at least two to three g
B) "It would likely be beneficial for you to eliminate drinking alcohol."
Although there is no specific recommended dietary modification for PUD, most patients find it necessary to make some sort of dietary modifications to minimize symptoms. Milk may exa