A parent shares with the nurse that his child who is undergoing chemotherapy vomited on the way to the hospital and in the entrance to the outpatient clinic. The nurse will do which of the following things?
a. Cancel the chemotherapy for the day and reschedule it for another day.
b. Use interventions such as antiemetics ordered by the physician, relaxation, biofeedback, music, and distraction.
c. Talk to the physician about ordering a lower dose of chemotherapy or a less-frequent-dosage schedule.
d. Isolate the child for the next 48 hours to see what is causing the nausea and vomiting.
B
Feedback
A Incorrect. The nurse will not cancel the chemotherapy for the day and reschedule it for another day.
B Correct. The nurse will use interventions such as antiemetics ordered by the physician, and nonpharmacologic interventions such as relaxation, biofeedback, music, and distraction. The most beneficial regimen for antiemetic control has been the administration of the antiemetic 30 minutes to 1 hour before chemotherapy begins and regular administration every 2, 4, or 6 hours for at least 24 hours after chemotherapy.
C Incorrect. The nurse will not talk to the physician about ordering a lower dose of chemotherapy or a less-frequent-dosage schedule.
D Incorrect. The nurse will not isolate the child for the next 48 hours to see what is causing the nausea and vomiting. The nausea and vomiting are obviously due to the chemotherapy.
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