When planning care for a client receiving treatment for vomiting, ...

[rayancarla1]

When planning care for a client receiving treatment for vomiting, the nurse's highest priority nursing diagnosis is:
 
  a. prevention of aspiration by placing client in lateral position.
  b. risk for aspiration related to vomiting.
  c. nausea related to receiving chemotherapy.
  d. risk for deficient fluid volume related to vomiting.

Question 2

The nurse is caring for a client with urinary retention secondary to benign prostatic hypertrophy experiencing nausea. The nurse would question which of the following prescriptions written by the health care provider for this client?
 
  a. promethazine 25 mg IV now c. perphenazine 5 mg IM now
  b. prochlorperazine 10 mg p.r. now d. metoclopramide 10 mg p.o. now

[joechoochoy]

Answer to Question 1

ANS: B

Feedback
A Incorrect: This is not a nursing diagnosis.
B Correct: This is the nurse's highest priority nursing diagnosis.
C Incorrect: The scenario does not indicate that the client is receiving chemotherapy and this is not the highest priority for a client who is vomiting.
D Incorrect: This is not the priority nursing diagnosis.

Answer to Question 2

ANS: A

Feedback
A Correct: Promethazine is an antihistamine that can aggravate urinary retention from BPH.
B Incorrect: This is a neuroleptic agent not contraindicated in clients with urinary retention.
C Incorrect: This is a neuroleptic agent not contraindicated in clients with urinary retention.
D Incorrect: Metoclopramide is not usually used to treat, but rather prevent nausea.