Author Question: A client is prescribed IV palonosetron HCl. The nurse understands the action of this agent is to: ... (Read 61 times)

Anajune7 · **on:** Jul 24, 2018

A client is prescribed IV palonosetron HCl. The nurse understands the action of this agent is to:

a. treat postoperative nausea and vomiting.
b. prevent acute chemotherapy-related nausea and vomiting.
c. prevent nausea and vomiting associated with antibiotic infusions.
d. prevent delayed nausea and vomiting related to chemotherapy.

Question 2

When evaluating a client receiving 75 mg of trazodone each night for sleep, the client tells the nurse that she is experiencing insomnia again in spite of taking the trazodone. The nurse anticipates that the health care provider will:

a. change the client's medication to phenobarbital.
b. increase the dose of trazodone to 100 mg each night.
c. decrease the dose of trazodone, because it is causing excitation.
d. prescribe a placebo for this client.

tmlewis4706 · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: D

Feedback
A Incorrect: It is not used to treat nausea and vomiting, but to prevent it.
B Incorrect: It is not used to treat acute nausea and vomiting.
C Incorrect: This is not the action of this agent.
D Correct: This drug's benefit over the other serotonin antagonists is that it has a longer half-life, making it effective in treating chemo-induced delayed nausea and vomiting.

Answer to Question 2

ANS: B

Feedback
A Incorrect: This would not be an anticipated action.
B Correct: Increasing the dosage at 25 mg increments is appropriate, because the client probably has developed tolerance to the 75 mg dose.
C Incorrect: This would not be an anticipated action.
D Incorrect: This would not be an anticipated action.