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 D

Explanation

A. Periods of apnea are not typical for DKA and may indicate other respiratory issues.

B. Paradoxic respirations are abnormal and occur when chest and abdomen move in opposite directions, which is not typically associated with DKA.

C. Shallow respirations are not typical of DKA; they would indicate respiratory depression or other issues.

D. Deep, rapid respirations (Kussmaul respirations) are characteristic of diabetic ketoacidosis (DKA). They occur as the body tries to compensate for acidosis by exhaling more carbon dioxide.

A. Elevate the head of the child's bed. B. Administer IM epinephrine to the child. C. Determine the allergen that caused the child's reaction D. Insert a large bore IV catheter for the child.

Correct Answer is B

Explanation

A. Elevating the head of the bed may be useful after airway management but is not the priority in anaphylaxis.

B. Administering IM epinephrine is the priority action in anaphylaxis, as it works rapidly to reverse the symptoms by constricting blood vessels, relaxing smooth muscles, and improving breathing.

C. Determining the allergen is important for future prevention, but the immediate priority is treating the reaction.

D. While establishing IV access is important for fluid resuscitation, it is not the priority over administering epinephrine in anaphylaxis.

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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 caring for a school-age child who has diabetes mellitus and was admitted with a diagnosis of diabetic ketoacidosis. When performing the respiratory assessment, which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A nurse in an emergency department is caring for an adolescent who is experiencing an anaphylactic reaction. Which of the following is the priority action by the nurse?

Correct Answer is B

Explanation

A nurse is assessing an adolescent who experienced blunt trauma to the abdomen. Which of the following findings is the nurse's priority?

Which intervention would the nurse include when providing atraumatic care?

A nurse is preparing to administer acetaminophen 10 mg/kg/dose to a child who weighs 28 lb. The amount available is acetaminophen 120 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is caring for a male infant who has a palpable mass in the upper right quadrant and stools mixed with blood and mucus. The nurse should recognize that which of the following diagnoses is associated with these findings?

A nurse is reinforcing teaching about nutritional considerations with the parents of a toddler. Which of the following statements by the parents indicates an understanding of the teaching?

An acute care nurse is caring for a pediatric client diagnosed with diabetes mellitus who receives insulin injections. Which of the following actions by the nurse demonstrates atraumatic care?

The nurse is administering desmopressin (DDAVP) to a pediatric client with diabetes insipidus. The nurse should monitor for which of the following potential side effects of this medication?