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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","E"]
Explanation
A. NSAIDs may help with pain management, but they are not the primary treatment for SCFE.
B. Restricting weight-bearing activities is crucial to prevent further damage and complications to the affected hip joint.
C. Crutches may be prescribed to assist with mobility and prevent weight-bearing on the affected hip.
D. Ice packs may reduce inflammation but are secondary to more important interventions like weight restriction and orthopedic referral.
E. Immediate referral to an orthopedic specialist is necessary for appropriate diagnosis and management, including possible surgery.
F. Heat packs are not recommended for SCFE because they could increase blood flow and swelling in the affected area.
Correct Answer is C
Explanation
A. This is important for mobility, but after casting, the priority is to monitor for complications such as compartment syndrome, which can be life-threatening if not addressed.
B. While body image and emotional well-being are important, the priority immediately following a fracture and cast placement is physical monitoring for complications.
C. Worsening pain after a fracture or cast placement may indicate complications such as compartment syndrome, a medical emergency that requires prompt intervention. Monitoring for signs of increased pain is crucial.
D. Range of motion is a later consideration after ensuring the child does not have complications such as compartment syndrome. The priority is evaluating the affected limb for issues like worsening pain or signs of nerve damage.
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