Ms. Samuels is scheduled to receive chemotherapy this afternoon at 1400. Her prescribed chemotherapy treatment causes nausea and vomiting as a side effect. How should the RN approach treating this patient for this side effect?

Administer phenergan (Promethazine) 12.5 mg IVP at 1st complaint of nausea.

Administer ondansetron (Zofran) 4mg IV Push after Ms. Samuels complains of nausea.

Administer ondansetron (Zofran) 4mg IV push some time between 1300-1330.

Administer phenergan (Promethazine) 25 mg PO at 1345

Answer and Explanation

The Correct Answer is C

Explanation:

A. Administer phenergan (Promethazine) 12.5 mg IVP at the first complaint of nausea.

This option suggests waiting until the patient complains of nausea before administering the antiemetic. It is not a proactive approach and may not effectively prevent nausea associated with chemotherapy.

B. Administer ondansetron (Zofran) 4mg IV Push after Ms. Samuels complains of nausea.

Similar to option A, this choice involves waiting for the patient to experience nausea before administering the medication. Again, it is not a proactive strategy for preventing chemotherapy-induced nausea and vomiting.

C. Administer ondansetron (Zofran) 4mg IV push sometime between 1300-1330.

This option is the most appropriate among the given choices. It suggests administering the antiemetic (ondansetron) before the scheduled chemotherapy session. Ondansetron is commonly used as a prophylactic measure to prevent nausea and vomiting associated with chemotherapy.

D. Administer phenergan (Promethazine) 25 mg PO at 1345.

This choice involves administering the antiemetic (phenergan) orally just 15 minutes before the scheduled chemotherapy session. While it is better than waiting for symptoms to appear, oral medications may take some time to be absorbed, and it might not provide as rapid relief as an intravenous (IV) medication.

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Free Nursing Study Resources

Correct Answer is B

Explanation

A. Relieves nasal congestion

Dornase alfa is not used to relieve nasal congestion. It is specifically designed to address the thick, sticky mucus that can accumulate in the airways of individuals with cystic fibrosis (CF).

B. Decreases thick secretions

This is the correct answer. Dornase alfa is known for its ability to decrease the viscosity of thick secretions in the airways of individuals with CF. By breaking down the DNA within the mucus, it helps to thin and improve the clearance of the mucus.

C. Decreases pain

Dornase alfa is not primarily used to decrease pain. Its main action is related to improving respiratory function by reducing the thickness of mucus, which can help ease breathing difficulties associated with CF.

D. Suppresses cough

Dornase alfa is not used to suppress cough. In fact, it may increase coughing initially as it facilitates the loosening and clearance of mucus from the airways.

A. Adrenocortical insufficiency B. Thyroid storm C. Acromegaly D. Hypertensive crisis

Correct Answer is A

Explanation

A. Adrenocortical insufficiency

Tapering glucocorticoid medications is done to prevent adrenocortical insufficiency, also known as adrenal insufficiency or adrenal suppression. Prolonged use of glucocorticoids can suppress the natural production of cortisol by the adrenal glands. Abrupt discontinuation of glucocorticoids can lead to adrenal insufficiency, characterized by symptoms such as fatigue, weakness, weight loss, and potentially life-threatening complications.

B. Thyroid storm

Thyroid storm is a severe and life-threatening condition related to overactivity of the thyroid gland. It is not a consequence of tapering glucocorticoids.

C. Acromegaly

Acromegaly is a disorder characterized by the excessive production of growth hormone, often caused by a pituitary tumor. It is not related to glucocorticoid tapering.

D. Hypertensive crisis

Hypertensive crisis refers to a severe and abrupt increase in blood pressure. It is not a known consequence of tapering glucocorticoid medications.

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Ms. Samuels is scheduled to receive chemotherapy this afternoon at 1400. Her prescribed chemotherapy treatment causes nausea and vomiting as a side effect. How should the RN approach treating this patient for this side effect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A young client with cystic fibrosis (CF) is on dornase alfa. What does the nurse teach about the action of this medication?

Correct Answer is B

Explanation

A patient is receiving a glucocorticoid medication to treat an exacerbation of COPD and the provider has ordered a slow taper in order to discontinue this medication. The nurse explains to the patient that this is done to prevent which condition?

Correct Answer is A

Explanation

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