The nurse is caring for a psychiatric patient with breast cancer ...

[mspears3]

The nurse is caring for a psychiatric patient with breast cancer who is just about to receive chemotherapy. What antiemetic would be most appropriate for this patient, who is anticipating nausea?
 
  a. Loperamide (Imodium)
  b. Ranitidine (Zantac)
  c. Dronabinol (Marinol)
  d. Lorazepam (Ativan)

Question 2

When monitoring a patient for the most common side effect of oral first-generation antihistamines, the nurse would assess
 
  a. heart rate and rhythm.
  b. alertness.
  c. respiratory rate.
  d. bowel sounds.

[mariahkathleeen]

Answer to Question 1

ANS: D
One of the principal affects of lorazepam is its ability to suppress anticipatory nausea. It is used in combination regimens to suppress chemotherapy-induced nausea and vomiting (CINV).
Loperamide and ranitidine do not affect CINV.
Dronabinol is contraindicated in patients with a psychiatric illness.

Answer to Question 2

ANS: B
The most common complaint of patients about antihistamines is sedation, therefore the nurse should assess the patient's alertness.
Because the most common effect is sedation, the nurse should focus the assessment on the neurologic system.

[mspears3]

Thanks for the timely response, appreciate it

[kjohnson]

TYSM