Nursing 1141- Pharmacology » Fall 2022 » Mastery EAQ Ch. 52
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Question #1
Which is the correct administration procedure for promethazine in suppository form?
A.
Via the rectal route
B.
By moistening it with petrolatum
C.
Via the oral route
D.
With meals
Question #2
Which anticholinergic drug is commonly used to prevent motion sickness?
A.
Metoclopramide
B.
Scopolamine
C.
Prochlorperazine
D.
Droperidol
Question #3
At which time would the nurse administer metoclopramide?
A.
In combination with opiates
B.
In combination with phenothiazines
C.
After meals to decrease gastrointestinal upset
D.
Thirty minutes before meals and at bedtime
Question #4
Which reason explains why the nurse performs a skin turgor assessment before administering promethazine?
A.
To assess for signs and symptoms of dehydration
B.
To assess for adverse effects of orthostatic hypotension and tardive
C.
To assess for adverse effects of tachycardia and urinary retention
D.
To assess for drug interactions between anticholinergics and promethazine
Question #5
Which laboratory report will the nurse review for a patient who is taking warfarin and is prescribed aprepitant?
A.
Red blood cell count
B.
Hemoglobin concentrations
C.
Clotting time of blood
D.
White blood cell count
Question #6
Which site is appropriate for the application of a scopolamine patch?
A.
On the chest
B.
On a hairless area behind the ear
C.
On the shoulder
D.
On the irritated skin
Question #7
Which drug can cause tardive dyskinesia as an adverse effect?
A.
Prochlorperazine
B.
Promethazine
C.
Ondansetron
D.
Metoclopramide
Question #8
Which side effect would the nurse teach to a patient prescribed dronabinol?
A.
The patient may gain weight.
B.
The patient may have glaucoma.
C.
The patient may have amnesia.
D.
The patient may lose weight.
Question #9
Which reason explains why combining antiemetic medications is preferred?
A.
Increased sedation is achieved by higher doses of medication.
B.
The risk of constipation is decreased.
C.
Different vomiting pathways are blocked.
D.
Lower doses of medication are cost-effective.
Question #10
Which class of drugs is helpful for nausea and vomiting associated with
A.
Serotonin blockers
B.
Antihistamines
C.
Anticholinergics
D.
Antidopaminergics
Question #11
Which drug works by blocking serotonin in the gastrointestinal tract, vomiting center, and chemoreceptor trigger zone?
A.
Metoclopramide
B.
Droperidol
C.
Meclizine
D.
Ondansetron
Question #12
Which condition will cause concern for a patient taking scopolamine for motion sickness?
A.
Color and turgor of skin
B.
Narrow-angle glaucoma
C.
Dryness of mucous membranes
D.
Longitudinal furrows on tongue
Question #13
Which advice would the nurse provide to a patient prescribed metoclopramide?
A.
"You should take the medication with prochlorperazine for fast action."
B.
"You should use relaxation techniques while taking this medication."
C.
"You should take the medication without regard to meals."
D.
"You should avoid long-term use of this medication."
Question #14
Which adverse effect would the nurse teach regarding anticholinergic drugs to treat nausea and vomiting?
A.
Dry mouth
B.
Lacrimation
C.
Bradycardia
D.
Diarrhea
Question #15
Which medication can be prescribed for the treatment of hyperemesis
A.
Dimenhydrinate
B.
Ondansetron
C.
Dronabinol
D.
Diphenhydramine
Question #16
Which action of metoclopramide results in a reduction of postoperative nausea and vomiting?
A.
Promotes motility in the small intestine
B.
Decreases chemoreceptor stimulation
C.
Improves the body’s response to analgesia
D.
Decreases motility in the gastrointestinal (GI) tract
Question #17
Which neurotransmitter induces nausea and vomiting by triggering vestibular and labyrinthine pathways in the inner ear?
A.
Acetylcholine
B.
Serotonin (5-HT3)
C.
Prostaglandins
D.
Dopamine (D2)
Question #18
Which antinausea drug would the nurse expect to be prescribed for a patient who is pregnant and experiencing morning sickness?
A.
Palonosetron
B.
Ondansetron
C.
Promethazine
D.
Dolasetron
Question #19
Which is the correct administration procedure for metoclopramide?
A.
Thirty minutes before meals and at bedtime
B.
Every 6 hours around the clock
C.
With food to decrease gastrointestinal upset
D.
With a full glass of water, first thing in the morning
Question #20
Which statement regarding antiemetic medications made by the patient indicates the need for further patient teaching?
A.
"I will not drive while I am taking these medications because they may cause drowsiness."
B.
"I will apply the scopolamine patches to rotating sites on my arms."
C.
"I should take my prescribed antiemetic before receiving my chemotherapy dose."
D.
"I may take acetaminophen to treat the headache caused by ondansetron."
Question #21
Which advice will the nurse give to the patient while administering diphenhydramine?
A.
"You should not consume alcohol."
B.
"You should not consume oral fluids."
C.
"You should not practice relaxation techniques."
D.
"You should consume coffee frequently."
Question #22
Which condition would cause the nurse to request an alternate prescription to scopolamine?
A.
Hyperthyroidism
B.
Gastroenteritis
C.
Rheumatoid arthritis
D.
Glaucoma
Question #23
Which advice would the nurse provide to a pregnant woman who takes warfarin for venous thrombosis prophylaxis and states that she takes ginger daily for nausea?
A.
Continue administration of warfarin in low doses.
B.
Administer ginger with honey for immediate relief.
C.
Take ginger in large quantities.
D.
Discontinue taking ginger.
Question #24
Which is the appropriate instruction for the nurse to follow to quickly relieve the patient’s symptoms of nausea and vomiting when administering promethazine?
A.
"Administer promethazine through the intraarterial route."
B.
"Administer promethazine through the intravenous route."
C.
"Administer electrolytes to the patient to prevent dehydration caused by vomiting."
D.
"Administer promethazine through the oral route."
Question #25
The nurse is caring for a patient diagnosed with cancer who experiences nausea and vomiting and has now been prescribed ondansetron. After administering the medication, the nurse finds that the symptoms persist. Which medication will the primary health care provider prescribe for the patient with this condition?
A.
Dolasetron
B.
Dronabinol
C.
Granisetron
D.
Promethazine
Question #26
Which instruction would the nurse provide to a patient who has been prescribed metoclopramide?
A.
Avoid taking anticholinergics and opiates.
B.
Avoid driving and other activities that require mental alertness.
C.
Administer dolasetron in the first 24 to 48 hours of radiation therapy.
D.
Blurred vision is an adverse effect of radiation therapy.
Question #27
Which clinical condition is an indication for meclizine?
A.
Secretion, Gastroesophageal reflux
B.
Delayed gastric emptying, Secretion
C.
Vertigo, Motion sickness
D.
Delayed gastric emptying, Gastroesophageal reflux
Question #28
Which information will the nurse include in the teaching plan for a patient who is prescribed promethazine?
A.
"You should avoid consuming alcohol." "You should avoid driving because the drug may cause drowsiness."
B.
"You should increase your intake of tea and coffee." "You should take the medication 1 hour after meals."
C.
"You should discontinue taking the medication after 5 days." "You should increase your intake of tea and coffee."
D.
"You should take the medication 1 hour after meals." "You should discontinue taking the medication after 5 days."
Question #29
Which action would the nurse take when after administering an intravenous (IV) dose of promethazine the patient reports burning at the IV site?
A.
Slow the rate of administration
B.
Dilute the drug with saline
C.
Discontinue the infusion
D.
Change the route to a suppository
Question #30
Which antiemetic would the nurse expect to be prescribed in addition to ondansetron to enhance its effects for a patient receiving cisplatin intravenously to treat breast cancer?
A.
Scopolamine
B.
Aprepitant
C.
Promethazine
D.
Prochlorperazine
Question #31
The nurse is preparing to administer a dose of ondansetron to a patient who has been vomiting. Based on the patient’s history below, which action would the nurse take after administering the dose? Health History o Hypertension o Dyslipidemia o Atrial fibrillation o Depression o Ovarian cancer
A.
Evaluate pain rating
B.
Assess for extrapyramidal effects
C.
Monitor cardiac rhythm
D.
Obtain blood pressure
Question #32
Which information would the nurse include regarding adverse effects when providing education to a patient newly prescribed scopolamine for nausea prevention due to motion sickness?
A.
Monitor heart rate, Report extrapyramidal effects, Use hard candy for mouth dryness
B.
Change positions slowly, Increase dietary fiber intake, Use hard candy for mouth dryness
C.
Monitor heart rate, Report extrapyramidal effects, Change positions slowly
D.
Increase dietary fiber intake, Monitor heart rate, Report extrapyramidal effects
Question #33
The nurse is preparing to administer dronabinol to a patient with nausea and vomiting related to chemotherapy. Prior to giving the dose, which laboratory parameter would the nurse assess?
A.
Liver function tests
B.
Lipid panel
C.
Serum electrolytes
D.
Complete blood count
Question #34
Which nursing intervention helps prevent complications in a patient who is scheduled for a tonsillectomy and has been prescribed metoclopramide?
A.
Providing a fiber-rich diet to the patient
B.
Monitoring the patient’s blood pressure
C.
Monitoring the patient’s thyroid hormone levels
D.
Providing a potassium-rich diet to the patient
Question #35
Which adverse condition is likely to be found in a patient taking scopolamine for the last 2 weeks?
A.
Increased serum creatinine levels
B.
Increased nausea and vomiting
C.
Increased intraocular pressure
D.
Increased blood glucose levels
Question #36
Which drug will the nurse expect to be added to the treatment plan to enhance the antiemetic effect of aprepitant?
A.
Warfarin, Verapamil, Ondansetron
B.
Ondansetron, Dexamethasone, Methylprednisolone
C.
Methylprednisolone, Warfarin, Verapamil
D.
Warfarin, Verapamil, Dexamethasone
Question #37
Which side effect would the nurse include in the teaching plan for a patient who is prescribed an anticholiergic drug for the treatment of nausea and vomiting?
A.
Bradycardia, Diarrhea
B.
Sedation, Bradycardia
C.
Dry mouth, Constipation
D.
Diarrhea, Sedation
Question #38
A patient informs the nurse of uncontrolled facial and tongue movements over the past 48 hours. After reviewing the medication administration record, which medication is most likely the cause of these symptoms? Medication Administration Record o Cisplatin 100 mg IV every 4 weeks o Lisinopril 10 mg PO daily o Megestrol 125 mg PO daily o Prochlorperazine 5 mg PO Q 6 hours PRN
A.
Prochlorperazine
B.
Megestrol
C.
Cisplatin
D.
Lisinopril
Question #39
The nurse is reviewing the assessment data of a patient who requests an antiemetic due to nausea and vomiting. Based on the findings, which drug would be contraindicated? Assessment Data o Temperature 97.5° F (36.4° C) o Heart rate 74 beats/min o Respirations 13 breaths/min o Blood pressure 112/66 mmHg o Oxygen saturation 95% 2 L O2 nasal cannula o Alert and oriented x 4 o Breath sounds diminished bases o Absent bowel sounds o Peripheral pulses 1+ bilaterally
A.
Prochlorperazine
B.
Metoclopramide
C.
Ondansetron
D.
Lorazepam
Question #40
A.
Atenolol, Morphine, Dronabinol
B.
Atenolol, Lorazepam, Morphine
C.
Lorazepam, Dronabinol, Dexamethasone
D.
Atenolol, Dexamethasone, Morphine
Question #41
Which drug will the nurse expect to be added to the treatment plan along with the chemotherapeutic agent for a patient who has developed nausea and vomiting?
A.
Ondansetron
B.
Promethazine
C.
Diphenhydramine
D.
Scopolamine
Question #42
Which drug acts by blocking serotonin receptors in the gastrointestinal (GI) tract, vomiting center of the brain, and chemoreceptor trigger zone (CTZ)?
A.
Droperidol
B.
Ondansetron
C.
Meclizine
D.
Metoclopramide
Question #43
Which antiemetic drug would the nurse anticipate for a patient who has been prescribed a high-dose regimen of cisplatin and develops severe nausea and vomiting?
A.
Aprepitant
B.
Metoclopramide
C.
Ondansetron
D.
Lorazepam
Question #44
Which combination of drugs does the nurse suspect is causing dry mouth, constipation, and urinary retention in a patient who is receiving medication to control nausea and vomiting?
A.
Scopolamine with meclizine
B.
Dronabinol with metoclopramide
C.
Ondansetron with tetrahydrocannabinol
D.
Meclizine with benzodiazepines
Question #45
Which statement by the patient indicates effective learning about how to administer scopolamine prescribed for motion sickness?
A.
"I should change the medication patch every week."
B.
"I should apply one medication patch on a hairless area behind the ear."
C.
"I should place the medication patch on my skin at least 4 days before travel."
D.
"I should apply moisturizer to the skin before placing the medication patch."
Question #46
Which recommendation would the US Food and Drug Administration (FDA) make for a medication initially effective in patients who have cancer and experience nausea and vomiting associated with chemotherapy that, during postmarketing surveillance, is found to produce ventricular dysrhythmias?
A.
Avoid prescribing for patients who have been prescribed chemotherapy.
B.
Avoid prescribing for patients with hypertension and cardiac arrhythmia.
C.
Prescribe for the treatment of nausea and vomiting in geriatric patients.
D.
Prescribe in low doses for the treatment of nausea associated with chemotherapy.
Question #47
Which condition might the patient with dehydration experience?
A.
Dizziness, Dry mouth
B.
Bronchospasm, Bradycardia
C.
Hypertension, Bronchospasm
D.
Bradycardia, Hypertension
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