A client who is prone to motion sickness is going on a fishing trip on a boat and has been prescribed an antiemetic.
What action should the nurse recommend?

Avoid eating or drinking for 6 hours before the trip.

Take the medication 30 minutes before departing.

Take two doses if relief is not achieved.

Increase fluid intake to prevent urinary retention.

Answer and Explanation

The Correct Answer is B

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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Correct Answer is A

Explanation

Octreotide is a synthetic analog of somatostatin, a hormone that inhibits the secretion of growth hormone, insulin, glucagon, and other hormones. Octreotide can cause gastrointestinal side effects such as abdominal pain, diarrhea, constipation, nausea, vomiting, and flatulence. These side effects are more common and severe with the oral route than with the injectable route.

Choice B is wrong because tinnitus, or ringing in the ears, is not a common or serious side effect of octreotide.

Choice C is wrong because alteration in consciousness is not a common or serious side effect of octreotide.

However, octreotide can affect blood glucose levels and cause hypoglycemia or hyperglycemia, which can lead to confusion, dizziness, fainting, seizures, or coma in severe cases.

Choice D is wrong because changes in vision are not a common or serious side effect of octreotide.

However, octreotide can cause rare but serious eye problems such as blurred vision, double vision, eye pain, or blindness due to optic nerve damage or retinal detachment.

These eye problems require immediate medical attention.

Normal ranges for blood glucose are 70 to 100 mg/dL (3.9 to 5.6 mmol/L) for fasting and less than 140 mg/dL (7.8 mmol/L) for postprandial.

A. Diaphoresis. B. Flushing of the face. C. Fruity breath. D. Unpredictable behaviors.

Correct Answer is A

Explanation

Diaphoresis means excessive sweating, which is one of the symptoms of hypoglycemia. Hypoglycemia occurs when the blood sugar level is lower than the normal range, which can cause dizziness, confusion, weakness, hunger, and other signs.

Choice B is wrong because flushing of the face is not a symptom of hypoglycemia.

Flushing can be caused by other conditions, such as fever, allergic reactions, or rosacea.

Choice C is wrong because fruity breath is a symptom of hyperglycemia, not hypoglycemia.

Hyperglycemia means high blood sugar level, which can cause the body to produce ketones that give the breath a fruity odor.

Choice D is wrong because unpredictable behaviors are not a specific symptom of hypoglycemia.

However, hypoglycemia can cause confusion, irritability, or anxiety, which may affect the behavior of some people.

The normal range of blood sugar level for most people is between 70 and 130 mg/dL (3.9 and 7.2 mmol/L) before meals and less than 180 mg/dL (10 mmol/L) after meals.

However, this may vary depending on the individual and the type of diabetes.

It is important to monitor the blood sugar level regularly and treat hypoglycemia promptly by eating or drinking a simple sugar source.

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A client who is prone to motion sickness is going on a fishing trip on a boat and has been prescribed an antiemetic. What action should the nurse recommend?

Nursing Test Bank

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Explanation

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Correct Answer is A

Explanation

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A client who is prone to motion sickness is going on a fishing trip on a boat and has been prescribed an antiemetic.
What action should the nurse recommend?