C HAPTER 52: A NTIEMETIC AND
A NTINAUSEA D RUGS
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. A patient is taking chemotherapy with a drug that has a high potential for
causing nausea and vomiting. The nurse is preparing to administer an
antiemetic drug. Which class of antiemetic drugs is most commonl y used
to prevent nausea and vomiting for patients receiving chemotherapy?
a. Prokinetic drugs, such as metoclopramide
b. Serotonin blockers, such as ondansetron
c. Anticholinergic drugs, such as scopolamine
d. Neuroleptic drugs, such as promethazine
ANS: B
Serotonin blockers are used to prevent chemotherapy -induced and
postoperative nausea and vomiting. The other options are incorrect.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Implementation
MSC: NC LEX: Physiological Integrit y: Basic Care and Comfort
2. A patient who has been newl y diagnosed with vertigo will be taking an
antihistamine antiemetic drug. The nurse will includ e which information
when teaching the patient about this drug?
a. The patient may skip doses if the patient is feeling well.
, b. The patient will need to avoid driving because of possible
drowsiness.
c. The patient may experience occasional problems with taste.
d. It is safe to take the medication with a glass of wine in the evening
to help settle the stomach.
ANS: B
Drowsiness may occur because of central nervous system (CNS)
depression, and patients should avoid driving or working with heavy
machinery because of poss ible sedation. These drugs must not be taken
with alcohol or other CNS depressants because of possible additive
depressant effects. The medication should be taken as instructed and
not skipped unless instructed to do so.
DIF: Cognitive Level: Appl ying (App lication)
TOP: Nursing Process: Implementation
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
3. A patient with motion sickness is planning a cross -country car trip and has
a new prescription for a scopolamine transdermal patch . The nurse
provides teaching for the use of this patch medication. The patient shows
a correct understanding of the teaching with which statement?
a. “I will change the patch every day. ”
b. “I will change the patch every other day. ”
c. “I will change the patch eve ry 3 days. ”
d. “I will remove the patch onl y if it stops working. ”
ANS: C
Scopolamine patches are 72 -hour doses and therefore are changed
every 3 days. The other options are incorrect.
A NTINAUSEA D RUGS
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. A patient is taking chemotherapy with a drug that has a high potential for
causing nausea and vomiting. The nurse is preparing to administer an
antiemetic drug. Which class of antiemetic drugs is most commonl y used
to prevent nausea and vomiting for patients receiving chemotherapy?
a. Prokinetic drugs, such as metoclopramide
b. Serotonin blockers, such as ondansetron
c. Anticholinergic drugs, such as scopolamine
d. Neuroleptic drugs, such as promethazine
ANS: B
Serotonin blockers are used to prevent chemotherapy -induced and
postoperative nausea and vomiting. The other options are incorrect.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Implementation
MSC: NC LEX: Physiological Integrit y: Basic Care and Comfort
2. A patient who has been newl y diagnosed with vertigo will be taking an
antihistamine antiemetic drug. The nurse will includ e which information
when teaching the patient about this drug?
a. The patient may skip doses if the patient is feeling well.
, b. The patient will need to avoid driving because of possible
drowsiness.
c. The patient may experience occasional problems with taste.
d. It is safe to take the medication with a glass of wine in the evening
to help settle the stomach.
ANS: B
Drowsiness may occur because of central nervous system (CNS)
depression, and patients should avoid driving or working with heavy
machinery because of poss ible sedation. These drugs must not be taken
with alcohol or other CNS depressants because of possible additive
depressant effects. The medication should be taken as instructed and
not skipped unless instructed to do so.
DIF: Cognitive Level: Appl ying (App lication)
TOP: Nursing Process: Implementation
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
3. A patient with motion sickness is planning a cross -country car trip and has
a new prescription for a scopolamine transdermal patch . The nurse
provides teaching for the use of this patch medication. The patient shows
a correct understanding of the teaching with which statement?
a. “I will change the patch every day. ”
b. “I will change the patch every other day. ”
c. “I will change the patch eve ry 3 days. ”
d. “I will remove the patch onl y if it stops working. ”
ANS: C
Scopolamine patches are 72 -hour doses and therefore are changed
every 3 days. The other options are incorrect.
