Ondansetron (Zofran) has been ordered for the patient undergoing cancer chemotherapy to control the severe nausea and vomiting. What side effects should the nurse observe for?
Headache, dizziness, and fatigue
Anorexia and hair 18s
Abdominal cramping and irritability
Psychosis and middle ear disturbances
The Correct Answer is A
A. Headache, dizziness, and fatigue
Ondansetron (Zofran) is commonly used to control nausea and vomiting associated with chemotherapy. While it is generally well-tolerated, some common side effects may include headache, dizziness, and fatigue.
B. Anorexia and hair loss
Anorexia (loss of appetite) and hair loss are not commonly associated with ondansetron. These symptoms may be side effects of chemotherapy itself, but they are not typically attributed to ondansetron.
C. Abdominal cramping and irritability
Abdominal cramping and irritability are not common side effects of ondansetron. These symptoms may be related to other factors, but they are not typically associated with this antiemetic medication.
D. Psychosis and middle ear disturbances
Psychosis and middle ear disturbances are not common side effects of ondansetron. These symptoms may be associated with other medications or conditions, but they are not typically attributed to ondansetron.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Calm the patient to reduce acid production.
This description is not accurate for sucralfate. Calming the patient to reduce acid production is typically associated with medications like proton pump inhibitors (PPIs) or H2 receptor blockers.
B. Block the H2 receptors.
Blocking H2 receptors is the mechanism of action for H2 receptor blockers, such as ranitidine. It is not the mechanism of action for sucralfate.
C. Neutralize the gastric acids.
Neutralizing gastric acids is the mechanism of action for antacids, such as aluminum hydroxide or calcium carbonate. Sucralfate works differently; it forms a protective coating on the gastric lining rather than directly neutralizing acids.
D. Coat the gastric lining.
This is the correct mechanism of action for sucralfate. It forms a protective coating on the gastric lining, adhering to the ulcer site and providing a barrier against gastric acid.
Correct Answer is B
Explanation
A. The patient's understanding of the medication:
While it's important for the patient to understand their medication, assessing their understanding is typically done through patient education and counseling. This assessment is vital for promoting adherence and safe medication practices but is not the primary consideration immediately before administration.
B. The patient's ability to swallow:
This is the correct answer. Assessing the patient's ability to swallow is crucial before administering oral medications to ensure that the patient can safely and effectively take the prescribed medication without the risk of aspiration or choking.
C. The patient's allergies:
Assessing the patient's allergies is an essential step in medication administration, but it is generally part of the overall medication safety process. It may not be the primary assessment immediately before administering an oral medication, but it is a crucial consideration.
D. The eyesight:
The patient's eyesight is not typically a primary assessment before administering oral medications. While visual impairments can affect a patient's ability to read medication labels or instructions, it is not the immediate concern when assessing readiness for oral medication administration.
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