Author Question: The nurse is instructing a patient who is experiencing chronic nausea and vomiting about antiemetic ... (Read 52 times)

Kthamas · **on:** Jul 23, 2018

The nurse is instructing a patient who is experiencing chronic nausea and vomiting about antiemetic therapy. What is the most important precaution the nurse teaches the patient?

a. Rinse your mouth frequently to reduce the unpleasant sensation of dry mouth.
b. Report any constipation lasting two days or longer to your prescriber.
c. Wear sunscreen and protective clothing when going outdoors.
d. Avoid drinking alcoholic beverages while taking this drug.

Question 2

What is the most important assessment question for the nurse to ask a patient before administer-ing intravenous metoclopramide (Reglan)?

a. Are you being treated for depression?
b. Is your type 1 diabetes well controlled?
c. Do you have a gastric or duodenal ulcer?
d. Are you taking aspirin or any aspirin-containing products?

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

Answer to Question 1

D
All of the antiemetic drugs cause some degree of central nervous system depression, although some drugs have a more profound action than others. Alcohol increases CNS depression, in-creasing the risks for injury, cognitive changes, and respiratory depression. In addition, alcohol may intensify the experience of nausea. Although it is also important to remind patients to avoid sun exposure because of increased sun sensitivity, and to rinse the mouth to reduce dry mouth sensation, alcohol avoidance is the most important precaution because it can lead to more serious complications.

Answer to Question 2

A
Metoclopramide can make depression worse and intensify thoughts of suicide. Patients with a history of depression should not be prescribed this drug.