This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient is beginning the second round of high-dose cisplatin. Severe, chemotherapy-induced nausea ... (Read 72 times)

Mr3Hunna

  • Hero Member
  • *****
  • Posts: 536
on: Jul 24, 2018
A patient is beginning the second round of high-dose cisplatin. Severe, chemotherapy-induced nausea and vomiting (CINV) occurred following the first treatment, requiring 72 hours of continuous IV hydration.
 
  In addition to her chemotherapy regimen, which medication would be best to administer?
  a. Prochlorperazine (Compazine) suppository daily, on the day of treatment and the next 3 days
  b. Anticholinergic agents, such as diphenhydramine or meclizine
  c. Parenteral ondansetron 1 hour before chemotherapy, with oral ondansetron to continue for the next 4 days
  d. Parenteral ondansetron during chemotherapy, with prochlorperazine suppositories daily for 1 week

Question 2

The nurse is discussing dietary and lifestyle changes with a patient diagnosed with GERD. When reviewing necessary modifications, the nurse will include information regarding (Select all that apply.)
 
  a. limiting coffee intake to 2 cups/day.
  b. smoking cessation.
  c. avoiding NSAIDs.
  d. decreasing protein foods.
  e. using nonfat milk.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

laurnthompson

  • Sr. Member
  • ****
  • Posts: 334
Reply #1 on: Jul 24, 2018
Answer to Question 1

ANS: C
With the patient's first treatment history and the emetogenic chemotherapy agent, cisplatin, ondansetron has shown to be the most effective for prevention of severe nausea and vomiting. Prochlorperazine and anticholinergic agents are not used for the treatment of CINV. The ondansetron should be administered 1 hour before the chemotherapy and continued for the next several days to prevent vomiting and dehydration associated with chemotherapy administration.

Answer to Question 2

ANS: B, C, E
Interventions to help relieve symptoms associated with GERD include cessation of smoking, avoidance of NSAIDs, and use of nonfat milk. Coffee should be avoided completely. Protein foods should be increased.


Mr3Hunna

  • Member
  • Posts: 536
Reply 2 on: Jul 24, 2018
Gracias!

bigcheese9

  • Member
  • Posts: 333
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

« previous next »
 

Did you know?

Calcitonin is a naturally occurring hormone. In women who are at least 5 years beyond menopause, it slows bone loss and increases spinal bone density.

Did you know?

Hypertension is a silent killer because it is deadly and has no significant early symptoms. The danger from hypertension is the extra load on the heart, which can lead to hypertensive heart disease and kidney damage. This occurs without any major symptoms until the high blood pressure becomes extreme. Regular blood pressure checks are an important method of catching hypertension before it can kill you.

Did you know?

Acetaminophen (Tylenol) in overdose can seriously damage the liver. It should never be taken by people who use alcohol heavily; it can result in severe liver damage and even a condition requiring a liver transplant.

Did you know?

Your chance of developing a kidney stone is 1 in 10. In recent years, approximately 3.7 million people in the United States were diagnosed with a kidney disease.

Did you know?

Human kidneys will clean about 1 million gallons of blood in an average lifetime.

Tattoos and Body Piercings: This patient developed cellulitis from tattoo ink Tattoos and Body Piercings: This patient developed cellulitis from tattoo ink
Patient receiving ultrasound treatment to the left elbow. Patient receiving ultrasound treatment to the left elbow.
Deconvolution fluorescence microscopy yields high-resolution optical sections th Deconvolution fluorescence microscopy yields high-resolution optical sections th
A typical camshaft-driven high-pressure pump used to increase fuel pressure to 2,000 PSI or higher. A typical camshaft-driven high-pressure pump used to increase fuel pressure to 2,000 PSI or higher.
The pH scale is logarithmic. A low pH indicates acidic conditions, whereas a high pH indicates ... The pH scale is logarithmic. A low pH indicates acidic conditions, whereas a high pH indicates ...
Video: Polymerase chain reaction PCR - Animation

For a complete list of videos, visit our video library