The nurse is caring for a client who experiences nausea and vomiting with each treatment of chemotherapy. What should the nurse advise the client to do to decrease nausea and vomiting?
1. Do not eat for 12 hours before treatment.
2. Increase food intake.
3. Take antiemetic medications prior to treatment.
4. Decrease water intake.
Correct Answer: 3
Rationale 1: Do not eat for 12 hours before treatment is incorrect because the nausea and vomiting are caused by the medulla, and avoiding food will not eliminate nausea and vomiting.
Rationale 2: Increase food intake is incorrect because the client needs to take an antiemetic to stop vomiting.
Rationale 3: The vomiting center in the medulla is triggered by many antineoplastics, resulting in severe nausea and vomiting. Vomiting is often so severe that patients may be treated with antiemetic drugs such as prochlorperazine (Compazine) or ondansetron (Zofran) before beginning antineoplastic therapy.
Rationale 4: Decrease water intake is incorrect because this will lead to dehydration.
Global Rationale: The vomiting center in the medulla is triggered by many antineoplastics, resulting in severe nausea and vomiting. Vomiting is often so severe that patients may be treated with antiemetic drugs such as prochlorperazine (Compazine) or ondansetron (Zofran) before beginning antineoplastic therapy. Do not eat for 12 hours before treatment is incorrect because the nausea and vomiting are caused by the medulla, and avoiding food will not eliminate nausea and vomiting. Increase food intake is incorrect because the client needs to take an antiemetic to stop vomiting. Decrease water intake is incorrect because this will lead to dehydration.
You might also like to view...
A parent calls the after-hours clinic nurse's line and describes a bulging mass in his 6-month-old son's scrotal area that used to disappear when the child was quiet. Now the mass is constantly present. What action by the nurse is the most appropriate?
A. Ask the parent to call in the morning to make an appointment. B. Have the father withhold all feedings for 24 hours. C. Instruct the father to take the child to an emergency department. D. Reassure the father the condition is benign unless bloody diarrhea occurs.
The nursing diagnosis of "powerlessness related to lack of a plan to resolve crisis" has been
established for a client seeking crisis intervention. An appropriate outcome for this nursing diagnosis would be that the client will a. sign a no-suicide contract within 30 minutes. b. meet precrisis role expectations within 36 hours. c. state he feels less anxious within 4 hours of the interview. d. state two possible alternative solutions during the first interview.
The nurse obtains information about a hospitalized patient who is receiving chemotherapy for colorectal cancer. Which information about the patient alerts the nurse to discuss a possible change in therapy with the health care provider?
a. Poor oral intake b. Frequent loose stools c. Complaints of nausea and vomiting d. Increase in carcinoembryonic antigen (CEA)
The psychiatric nurse plans to conduct workshops to teach job skills to clients with mental illness. This would be considered which type of prevention?
1. Primary 2. Secondary 3. Tertiary 4. Quaternary