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. Decrease pancreatic enzymes if steatorrhea develops. B. Limit fluid intake to 750ml per day. C. Increase fat content in the child's diet to 40% of total calories. D. Administer pancreatic enzymes 2 hr after meals.

Correct Answer is C

Explanation

A. Pancreatic enzymes should not be decreased for steatorrhea; they are required to help with digestion.

B. Fluid intake should not be restricted; hydration is important for children with cystic fibrosis.

C. Children with cystic fibrosis need a high-calorie, high-fat diet due to malabsorption of nutrients and increased energy needs.

D. Pancreatic enzymes should be administered with meals, not two hours after.

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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

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Explanation

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