A patient receiving chemotherapy and prescribed ondansetron ...

[vinney12]

A patient receiving chemotherapy and prescribed ondansetron (Zofran) asks the nurse why the drug is given before meals. What is the nurse's best response?
 
  a. Ondansetron is given 30 minutes before your meals to prevent nausea.
  b. The purpose of this drug is to move food rapidly through your GI tract.
  c. This drug works by preventing nausea caused by morphine given for your pain.
  d. If this drug were given after your meals, the food would interfere with its ab-sorption.

Question 2

A 75-year-old patient taking levofloxacin (Levaquin) reports all of the following new problems. For which problem does the nurse advise the patient to stop taking the drug immediately and no-tify the prescriber?
 
  a. Having to get up at night to urinate
  b. Swelling and pain in the right wrist
  c. Feeling the heart pound after drinking coffee
  d. Feeling light-headed when changing positions rapidly

[aadams68]

Answer to Question 1

A
Ondansetron is an antinausea drug that is given 30 minutes before meals and at bedtime to pre-vent the nausea that is associated with chemotherapy. Metoclopramide (Reglan) increases peris-talsis to help move food through the GI tract. Antihistamines prevent the nausea and vomiting caused by opiate drugs such as morphine. If the drug were given after meals, its purpose would not be met.

Answer to Question 2

B
A rare adverse effect of fluoroquinolones is the rupture of a tendon, most often in the shoulder, hand, wrist, or heel (Achilles tendon). This complication is most likely to happen in an older pa-tient and in those who also take corticosteroids.

[vinney12]

Gracias!

[Kedrick2014]

Excellent