CHAPTER 25: EMETICS AND ANTIEMETICS

CHAPTER 25: EMETICS AND ANTIEMETICS

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. During a well-baby check-up, a mother of an infant says to the nurse, “I have ipecac syrup at home just like my mother did for me.” The nurse’s best response is:

a.	“Ipecac syrup should not be around infants, and we don’t use it in infants, because of the risk of aspiration.”
b.	“If your baby does experience poisoning, be sure to give the ipecac.”
c.	“When using ipecac with the baby, use caution that he doesn’t choke when he vomits.”
d.	“Let me show you the proper position to hold the baby to prevent aspiration when he vomits.”

 

 

ANS:  A

 

	Feedback
A	Correct: This is a factual statement and the most appropriate.
B	Incorrect: This is not appropriate advice.
C	Incorrect: This is not appropriate advice.
D	Incorrect: This is not appropriate advice related to ipecac syrup use in infants.

 

 

PTS:   1                    REF:   p. 586            OBJ:   Cognitive Level: Application

 

2. The mother of a small child asks the nurse if she should keep ipecac syrup handy in case her three-year-old “swallows something he shouldn’t.” The nurse’s best response is:

a.	“No, just call 911 and the EMTs will administer it for you.”
b.	“Yes, but call the Poison Control Center before you give it.”
c.	“No, ipecac syrup should only be given under medical supervision.”
d.	“Yes, but make sure it is out of your child’s reach.”

 

 

ANS:  C

 

	Feedback
A	Incorrect: This is not an appropriate response.
B	Incorrect: This is not an appropriate response.
C	Correct: This is the best response for the nurse.
D	Incorrect: This is not an appropriate response.

 

 

PTS:   1                    REF:   p. 586            OBJ:   Cognitive Level: Application

 

3. An adolescent is admitted for an ipecac overdose. The nurse’s first intervention should be to:

a.	place the child on a cardiac monitor.	c.	pad the child’s siderails.
b.	prevent vomiting and aspiration.	d.	prepare to administer diphenhydramine.

 

 

ANS:  A

 

	Feedback
A	Correct: Ipecac toxicity causes cardiotoxicity.
B	Incorrect: This is a goal, not an intervention.
C	Incorrect: The first concern with ipecac overdose is cardiotoxicity.
D	Incorrect: This is not an appropriate action.

 

 

PTS:   1                    REF:   p. 586            OBJ:   Cognitive Level: Application

 

4. The nurse understands that which of the following clients would be the most likely to misuse the drug ipecac?

a.	a nine year-old boy	c.	an adolescent with bulimia
b.	a cognitively impaired adult	d.	a mischievous two year-old

 

 

ANS:  C

 

	Feedback
A	Incorrect: This is not a likely candidate for ipecac misuse.
B	Incorrect: This is not a likely candidate for ipecac misuse.
C	Correct: Bulimia is the most common cause of ipecac misuse.
D	Incorrect: This is not a likely candidate for ipecac misuse.

 

 

PTS:   1                    REF:   p. 586            OBJ:   Cognitive Level: Comprehension

 

5. A client is being seen by the health care provider for a prescription medication for motion sickness. The nurse anticipates the client will be prescribed:

a.	metoclopramide.	c.	promethazine.
b.	meclizine.	d.	ondansetron.

 

 

ANS:  B

 

	Feedback
A	Incorrect: This is a gastric stimulant and isn’t used to treat motion sickness.
B	Correct: Meclizine is an antihistamine used to treat motion sickness.
C	Incorrect: This is used to treat nausea and vomiting.
D	Incorrect: This is used to prevent and treat nausea and vomiting.

 

 

PTS:   1                    REF:   p. 586            OBJ:   Cognitive Level: Comprehension