MED SURG REAL EXAM WITH QUESTIONS AND ANSWERS, RATIONALES, TEST-TAKING STRATEGIES AND REFERENCES

A client in the postanesthesia care unit has an as-needed prescription for ondansetron (Zofran). Which of the following occurrences would prompt the nurse 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 associated with chemotherapy. This medication is not used to treat any of the problems identified in the other options. Test-Taking Strategy: To answerthis question accurately, itis necessary to know the classification of this medication. Focusing on the clinical setting identified in the question should narrow your choices to nausea and vomiting and incisional pain. 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/Implementation Content 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 for surgery. 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 will direct you to the correct option. Review the expected side effects of this medication if this question was difficult for you. Level of Cognitive Ability: Analyzing Client Needs: Physiological Integrity Integrated Process: Nursing Process/Assessment Content 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.