Author Question: A client on chemotherapy asks the nurse why he is now prescribed aprepitant as one of his premeds. ... (Read 56 times)

sabina · **on:** Jul 24, 2018

A client on chemotherapy asks the nurse why he is now prescribed aprepitant as one of his premeds. The nurse's best response is:

a. This is an investigational drug that they are trying out on chemotherapy clients.
b. I'm not really sure. I haven't heard of this drug before.
c. This drug is combined with your other premeds for better control of nausea.
d. You will have to ask your doctor about this.

Question 2

A postoperative client is prescribed IV promethazine to treat his nausea. The nurse understands that this agent:

a. should not be administered if the IV fluids contain 5 dextrose.
b. is not compatible with lactated Ringer's IV solution.
c. may cause precipitation if added to an IV containing 0.45 normal saline.
d. is not approved to be administered IV bolus

joewallace · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: C

Feedback
A Incorrect: This is an approved agent.
B Incorrect: The nurse should be knowledgeable about the medications clients receive.
C Correct: This is an appropriate response that answers the client's question.
D Incorrect: This does not answer the client's question. Nurses should have this information.

Answer to Question 2

ANS: B

Feedback
A Incorrect: It is not incompatible with 5 dextrose.
B Correct: It precipitates in IV tubing containing lactated Ringer's solution--a common postoperative solution infused in PACU (post anesthesia care unit).
C Incorrect: It does not precipitate in solutions containing 0.45 normal saline.
D Incorrect: It is approved for IV bolus administration.