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uniquename uniquename
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6 years ago
The nurse is caring for a client who experiences nausea and vomiting with each treatment of chemotherapy. What should the nurse advise the client to do to decrease nausea and vomiting?
 
  1. Do not eat for 12 hours before treatment.
  2. Increase food intake.
  3. Take antiemetic medications prior to treatment.
  4. Decrease water intake.
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6 years ago
Correct Answer: 3

Rationale 1: Do not eat for 12 hours before treatment is incorrect because the nausea and vomiting are caused by the medulla, and avoiding food will not eliminate nausea and vomiting.
Rationale 2: Increase food intake is incorrect because the client needs to take an antiemetic to stop vomiting.
Rationale 3: The vomiting center in the medulla is triggered by many antineoplastics, resulting in severe nausea and vomiting. Vomiting is often so severe that patients may be treated with antiemetic drugs such as prochlorperazine (Compazine) or ondansetron (Zofran) before beginning antineoplastic therapy.
Rationale 4: Decrease water intake is incorrect because this will lead to dehydration.

Global Rationale: The vomiting center in the medulla is triggered by many antineoplastics, resulting in severe nausea and vomiting. Vomiting is often so severe that patients may be treated with antiemetic drugs such as prochlorperazine (Compazine) or ondansetron (Zofran) before beginning antineoplastic therapy. Do not eat for 12 hours before treatment is incorrect because the nausea and vomiting are caused by the medulla, and avoiding food will not eliminate nausea and vomiting. Increase food intake is incorrect because the client needs to take an antiemetic to stop vomiting. Decrease water intake is incorrect because this will lead to dehydration.
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