The patient is nauseated, has been vomiting for several hours, ...

[silviawilliams41]

The patient is nauseated, has been vomiting for several hours, and needs to receive an antiemetic medication. The nurse recognizes that which of the following statements is true about this medication?
 
  a. An enteric-coated medication should be given.
  b. Medication will not be absorbed as easily because of the nausea.
  c. A parenteral route is the route of choice.
  d. A rectal suppository must be administered.

Question 2

Which of the following statements is true about pain in children?
 
  a. Infants are capable of feeling pain.
  b. Infants lack memory of pain.
  c. Pain cannot be accurately assessed.
  d. Infants are incapable of expressing pain.

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Answer to Question 1

C

Feedback
A An enteric-coated medication is given orally. Because the patient is vomiting, the oral route should not be used.
B Nausea does not affect the rate of absorption.
C The parenteral route provides a means of administration when oral medications are contraindicated. Onset of action is quicker, and there is less cause for embarrassment than with a rectal suppository.
D It is inaccurate to state that a rectal suppository must be administered. A rectal suppository is one option, but there is the disadvantage that insertion often causes embarrassment for the patient. It is contraindicated if rectal bleeding is present or if the patient had rectal surgery. Stool in the rectum can impair absorption.

Answer to Question 2

A
Infants have the anatomical and functional requirements for pain processing by mid to late gesta-tion.
It is a misconception that infants lack memory of pain. Early exposure to noxious stimuli may have an effect on the infant's future responses to painful events.
It is a misconception that pain cannot be accurately assessed. Behavioural cues and physiological indicators of pain can be reliably and validly assessed either alone or in combination.
It is a misconception that infants are not capable of expressing pain. While infants cannot ver-balize pain, they do respond with behavioural cues and physiological indicators that can be ob-served by others.

[silviawilliams41]

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