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 A
Explanation
A. Encouraging self-care activities helps promote independence and improve the quality of life for a child with hemiplegic cerebral palsy. It focuses on maximizing the child's potential for autonomy.
B. Respite care is important for caregiver support, but fostering self-care activities for the child is a higher priority for long-term development.
C. Modifying the environment is useful for safety and mobility but does not address the child’s ability to perform self-care, which is a key aspect of daily functioning.
D. While communication skills are important, fostering self-care activities takes precedence in
supporting the child’s independence.
Correct Answer is ["B","D","E"]
Explanation
A. Swelling in all extremities is not typically a symptom of VSD; it may indicate a different cardiac or renal issue.
B. Frequent lung infections are common in children with VSD due to pulmonary congestion.
C. Standard weight and growth percentile is not typical for VSD, as the child may experience failure to thrive.
D. Dyspnea occurs due to increased blood flow to the lungs and pulmonary congestion.
E. A heart murmur is a hallmark of VSD, heard due to the abnormal flow of blood through the septal defect.
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