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 A
Explanation
A. Rheumatic fever can develop after a group A streptococcal throat infection (strep throat), typically 2 to 4 weeks after exposure. The sibling with a recent sore throat is likely the source of the infection.
B. Fifth disease is caused by parvovirus B19 and is not linked to the development of rheumatic fever.
C. Gastritis is unrelated to rheumatic fever, which stems from a streptococcal throat infection.
D. Chickenpox is caused by varicella zoster virus and does not lead to rheumatic fever.
Correct Answer is C
Explanation
A. Abdominal pain rated 4 is moderate and should be managed but is not as immediately critical as hypotension.
B. A respiratory rate of 20/min is within normal limits for an adolescent and is not a priority finding.
C. Low blood pressure (hypotension) following blunt abdominal trauma is a concern for internal bleeding or hemorrhage. This is the priority finding and requires immediate intervention.
D. A heart rate of 72/min is normal and does not indicate immediate concern.
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