A nurse is caring for a client who has surgical pain but is now complaining of nausea and vomiting. The nurse should expect the provider to order which of the following types of adjuvant medications?
Anticonvulsants
Antidepressants
Glucocorticoids
Antiemetics
The Correct Answer is D
A. Anticonvulsants
These are used as adjuvants for neuropathic pain, not for nausea.
B. Antidepressants
These are used for chronic pain and mood management, not acute postoperative nausea.
C. Glucocorticoids
While glucocorticoids can help with inflammation and sometimes nausea, they are not first-line antiemetics.
D. Antiemetics
Antiemetics (e.g., ondansetron, promethazine) are prescribed to treat nausea and vomiting, especially as a side effect of opioid use or anesthesia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Reposition the client and offer her a back rub:
Non-pharmacologic interventions are helpful, but only after assessing the pain level.
B. Determine the time the client last received pain medication:
This is done after establishing the pain score to decide on safe administration of further analgesia.
C. Measure the client's vital signs, including temperature:
Vital signs may help assess systemic complications, but they do not measure pain directly.
D. Ask the client to rate her pain on a scale from 0 to 10:
The first step in pain management is to assess the intensity, location, and nature of the pain using a pain scale.
Correct Answer is B
Explanation
A. “Your inspiration should be longer than expiration during purse-lipped breathing.”
Expiration should be longer than inspiration to promote carbon dioxide elimination and prevent air trapping.
B. “You should inhale through your nose and exhale through your mouth during purse-lipped breathing.”
This technique helps control breathing, keep airways open longer, and improve oxygenation.
C. “You should cough forcefully during exhalation when you are purse-lipped breathing.”
Purse-lipped breathing is a gentle technique and does not involve forceful coughing.
D. “You should be flat on your back when you perform purse-lipped breathing.”
An upright or semi-Fowler’s position promotes better lung expansion; lying flat can impair ventilation in COPD.
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