A nurse on the oncology unit is evaluating a client's response after receiving a dose of aprepitant. Which of the following therapeutic effects should the nurse expect?

Decreased incisional pain

Absence of dizziness

Decreased dysrhythmias

Absence of nausea

Answer and Explanation

The Correct Answer is D

Choice A reason: This is not a therapeutic effect of aprepitant because aprepitant is not an analgesic drug that can relieve pain. Aprepitant is an antiemetic drug that can prevent nausea and vomiting caused by chemotherapy or surgery.

Choice B reason: This is not a therapeutic effect of aprepitant because aprepitant does not affect the balance or vestibular system that can cause dizziness. Aprepitant works by blocking the action of substance P, a neurotransmitter involved in nausea and vomiting.

Choice C reason: This is not a therapeutic effect of aprepitant because aprepitant does not affect the cardiac rhythm or conduction that can cause dysrhythmias. Aprepitant has a low risk of interacting with other drugs that can affect the heart, such as warfarin or digoxin.

Choice D reason: This is a therapeutic effect of aprepitant because aprepitant can prevent nausea and vomiting caused by chemotherapy or surgery by blocking the action of substance P, a neurotransmitter involved in nausea and vomiting. The nurse should monitor the client's oral intake, hydration status, and weight and report any signs of dehydration or malnutrition.

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Correct Answer is A

Explanation

Choice A reason: This is the correct answer because an occupational therapist can help the client regain function and mobility in the affected limb, prevent contractures and muscle atrophy, and provide adaptive equipment and strategies to perform daily activities.

Choice B reason: This is not an appropriate referral for this client because a social worker can help with psychosocial issues, financial resources, and community services, but not with physical rehabilitation.

Choice C reason: This is not an appropriate referral for this client because a herbalist can provide alternative or complementary therapies using plants or herbs, but not with evidence-based interventions for disuse syndrome.

Choice D reason: This is not an appropriate referral for this client because a dietitian can help with nutritional counseling and dietary modifications, but not with physical rehabilitation.

A. Obtain a referral for physical therapy. B. Have an assistive personnel feed the client. C. Ask the provider for a prescription for a pureed diet. D. Apply foam handles to the client's eating utensils.

Correct Answer is D

Explanation

Choice A reason: This is not an appropriate intervention for this client because physical therapy can help with improving joint mobility and function, but not with eating difficulties. The nurse should encourage the client to perform range-of-motion exercises and apply heat or cold therapy to the affected joints as prescribed.

Choice B reason: This is not an appropriate intervention for this client because having an assistive personnel feed the client can compromise the client's dignity and independence. The nurse should respect the client's preferences and abilities and provide assistance only when needed.

Choice C reason: This is not an appropriate intervention for this client because a pureed diet is not necessary for this client unless they have swallowing problems or dental issues. The nurse should offer the client a balanced and varied diet that meets their nutritional needs and preferences.

Choice D reason: This is the correct answer because applying foam handles to the client's eating utensils can make them easier to grip and manipulate, thus enhancing the client's self-feeding ability and comfort. The nurse should also provide other adaptive devices, such as plate guards, non-slip mats, or angled spoons, as needed.

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A nurse on the oncology unit is evaluating a client's response after receiving a dose of aprepitant. Which of the following therapeutic effects should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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