A client receives ondansetron prior to a chemotherapy treatment. How should the practical nurse evaluate the effectiveness of the medication?

Observe the client for signs of pain or discomfort during the treatment.

Assess for changes in vital signs during and after the treatment.

Monitor the client for nausea or vomiting following the treatment.

Determine if the client feels calm and relaxed before the treatment.

Answer and Explanation

The Correct Answer is C

A. Observing for signs of pain or discomfort during the treatment is not a direct method for evaluating ondansetron’s effectiveness. Ondansetron is used to prevent nausea and vomiting, not to manage pain.
B. While assessing vital signs is important for overall monitoring, it does not specifically measure the effectiveness of ondansetron for preventing nausea and vomiting.
C. Monitoring for nausea or vomiting following the treatment is the most direct way to evaluate the effectiveness of ondansetron. The primary goal of ondansetron is to prevent or reduce these symptoms associated with chemotherapy.
D. Evaluating if the client feels calm and relaxed is not a measure of ondansetron’s effectiveness. The focus should be on the medication’s ability to prevent nausea and vomiting rather than the client's emotional state before treatment.

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Correct Answer is A

Explanation

A. Maternal hypotension is a significant adverse effect of epidural anesthesia that can lead to decreased uterine blood flow and fetal distress. Monitoring for hypotension is critical to ensure both maternal and fetal well-being.
B. While a vaginal hematoma is a potential complication, it is less immediately associated with the administration of epidural anesthesia compared to hypotension.
C. A continuous headache could indicate post-dural puncture but is less common and not the primary immediate concern compared to hypotension following an epidural.
D. Urinary retention can occur with epidural anesthesia, but maternal hypotension is a more urgent and significant immediate concern.

Correct Answer is ["1.5"]

Explanation

- Determine the total milligrams needed: The prescription is for 600 mg.

- Identify the concentration of the medication available: The vial is labeled as 400 mg/mL.

- Calculate the volume required to provide the prescribed dose: Divide the total milligrams needed by the concentration.

- Perform the calculation: 600/400= 1.5

Answer = 1.5 ml

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A client receives ondansetron prior to a chemotherapy treatment. How should the practical nurse evaluate the effectiveness of the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is receiving an epidural anesthesia during labor. Which observation is the most important adverse effect that the practical nurse (PN) should assess for following the administration of the epidural?

Correct Answer is A

Explanation

Correct Answer is ["1.5"]

Explanation

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