Drugs for Nausea, Vomiting, Diarrhea, and Constipation

Which statement about normal bowel function is true?

Which statement about the vomiting reflex is accurate?

The nurse is instructing a patient on how to prevent constipation. Which point does the nurse plan to include in the teaching plan?

The nurse is instructing a patient about how to help prevent the spread of diarrhea. Which point does the nurse include in the teaching plan?

A patient receiving chemotherapy and prescribed ondansetron (Zofran) asks the nurse why the drug is given before meals. What is the nurses best response?

A patient prescribed metoclopramide (Reglan) reports having difficulty sleeping, difficulty concentrating, tiredness, and feeling hopeless. What is the nurses best action?

A patient prescribed metoclopramide (Reglan) tells the nurse that his abdomen is making gurgling sounds. What is the nurses best action?

A 10-year-old child is prescribed cyclizine (Marezine) 25 mg orally for motion sickness. The drug is available as a 50 mg tablet. How many tablets does the nurse instruct the parent to give the child?

The spouse of a patient who is prescribed promethazine (Phenergan) as part of her antiemetic therapy with chemotherapy reports that after the last dose the patient did not remember the drive home. What is the nurses best action?

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

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?

An older male patient with nausea is prescribed scopolamine (L-hyoscine). Which nursing assessment does the nurse perform to determine whether he is experiencing a serious side effect?

A patient who is prescribed prochlorperazine (Compazine) for postoperative nausea and vomiting has all of the following changes. For which change does the nurse immediately contact the prescriber?

The mother of a 9-month-old child reports that the child has a bowel movement only every 2 or 3 days and that the stool is small and hard, like marbles. What does the nurse recommend as starting treatment for this problem?

How do osmotic laxatives reduce constipation?

Which action is most important for the nurse to perform after giving a patient bisacodyl (Dulcolax)?

The mother of a 6-year-old child receiving diphenoxylate (Lomotil) for the last 4 days for diarrhea reports by telephone that the diarrhea has stopped and that the childs pants cannot be zipped or buttoned today. What is the nurses best advice?

A patient who is prescribed promethazine (Phenergan) currently has a respiratory rate of 8 breaths per minute. What is the nurses best action?

The nurse is administering a patients first dose of cyclizine (Marezine). What safety action does the nurse take for this patient?

The wife of an inpatient who is prescribed dexamethasone (Decadron) tells the nurse over the phone that she has developed a cold with a low-grade fever. What is the nurses best advice at this time?

A patient reports taking an over-the-counter laxative for constipation daily for the past 3 weeks. What is the nurses best action?

A patient reports taking psyllium (Metamucil) every morning to prevent constipation. What is the nurses best action?

Which laboratory value must the nurse monitor after a patient takes bisacodyl (Dulcolax) for constipation?

What primary assessment does the nurse make for a patient who is prescribed loperamide (Immodium)?

A patient reports taking attapulgite (Kaopectate) for diarrhea over the past 4 days. What is the nurses best action?

[Multiple Response] Which are potential complications of nausea and vomiting? (Select all that apply.)
a. Bleeding
b. Aortic aneurysm
c. Aspiration pneumonia
d. Bowel perforation
e. Reopening of surgical wounds

[Multiple Response] Which are symptoms of constipation? (Select all that apply.)
a. Having less than one bowel movement a day
b. Stools that are harder than normal
c. Sudden increase in frequency of bowel movements
d. Bowels that feel full after a bowel movement
e. Sensation of feeling bloated

[Multiple Response] Which are symptoms of diarrhea? (Select all that apply.)
a. Weight loss
b. Bowels still feeling full after a bowel movement
c. Abdominal pain and cramping
d. Fever, chills, and feeling ill
e. Feeling bloated

[Multiple Response] Which teaching points are included in a care plan for a patient who is taking laxatives for constipation? (Select all that apply.)
a. Drink between 1500 and 2000 mL of fluids every day.
b. Avoid bulk foods such as whole grain bread and vegetables.
c. Use the bathroom right away when you feel the urge to have a bowel movement.
d. Try to get some regular exercise each day to prevent constipation.
e. Take your laxative with at least 4 ounces of water so it can be effective.

[Multiple Response] Which teaching points are included in a care plan for a patient who is taking laxatives for constipation? (Select all that apply.)
a. Drink between 1500 and 2000 mL of fluids every day.
b. Avoid bulk foods such as whole grain bread and vegetables.
c. Use the bathroom right away when you feel the urge to have a bowel movement.
d. Try to get some regular exercise each day to prevent constipation.
e. Take your laxative with at least 4 ounces of water so it can be effective.

A child is prescribed metoclopramide (Reglan) 8 mg by oral solution. The available drug solution is 5 mg per 5 milliliters of solution. How many milliliters does the nurse administer? _____ mL