A nurse follows a specific protocol when administering which of the following medications to prevent nausea induced by doxorubicin (Adriamycin) administration? Select all that apply
A) Lansoprazole (Prevacid)
B) Ondansetron (Zofran)
C) Metoclopramide (Reglan)
D) Promethazine (Phenergan)
E) Granisetron (Kytril)
Ans: B, E
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5-HT3 receptor antagonists, like ondansetron (Zofran) and granisetron (Kytril), are used in the prevention of chemotherapy-induced nausea and vomiting.
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Which nursing diagnoses would be applicable for a client who is experiencing a situational crisis? Select all that apply
A) Ineffective Coping B) Risk for Self-Directed Violence C) Spiritual Distress D) Risk for Loneliness
An improvement in research ethics could prevent some or all of which of the following? (Select all that apply.)
a. Breaches of anonymity b. Researchers' failures to report their funding sources in publications c. Minimal risk to research participants d. Unauthorized data collection e. Patients' inability to understand complex research designs
A patient in the PACU is nauseated and has vomited. Which nursing actions are indicated? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Administer an antiemetic per protocol or order. 2. Raise the head of the patient's bed. 3. Place a cool washcloth on the patient's forehead or neck. 4. Offer the patient a small amount of ice chips. 5. Offer the patient sips of tea or coffee.
Which new assessment finding in a patient taking fludrocortisone (Florinef) indicates the dose may be too high?
a. Serum potassium change from 5.2 to 4.4 mEq/L b. Heart rate decrease from 88 to 76 beats/min c. Crackles in the bases of the lungs d. Decreased taste sensation