Nausea/Vomiting Questions

Question 1

The nurse is providing patient teaching regarding scopolamine transdermal patches to a patient who is planning an ocean cruise. Which instruction is most appropriate?

a. “Apply the patch the day before traveling.”

b. “Apply the patch at least 4 hours before traveling.”

c. “Apply the patch to the shoulder area.”

d. “Apply the patch to the temple just above the ear.”

Answer 1

b. “Apply the patch at least 4 hours before traveling.”

Question 2

A middle-aged woman is experiencing severe vertigo associated with motion sickness. The nurse expects that this patient will receive which drug?

a. meclizine

b. prochlorperazine

c. metoclopramide

d. dronabinol

Answer 2

a. meclizine

Question 3

A patient is in the outpatient cancer center for his first round of chemotherapy. Which schedule does the nurse consider most appropriate in terms of timing for the intravenous antiemetic drug?

a. Four hours before the chemotherapy begins

b. Thirty to sixty minutes before the chemotherapy begins

c. At the same time as the chemotherapy drugs are given

d. At the first sign of nausea

Answer 3

b. Thirty to sixty minutes before the chemotherapy begins

Question 4

In reviewing the various types of antinausea medications, the nurse recognizes that prokinetic (serotonin receptor antagonists) drugs are also used for which condition(s)? (Select all that apply.)

a. Motion sickness

b. Vertigo

c. Gastroesophageal reflux

d. Delayed gastric emptying

e. Gastrointestinal obstruction

Answer 4

c. Gastroesophageal reflux
d. Delayed gastric emptying

Question 5

The nurse is preparing to administer dronabinol to a patient. Which statements about dronabinol therapy are true? (Select all that apply.)

a. It is approved for nausea and vomiting related to cancer chemotherapy.

b. It is approved for use with hyperemesis gravidarum (nausea and vomiting associated with pregnancy).

c. It is approved to help stimulate the appetite in patients with nutritional wasting because of cancer or AIDS.

d. It may cause extrapyramidal symptoms.

e. It may cause drowsiness or euphoria.

Answer 5

a. It is approved for nausea and vomiting related to cancer chemotherapy.
c. It is approved to help stimulate the appetite in patients with nutritional wasting because of cancer or AIDS.
e. It may cause drowsiness or euphoria.

Question 6

The order reads: “Give promethazine 12.5 mg IM q 4 hr prn nausea/vomiting.” The medication is available in 25-mg/mL vials. How many milliliters will the nurse draw up for this dose?

Answer 6

0.5 mL

Question 7

The nurse is reviewing the current medications for a patient who has a new prescription for aprepitant. Which of these medications may have an interaction with aprepitant? (Select all that apply.)

a. digoxin

b. warfarin

c. Oral contraceptives

d. Nonsteroidal antiinflammatory drugs

e. Corticosteroids

Answer 7

b. warfarin
c. Oral contraceptives
e. Corticosteroids

Question 8

A patient is receiving a tube feeding through a gastrostomy. The nurse expects that which type of drug will be used to promote gastric emptying for this patient?
a. Prokinetic drugs, such as metoclopramide
b. Serotonin blockers, such as ondansetron
c. Anticholinergic drugs, such as scopolamine
d. Neuroleptic drugs, such as chlorpromazine

Answer 8

a. Prokinetic drugs, such as metoclopramide

Question 9

A patient who has AIDS has lost weight and is easily fatigued because of his malnourished state. The nurse anticipates an order for which antinausea drug to stimulate his appetite?
a. Metoclopramide, a prokinetic drug
b. Dronabinol, a tetrahydrocannabinoid
c. Ondansetron, a serotonin blocker
d. Aprepitant, a substance P/NK1receptor antagonist

Answer 9

b. Dronabinol, a tetrahydrocannabinoid

Question 10

A patient on chemotherapy is using ondansetron hydrochloride (Zofran) for treatment of nausea. The nurse will instruct the patient to watch for which adverse effect of this drug?
a. Dizziness
b. Diarrhea
c. Dry mouth
d. Blurred vision

Answer 10

b. Diarrhea

Question 11

A patient who has severe nausea and vomiting following a case of food poisoning comes to the urgent care center. When reviewing his medication history, the nurse notes that he has an allergy to procaine. The nurse would question an order for which antiemetic drug if ordered for this patient?
a. Metoclopramide
b. Promethazine
c. Phosphorated carbohydrate solution
d. Palonosetron

Answer 11

a. Metoclopramide

Question 12

A mother calls the pediatrician‘s office to report that her 18-month-old child has eaten half of a bottle of baby aspirin. She says, I have a bottle of syrup of ipecac. Should I give it to him? He seems fine right now. What do I do? What is the nurse‘s best response?
a. Go ahead and give him the ipecac, and then call 911.
b. Don‘t give him the ipecac. Call the Poison Control number immediately for instructions.
c. Please come to the office right away so that we can check him.
d. Go ahead and take him to the emergency room right now.

Answer 12

b. Don‘t give him the ipecac. Call the Poison Control number

Question 13

A patient is taking chemotherapy with a drug that has a high potential for causing nausea and vomiting. The nurse is preparing to administer an antiemetic drug. Which class of antiemetic drugs is most commonly used to prevent nausea and vomiting for patients receiving chemotherapy?
a. Prokinetic drugs, such as metoclopramide
b. Serotonin blockers, such as ondansetron
c. Anticholinergic drugs, such as scopolamine
d. Neuroleptic drugs, such as promethazine

Answer 13

b. Serotonin blockers, such as ondansetron

Question 14

A patient who has been newly diagnosed with vertigo will be taking an antihistamine antiemetic drug. The nurse will include which information when teaching the patient about this drug?
a. The patient may skip doses if the patient is feeling well.
b. The patient will need to avoid driving because of possible drowsiness.
c. The patient may experience occasional problems with taste.
d. It is safe to take the medication with a glass of wine in the evening to help settle the stomach.

Answer 14

b. The patient will need to avoid driving because of possible drowsiness.

Question 15

A patient with motion sickness is planning a cross-country car trip and has a new prescription for a scopolamine transdermal patch. The nurse provides teaching for the use of this patch medication. The patient shows a correct understanding of the teaching with which statement?
a.―I will change the patch everyday.
b.―I will change the patch every other day.
c.―I will change the patch every 3 days.
d.―I will remove the patch only if it stops working.

Answer 15

c.―I will change the patch every 3 days.

Question 16

A woman who is in the first trimester of pregnancy has been experiencing severe morning sickness. She asks,―I‘ve heard that ginger tablets may be a natural way to ease the nausea and vomiting. Is it okay to try them? What is the nurse‘s best response?
a.―They are a safe and natural remedy for nausea when you are pregnant.
b.―Go ahead and try them, but stop taking them once the nausea is relieved.
c.―Some health care providers do not recommend ginger during pregnancy. Let‘s check with your provider.
d.―You will need to wait until after the first trimester to try them

Answer 16

c.―Some health care providers do not recommend ginger during pregnancy. Let‘s check with your provider.

Question 17

The nurse is reviewing new postoperative orders and notes that the order reads, ―Give hydroxyzine hydrochloride (Vistaril) 50mg IV PRN nausea or vomiting. The patient states that he has slight nausea. Which action by the nurse is correct at this time?
a. Hold the dose until the patient states that the nausea is severe.
b. Give the dose orally instead of intravenously.
c. Give the patient the IV dose of hydroxyzine as ordered.
d. Call the prescriber to question the route that is ordered

Answer 17

d. Call the prescriber to question the route that is ordered
hydroxyzine should never be given IV

Question 18

A patient is on a chemotherapy regimen in an outpatient clinic and is receiving a chemotherapy drug that is known to be highly emetogenic. The nurse will implement which interventions regarding the pharmacologic management of nausea and vomiting? (Select all that apply.)
a. Giving antinausea drugs at the beginning of the chemotherapy infusion
b. Administering antinausea drugs 30 to 60 minutes before chemotherapy is started
c. For best therapeutic effects, medicating for nausea once the symptoms begin
d. Observing carefully for the adverse effects of restlessness and anxiety
e. Instructing the patient that the antinausea drugs may cause extreme drowsiness
f. Instructing the patient to rise slowly from a sitting or lying position because of possible orthostatic hypotension

Answer 18

b. Administering antinausea drugs 30 to 60 minutes before chemotherapy is started
e. Instructing the patient that the antinausea drugs may cause extreme drowsiness
f. Instructing the patient to rise slowly from a sitting or lying position because of possible orthostatic hypotension

Question 19

An adult patient is about to receive intravenous (IV) ondansetron during a chemotherapy treatment. A dose of 0.15 mg/kg IV 30 minutes before chemotherapy is ordered. The patient weighs 165 pounds. The medication is supplied in a vial marked 2 mg/mL for IV administration. Identify how many milliliters the nurse will administer for this dose.(Record answer to one decimal place.)

Answer 19

5.7 mL

Question 20

Which antiemetic can cause serotonin syndrome?
a. promethazine
b. aprepitant
c. ondansetron (Zofran)
d. scopolamine

Answer 20

c. ondansetron (Zofran)

Question 21

Ondansetron prolongs the QT interval
True/False?

Answer 21

True

Question 22

Which class is contraindicated with sesame oil?
a. serotonin receptor antagonist; Reglan
b. cannabinoids; dronabinol
c. dopamine antagonist; prochlorperazine
d. antihistamine; meclizine hydrochloride

Answer 22

b. cannabinoids; dronabinol