McKenna's Pharmacology for Nursing, 2e

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P A R T 1 1  Drugs acting on the gastrointestinal system

C H E C K Y O U R U N D E R S T A N D I N G

5. A parent calls with concerns that a 2-year-old child ate a full bottle of baby aspirin. The healthcare professional would advise the parent to: a. administer ipecac immediately. b. induce vomiting by inserting a finger against the back of the child’s throat. c. force fluids as the parent brings the child in for evaluation. d. feed the child charcoal. MULTIPLE RESPONSE Select all that apply. 1. Care interventions for the person receiving an antiemetic drug would include which of the following? a. frequent mouth care b. bowel program to deal with constipation c. protection from falls or injury d. fluids to guard against dehydration e. protection from sun exposure f. quiet environment and temperature control 2. Palonosetron ( Aloxi ) would be a drug of choice for a person with which of the following problems? a. nausea and vomiting associated with cancer chemotherapy b. a prolonged Q–T interval c. delayed nausea and vomiting associated with antineoplastic chemotherapy d. difficulty swallowing e. hypokalaemia f. hypomagnesaemia

Answers to the questions in this chapter can be found in Appendix A at the back of this book.

MULTIPLE CHOICE Select the best answer to the following. 1. The healthcare professional anticipates that prochlorperazine ( Stemetil ) would be the antiemetic of choice for which of the following? a. nausea and vomiting after anaesthesia b. nausea and vomiting due to cancer chemotherapy c. motion sickness d. intractable hiccoughs 2. Most antiemetics work with the CNS to decrease the activity of: a. the medulla. b. the CTZ. c. the respiratory centre. d. the sympathetic nervous system. 3. Which of the following instructions would be most appropriate to give to a person to reduce the risk of photosensitivity related to the use of antiemetic agents? a. Avoid having their picture taken. b. Cover the head at extremes of temperature. c. Take extra precautions to avoid heat stroke. d. Wear protective clothing when in the sun. 4. The 5-HT 3 receptor blockers, including ondansetron ( Zofran ) and granisetron ( Kytril ), are particularly effective in decreasing the nausea and vomiting associated with:

a. vestibular problems. b. cancer chemotherapy.

c. pregnancy. d. severe pain.