14. Which intervention would most likely prevent nausea in a client receiving cisplatin chemotherapy?
14. Which intervention would most likely prevent nausea in a client receiving cisplatin chemotherapy?
. Administering trimethobenzamide prn nausea.
. Administering dexamethasone and ondansetron prior to chemotherapy.
. Serving all food warm or hot.
. Keeping client NPO 24 hours before chemotherapy.
Test-Taking Tip
Look for an action prior to chemotherapy.
Content Area: Adult Health, Oncology; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Pharmacological and Parenteral Therapies/Expected Effects/Outcomes
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Answer 1 is incorrect because nausea is prevented by giving the antidote before chemotherapy. Anticholinergics, such as trimethobenzamide, have limited usefulness in chemotherapy-induced nausea. Answer 2 is correct because there is often specific matching of nausea treatments and chemotherapeutic agents. Nausea is better prevented than treated by giving the antiemetic before the chemotherapy. Answer 3 is incorrect because heat increases the odor of foods, which may worsen nausea. Answer 4 is incorrect because there is no reason to have a client NPO for 24 hours before chemotherapy. This would promote dehydration and malnutrition unnecessarily.