Description

A client in the postanesthesia care unit has an as-needed prescription for ondansetron (Zofran). Which of the following occurrences would prompt thenurse to administer this medication to the client? Paralytic ileus Incisional pain Urine retention Nausea and vomiting Correct Rationale: Ondansetron is an antiemetic that is used in the treatment of postoperative nausea and vomiting, as well as nausea and vomiting associatedwith chemotherapy. This medication is not used to treat any of the problems identified in the other options. Test-Taking Strategy: To answer this question accurately, itis necessary to know the classification of this medication. Focusing on the clinical setting identified inthe question should narrow your choices to nausea and vomiting and incisionalpain. To correctly select from these two options, it is necessary to know that ondansetron is an antiemetic. Review the action of this medication if you had difficulty with this question. Level of Cognitive Ability: Applying Client Needs: Physiological Integrity Integrated Process: Nursing Process/ImplementationContent Area: Pharmacology Reference: Hodgson, B., & Kizior, R. (2010). Saunders nursing drug handbook 2010(p. 850). St. Louis: Saunders. Awarded 0.0 points out of 1.0 possible points.16.ID: 383737778 A nurse administers scopolamine as prescribed to a client in preparation forsurgery. For which side effect of this medication does the nurse monitor the client? Pupil constriction Increased urine output Complaints of dry mouth Correct Complaints of feeling sweaty Rationale: Scopolamine, an anticholinergic medication, often causes the side effects of dry mouth, urine retention, decreased sweating, and pupil dilation. The other options are incorrect. Test-Taking Strategy: Note the words “in preparation for surgery” and use the process of elimination. Recalling that this medication dries body secretions willdirect you to the correct option. Review the expected side effects of this medication if this question was difficult for you. Level of Cognitive Ability: AnalyzingClient Needs: Physiological Integrity Integrated Process:Nursing Process/AssessmentContent Area: Pharmacology Reference: Hodgson, B., & Kizior, R. (2010). Saunders nursing drug handbook 2010(p. 1027). St. Louis: Saunders. Awarded 0.0 points out of 1.0 possible points.17.ID: 383740631 A nurse is preparing a client for transfer to the operating room. Which of thefollowing actions should the take in the care of this client at this time? Ensuring that the client has voided Correct Administering all daily medications Practicing postoperative breathing exercises Verifying that the client has not eaten for the last 24 hours