Author Question: A client is receiving an antiemetic. The nurse identifies a nursing diagnosis of Imbalanced ... (Read 42 times)

Alainaaa8 · **on:** Jul 23, 2018

A client is receiving an antiemetic. The nurse identifies a nursing diagnosis of Imbalanced Nutrition: Less Than Body Requirements. Which of the following would the nurse include in the client's plan of care? Select all that apply.

A) Remove items with strong smells and odors.
B) Use mouthwash or frequent oral rinses.
C) Make the environment as pleasant as possible.
D) Explain that the drug may change the color of the stool.
E) Follow the medication with a small amount of water.

Question 2

A nurse is caring for an elderly client who has received cimetidine. Which of the following interventions should the nurse perform?

A) Monitor the client for complaints of pain or sour taste.
B) Monitor the client for concentrated urine and restlessness.
C) Closely monitor the client for confusion and dizziness.
D) Report symptoms of tardive dyskinesia to the primary health care provider.

Carliemb17 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: A, B, C
Feedback:
When caring for a client receiving an antiemetic with a nursing diagnosis of Imbalanced Nutrition: Less Than Body Requirements, the nurse makes the environment as pleasant as possible to enhance the client's appetite and removes items with strong smells and odors. The nurse gives the client mouthwash or frequent oral rinses to remove the disagreeable taste that accompanies vomiting. Stool color is unaffected. Liquid antacids could be followed with a small amount of water.

Answer to Question 2

Ans: C
Feedback:
The nurse should closely monitor the elderly client who has been administered cimetidine for confusion and dizziness. When the client is receiving an antiemetic, the nurse monitors the client frequently for continued complaints of pain, sour taste, spitting blood, or coffee-ground-colored emesis. When antacids are given to the client, the nurse should observe the client for concentrated urine and restlessness. When the client is administered prolonged doses of metoclopramide, the nurse reports any sign of tardive dyskinesia or extrapyramidal symptoms to the primary health care provider.