A client has responded poorly to conservative treatment for nausea and vomiting and has subsequently been prescribed dronabinol.
In addition to monitoring the client’s nausea, the nurse should prioritize what assessment after administering the drug?

Apical heart rate.

Blood pressure.

Mental status.

Skin integrity.

Answer and Explanation

The Correct Answer is C

Dronabinol is a synthetic cannabinoid that can cause psychoactive effects such as euphoria, anxiety, hallucinations, and paranoia. The nurse should monitor the client’s mental status after administering the drug and report any changes or adverse reactions.

Choice A is wrong because dronabinol does not affect the heart rate significantly.

Choice B is wrong because dronabinol may lower or raise the blood pressure depending on the dose and the individual response, but this is not a priority assessment.

Choice D is wrong because dronabinol does not affect the skin integrity directly.

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Correct Answer is B

Explanation

Thyroid-stimulating hormone - Wikipedia Thyroid-stimulating hormone (TSH) is a hormone produced by the anterior pituitary gland that stimulates the thyroid gland to release its own hormones, triiodothyronine (T) and thyroxine (T).12 If the anterior pituitary gland is dysfunctional, it will not produce enough TSH, leading to low levels of T and T. This condition is called secondary or pituitary hypothyroidism.123

Choice A is wrong because tetraiodothyronine is another name for thyroxine (T), which is a hormone produced by the thyroid gland, not the anterior pituitary gland.14

Choice C is wrong because triiodothyronine (T) is also a hormone produced by the thyroid gland, not the anterior pituitary gland.14

Normal ranges for TSH are 0.4 to 4.0 mIU/L, for T are 100 to 200 ng/dL, and for T are 4.5 to 11.2 mcg/dL.1

A. Avoid eating or drinking for 6 hours before the trip. B. Take the medication 30 minutes before departing. C. Take two doses if relief is not achieved. D. Increase fluid intake to prevent urinary retention.

Correct Answer is B

Explanation

This is because antiemetics should be given to prevent motion sickness rather than after nausea or vomiting develop. Taking the medication 30 minutes before departing allows enough time for the drug to be absorbed and reach its peak effect.

Choice A is wrong because avoiding eating or drinking for 6 hours before the trip may cause dehydration and low blood sugar, which can worsen nausea and vomiting.

It is better to eat a light meal or snack before the trip and avoid spicy, greasy, or acidic foods.

Choice C is wrong because taking two doses if relief is not achieved may cause overdose and adverse effects.

Antiemetics should be taken as prescribed and not exceeded without consulting a doctor.

Choice D is wrong because increasing fluid intake to prevent urinary retention is not relevant for motion sickness.

Urinary retention is a possible side effect of some antiemetics, such as anticholinergics, but it is not a common problem for most people.

Fluid intake should be moderate and not excessive to avoid stomach distension.

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A client has responded poorly to conservative treatment for nausea and vomiting and has subsequently been prescribed dronabinol. In addition to monitoring the client’s nausea, the nurse should prioritize what assessment after administering the drug?

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Explanation

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A client has responded poorly to conservative treatment for nausea and vomiting and has subsequently been prescribed dronabinol.
In addition to monitoring the client’s nausea, the nurse should prioritize what assessment after administering the drug?