A nurse is caring for a client who has a history of chemotherapy-induced nausea and vomiting. Which of the following medications should the nurse administer prior to chemotherapy?
Diphenhydramine
Ondansetron
Sertraline
Methylprednisolone
The Correct Answer is B
B. Ondansetron is a commonly used medication for preventing nausea and vomiting induced by chemotherapy. It belongs to a class of drugs called serotonin receptor antagonists, which work by blocking serotonin receptors in the brain and gastrointestinal tract, thereby reducing the sensation of nausea and the urge to vomit. Ondansetron is often administered prior to chemotherapy to help prevent these side effects.
A. Diphenhydramine works by blocking histamine receptors in the brain that trigger nausea and vomiting. However, it is not commonly used as a first-line antiemetic for chemotherapy-induced nausea and vomiting.
C. Sertraline is a selective serotonin reuptake inhibitor (SSRI) antidepressant and is not used specifically for preventing chemotherapy-induced nausea and vomiting.
D. Methylprednisolone is a corticosteroid medication that has anti-inflammatory and immunosuppressant effects.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
C. Mannitol is a osmotic diuretic that is commonly used in the management of increased intracranial pressure (ICP) following a head injury. It works by drawing fluid out of brain tissue and into the bloodstream, thereby reducing cerebral edema and lowering ICP.
A. Chlorpromazine is an antipsychotic medication that does not have direct effects on reducing ICP and is not commonly used in this clinical scenario.
B. Dobutamine is a medication primarily used for increasing cardiac output in patients with heart failure or shock.
D. Propranolol is a beta-blocker medication commonly used to treat conditions such as hypertension, angina, and certain cardiac arrhythmias.
Correct Answer is {"A":{"answers":"C"},"B":{"answers":"C"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"C"}}
Explanation
Alterations in level of consciousness is an indicator that the client is in septic shock due to systemic spread of the urinary tract infection
Hematocrit level is normal. Changes in hematocrit levels are not expected in UTI unless the client has hematuria.
A butterfly rash is commonly seen in autoimmune conditions like lupus.
The decrease in oxygen requirements indicates improvement in level of distress and hence improving sepsis
A drop in the systolic blood pressure may indicate that the client is going into septic shock
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