Week 8: Chapter 22 and Chapter 24 Study Guide Questions Flashcards
Define: Antiemetic
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Define: Chemoreceptor
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Define: Constipation
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Define: Diarrhea
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Define: Emesis
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Define: Mechanoreceptors
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Define: Nausea
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Define: Peristalsis
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Define: Retching
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Define: Vestibular Apparatus
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Define: Vomiting
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What is the drug category of: docusate (Colace)
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What is the drug category for: loperamide (Imodium)
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What is the drug category for: prochlorperazine (Compazine)
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Bismuth subsalicylate (Pepto-Bismol)
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Meclizine (Dramamine)
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Difenoxin with atropine (Motofen)
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lactulose (Cephulac)
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diphenoxylate with atropine (Lomotil)
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bisacodyl (Ducolax)
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calcium polycarbophil (FiberCon)
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scopolamine (L-hyoscine)
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granisetron (Kyril)
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metoclopramide (Reglan)
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caster oil (Emulsoil)
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Block dopamine receptors to inhibit once or more vomiting reflex pathways:
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Inhibit vomiting reflex pathways to stop intestinal cramping and inhibit vestibular input:
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Block the action of histamine at the H2 receptor sites, which results in depression of inner ear excitability and reduces vestibular excitability
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Bind to and block serotonin receptors in the intestinal tract, which results in blockage of at least two pathways of the vomiting reflex
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Directly block dopamine from binding to receptors in the chemotrigger zone and the intestinal tract so that food moves along the intestinal tract more rapidly.
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A(n) _________________ drug treats diarrhea by slowing down peristalsis in the gastrointestinal tract.
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A dopamine antagonist binds to receptors in the _______________ ______________.
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A lubricant is a(n) _____________________ or __________________ substance that can help make bowl movements easier.
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By adding fluid to stool, ________ __________ make bowl movements easier.
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An antihistamine drug works against nausea / vomiting by blocking the action of histamine at the ______________ ____________ __________________.
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_____________ ______________ _______________ are drugs that work against nausea and vomiting by chemotherapy treatments
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A patient is to rx 35 mg of promethazine (Phenergan) IM. The vial that is available contains 50 mg/mL. How much promethazine will be given to the pt? _____ mL
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List 3 causes of constipation:
1.
2.
3. (Find Answer)
List 5 symptoms of neuroleptic malignant syndrome:
1. 2. 3. 4. 5. (Find Answer)
A pt who lives in a hot humid environment should be advised that taking an antinausea drug such as _______________ can cause anticholinergic effects leading to a decrease in sweating, and an increased risk of overheating the body.
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List 3 symptoms of Reye’s Syndrome:
1.
2.
3. (Find Answer)
Which drug is likely to be most helpful in controlling nausea and vomiting in a pt receiving chemotherapy?
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Which drug for the control of nausea and vomiting is contraindicated in a pt who has a history of depression?
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After continued administration of promethazine (Phenergan) or prochlorperazine (Compazine), which of lab results need to be monitored?
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An older adult woman who has a problem with constipation wants to know which drug is safe for her to take on a daily or alternate-day schedule. Which drug will most likely be recommended by the HCP?
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A pt with diabetes is advised to take a laxative every other day if no bowl movement occurs. Which laxative is contraindicated for this pt?
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An older adult who is taking an antiemetic drug requires additional monitoring for which S/E (select all that apply)?
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Which statement indicates the pt has understood how to achieve the best response from medication for chemotherapy-induced nausea?
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After administering a medication for diarrhea to a pt, what is most important to do?
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A pt who experiences toxic megacolon after taking antimotility drugs would exhibit which signs and symptoms? (select all that apply)
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A pt is very nauseated after surgery. What is a very dangerous direct complication of this?
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A pt is undergoing chemotherapy and has been experiencing nausea and vomiting with each session. Which instruction is most likely to help prevent future nausea events?
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A pt who frequently experiences motion sickness will be taking medizine (Anivert) prior to airplane travel. The pt should be instructed that which S/E is common with the medication?
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Folic Acid
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Cyanocobalamin
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Thiamine
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Niacin
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Ascorbic acid
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Vitamin D
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Vitamin K
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Calcium
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A deficiency of fluoride can lead to: ________________ _________________, __________________ ___________________, and _____________________.
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_________________, ___________________, _____________________ and ________________ ________________ are foods that contain iodine.
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A pt with iron deficiency anemia could supplement the diet with which foods (List 4):
1.
2.
3.
4. (Find Answer)
To improve wound healing, a pt is advised to increase dietary zinc intake by including which foods in the diet (list 4):
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A pt who has an iodine deficiency is prone to developing ________________.
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A diet can be sufficient in vitamin K with the intake of which foods (list 2):
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To prevent ascorbic acid deficiency, a pt can consume these foods _____________, ________________, and ________________.
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In the clinic, you observe a parent tell a child, “Now its time for you to eat your candy”, when referring to a chewable multivitamin. What is the concern with this action?
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What are the signs associated with a severe allergic reaction to a vitamin/ mineral supplement?
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A pt is taking a mineral supplement containing potassium. What food seasoning should the pt avoid?
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A pt who is rx enteral nutritional supplement has diarrhea. What complication can result?
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To prevent organism growth and infection, it is recommended to change enteral feeding containers and tubing how frequently?
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The nurse is working with a new employee while caring for a pt rx enteral nutritional supplements. The employee should be corrected if he attempts which action?
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The health care provider has just inserted a NGT at the pts bedside. What should be the nurses next action?
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What is a common reason a pt is rx total parenteral nutrition?
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Which symptom is associated with potassium deficiency?
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A pt who has been taking iron supplements for about a week reports black stools. What should be the nurses action?
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An older adult woman wants to know why her health care provider recommended calcium supplements? What is the best explanation?
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A pt has been advised to increase calcium intake. Which item selected by the pt best demonstrates understanding of the instructions?
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Due to religious and cultural beliefs, a pt follows a strict vegan diet. Which foods will help improve th pts iron intake?
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Which is a common reason an older adult has a multivitamin supplement prescribed?
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Which vitamins are considered water soluble? (select all that apply)
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Though which device can total parenteral nutrition be administered?
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