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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A WBC of 6,000/mm³ is within the normal range (4,500-11,000/mm³), and a postoperative infection is more likely to result in an elevated WBC count.
B. Purulent nasogastric drainage is more suggestive of a gastrointestinal issue unrelated to a perforated appendix and is not a common finding post-surgery.
C. Passage of dark red stool with mucus could suggest gastrointestinal bleeding or infection, but it is not typical postoperatively after a perforated appendix.
D. After surgery for a perforated appendix, peristalsis may be absent initially due to the effects of anesthesia, bowel manipulation, or inflammation from the infection. This is a normal postoperative finding.
Correct Answer is A
Explanation
A. Bananas are a safe food choice for a 2-year-old, as they are soft and easy to chew, reducing the risk of choking.
B. Grapes should be cut into smaller pieces to prevent choking, as they are a common choking hazard for young children.
C. Celery can be difficult for a toddler to chew and may pose a choking risk, especially if not cut properly.
D. Raw carrots are hard and may pose a choking risk, especially if not cut into small, manageable pieces.
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