A nurse notices a school-age child with leukemia experiencing severe nausea and vomiting when receiving chemotherapy for the first time. Which is the most appropriate nursing action to prevent or minimize these reactions with subsequent treatments?
Administer an antiemetic as soon as the child complains of having nausea.
Encourage drinking large amounts of favorite fluids.
Administer an antiemetic before chemotherapy begins.
Encourage the child to skip meals on the day of chemotherapy to avoid triggering nausea.
The Correct Answer is C
A. Administering an antiemetic only when the child complains of nausea may not be effective in preventing chemotherapy-induced nausea.
B. Encouraging drinking fluids is important, but it is not the most effective way to manage nausea.
C. Administering an antiemetic before chemotherapy begins is the best approach to prevent nausea and vomiting associated with chemotherapy.
D. Skipping meals may contribute to nausea and malnutrition, so this is not an appropriate approach.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Pain management is important, but the priority after surgery is to monitor vital signs and assess for complications like shunt malfunction.
B. Teaching is important but not the priority immediately post-surgery. The priority is to monitor for complications in the immediate postoperative period.
C. Fluid intake is important but not the primary concern immediately after surgery. The focus should be on monitoring for complications and managing pain.
D. After a VP shunt procedure, monitoring for complications such as infection or shunt malfunction is critical. Vital signs should be assessed regularly to detect signs of these complications.
Correct Answer is D
Explanation
A. While pain management is important, the priority is assessing for complications that could arise after the procedure.
B. Discharge teaching is important, but the priority immediately after the procedure is monitoring for complications.
C. While hydration is important, it is not the immediate priority following VP shunt placement, where the focus should be on assessing for signs of complications.
D. Regular monitoring of vital signs is crucial to detect complications such as shunt malfunction, infection, or increased intracranial pressure.
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