NURSING 4764 Care Man 2 Exam 3 Study Guide A GRADED

List ways to decrease nausea due to chemotherapy. ● Serotonin blockers, such as ondansetron, have been found to be effective and are often administered with corticosteroids, phenothiazines, and antihistamines. ● Neurokinin receptor antagonists (aprepitant); corticosteroids (dexamethasone, methylprednisolone); ● dopamine antagonists (promethazine, prochlorperazine); ● histamine blockers and proton pump inhibitors (omeprazole, ranitidine); prokinetic agents (metoclopramide), benzodiazepines (lorazepam); and cannabinoids (dronabinol, nabilone) are other examples of medications used for chemotherapy-induced nausea and vomiting (CINV). ● Ensure antiemetics are given before chemotherapy and repeated based on the response and duration of Chemotherapy Induced N & V (CNIV) ● Administer antiemetic medications for several days after each treatment, even when CINV appears to be controlled. ● Remove vomiting cues, such as odor and supplies associated with nausea. ● Implement nonpharmacologic methods to reduce nausea (visual imagery, relaxation, acupuncture, distraction). ○ ****FOUND ON CONDENSED SLIDE 343; ATI PP CH 91; ATI PURPLE MED SURG BOOK 581**** 2. A client is taking prednisone. What vitamin/mineral supplements should be taken? Vitamin D and Calcium (To promote healing) …. Take daily to prevent osteoporosis with chronic steroid therapy (p. 322-323 MedSurg textbook) 3. A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority? *Found as a question on the ATI CM III Review Arthritis Connective Tissue Disorder Quiz - CD4-T-cell count 180 cells/mm3 - A CD4-T-cell count of less than 180 cells/mm indicates that the client is severely immunocompromised and is at high risk for infection. Therefore, this value is the priority for the nurse to report to the provider. - p. 338-339 MedSurg textbook: A healthy adult will have between 800-1000 CD4+/mm3. CD4+ is the access portal that HIV uses to infect the host, so as the disease progresses, more CD4+ will be infected and the level will continue to decrease. Once an HIV positive patient has a CD4+ T-cell count of less than 200 cells/mm3, the disease has progressed to AIDS