The nurse is caring for a psychiatric patient with breast cancer who is just about to receive chemotherapy. What antiemetic would be most appropriate for this patient, who is anticipating nausea?
a. Loperamide (Imodium)
b. Ranitidine (Zantac)
c. Dronabinol (Marinol)
d. Lorazepam (Ativan)
ANS: D
One of the principal affects of lorazepam is its ability to suppress anticipatory nausea. It is used in combination regimens to suppress chemotherapy-induced nausea and vomiting (CINV).
Loperamide and ranitidine do not affect CINV.
Dronabinol is contraindicated in patients with a psychiatric illness.
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