Which is the most beneficial nursing action to prevent or minimize chemotherapy associated nausea and vomiting?

Encourage drinking large amounts of favorite fluids.

Administer an antiemetic 30 minutes to 1 hour before chemotherapy begins.

Encourage child to take nothing by mouth (NPO) until nausea and vomiting subside.

Administer an antiemetic as soon as the child has symptoms of nausea.

Answer and Explanation

The Correct Answer is B

A. Encouraging large amounts of fluids may not be effective in preventing nausea and vomiting and can worsen dehydration if the child is unable to keep fluids down.

B. Administering an antiemetic 30 minutes to 1 hour before chemotherapy is the most effective strategy for preventing nausea and vomiting. This proactive approach helps to prevent the symptoms before they occur.

C. NPO until symptoms subside is not appropriate because it can lead to dehydration and malnutrition.

D. Administering an antiemetic after symptoms begin is reactive rather than proactive, and it is more effective to prevent symptoms from occurring.

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Correct Answer is B

Explanation

A. Hypertension is less commonly associated with nephrotic syndrome. Hypotension or normal blood pressure is more common.

B. Facial edema is a hallmark sign of nephrotic syndrome due to fluid retention and protein loss.

C. Smoky brown urine is characteristic of glomerulonephritis, not nephrotic syndrome.

D. Polyuria is more often associated with diabetes or diuretic use, not nephrotic syndrome, where oliguria (low urine output) is common.

A. BP 90/52 mm Hg, heart rate 120/min, respirations 28/min, and axillary temperature of 37.3° C (99.1° F) B. BP 79/40 mm Hg, heart rate 135/min, respirations 32/min, and oral temperature of 38° C (100.4° F) C. BP 88/45 mm Hg, heart rate 113/min, respirations 28/min, and oral temperature 37.6° C (99.7° F) D. BP 85/50 mm Hg, heart rate 95/min, respirations 26/min, and axillary temperature of 36.7° C (98.1° F)

Correct Answer is B

Explanation

A. The vital signs in option A are within acceptable ranges for a 2-year-old and do not require urgent intervention.

B. The low blood pressure (79/40 mm Hg) and elevated heart rate (135/min) indicate possible shock or significant dehydration, both of which require immediate intervention.

C. The vital signs in option C are slightly low but are not immediately concerning. The blood pressure is within an acceptable range for a child of this age.

D. The vital signs in option D are stable, with no immediate concerns requiring urgent intervention.

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Which is the most beneficial nursing action to prevent or minimize chemotherapy associated nausea and vomiting?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a child who has nephrotic syndrome. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A nurse is caring for a 2-year-old child in an acute care setting. Which of the following vital signs require immediate notification to a primary care provider?

Correct Answer is B

Explanation

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