Nokea
A client is taking ginger medicinally for motion sickness. The nurse would urge the client to use caution if the client has which medical condition?
- A. Gallstones
- B. Blood dyscrasia
- C. Parkinson's disease
- D. Severe liver disease
Correct Answer: A
Rationale: Ginger should be used with caution in clients with hypertension or gallstones and during pregnancy or lactation. Antiemetic prochlorperazine is contraindicated in clients with blood dyscrasia, Parkinson's disease, and severe liver disease.
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A client is receiving an antiemetic. The nurse identifies a nursing diagnosis of Imbalanced Nutrition: Less Than Body Requirements? Which of the following would the nurse include in the client's plan of care?
- A. Remove items with strong smells and odors.
- B. Use mouthwash or frequent oral rinses.
- C. Make the environment as pleasant as possible.
- D. Explain that the drug may change the color of the stool.
- E. Follow the medication with a small amount of water.
Correct Answer: A,B,C
Rationale: When caring for a client receiving an antiemetic with a nursing diagnosis of Imbalanced Nutrition: Less Than Body Requirements, the nurse makes the environment as pleasant as possible to enhance the client's appetite and removes items with strong smells and odors. The nurse gives the client mouthwash or frequent oral rinses to remove the disagreeable taste that accompanies vomiting. Stool color is unaffected. Liquid antacids could be followed with a small amount of water.
A nurse should monitor a client taking which of the following drugs for increased adverse effects and toxicity if omeprazole (Prilosec) therapy is initiated?
- A. Phenobarbital (Luminal)
- B. Digoxin (Lanoxin)
- C. Diazepam (Valium)
- D. Warfarin (Coumadin)
- E. Ketoconazole (Nizoral)
Correct Answer: B,C,D
Rationale: The initiation of proton pump inhibitors, like omeprazole (Prilosec), can result in increased adverse reactions and toxicities of warfarin (Coumadin), benzodiazepines (diazepam), digoxin (Lanoxin), phenytoin (Dilantin), and clarithromycin (Biaxin).
A nurse in a health care facility is caring for a client who is receiving an antiemetic to control vomiting related to chemotherapy. Which of the following nursing diagnoses should the care plan for this client include?
- A. Risk for Imbalanced Fluid Volume
- B. Disturbed Sensory Perception
- C. Impaired Physical Mobility
- D. Ineffective Tissue Perfusion
Correct Answer: A
Rationale: The care plan should include Risk for Imbalanced Fluid Volume for the client receiving an antiemetic due to the possible fluid losses associated with vomiting as well as the possible decrease in fluid intake. Disturbed sensory perception, impaired physical mobility, and ineffective tissue perfusion are not applicable.
A nurse follows a specific protocol when administering which of the following medications to prevent nausea induced by doxorubicin (Adriamycin) administration?
- A. Lansoprazole (Prevacid)
- B. Ondansetron (Zofran)
- C. Metoclopramide (Reglan)
- D. Promethazine (Phenergan)
- E. Granisetron (Kytril)
Correct Answer: B,E
Rationale: 5-HT3 receptor antagonists, like ondansetron (Zofran) and granisetron (Kytril), are used in the prevention of chemotherapy-induced nausea and vomiting.
At a yearly physical examination, a client asks the nurse if it would be okay to take ginger to aid with digestion. Before telling the client it is okay to take ginger, which medical conditions should the nurse make sure the client does not have?
- A. Hypertension
- B. Kidney stones
- C. Vitamin B12 deficiency
- D. Gallstones
- E. Tayer disease
Correct Answer: A,D
Rationale: Ginger should be used cautiously in clients with hypertension or gallstones and during pregnancy and lactation.