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Create an image of a healthcare professional consulting a patient in a clinical setting, with visual elements representing nausea and dyspnea management, such as medication bottles and a soothing environment.

Clinical Insights on Nausea and Dyspnea

Test your knowledge on managing nausea and dyspnea in clinical settings! This quiz focuses on understanding the effective treatment options and symptom management strategies for patients.

Whether you're a healthcare professional or a student, this quiz will enhance your awareness of:

Common symptoms and their treatments
Medications compatibility
Factors influencing patient comfort

12 Questions3 MinutesCreated by CaringNurse315

361. Which of the following is not a symptom of bowel obstruction?

A. Intestinal colic and abdominal pain

B. Intermittent or continuous vomiting

C. Urinary retention

D. Borborygmi (high-pitched bowel sounds)

When severe nausea persists, which of the following medications is most likely to help?

A. Transdermal scopolamine patch

B. Prochlorperazine, 5 mg PO or PR three times a day

C. Lorazepam 0.5 mg PO twice a day

D. Dexamethasone, 4 mg PO or SC twice a day

Which of the following is incompatible with morphine or hydromorphone in a syringe for SC infusion?

A. Metoclopramide

B. Hydroxyzine

C. Phenytoin

D. Haloperidol

When nausea persists, which of the following is least likely to be the cause?

A. Bowel obstruction

B. Drug toxicity

C. Brain metastases

D. Haloperidol toxicity

When treating nausea, which of the following is the least useful measure?

A. Avoiding fatty foods and foods with strong odors

B. Serving foods chosen by the patient

C. Providing a relaxing atmosphere with pleasant companionship

D. Providing a fan for better circulation

For nausea mediated by the chemoreceptor trigger zone, which one of the following orders is most likely to be effective?

A. Decreased dosages of digoxin and theophylline

B. Laxative

C. Lorazepam

D. Decongestant

For nausea mediated by the vestibular apparatus, which of the following is most likely to be effective?

A. Meclizine

B. Salt tablets or demeclocycline for low sodium

C. Prednisone

D. Tranquilizer

When nausea is the result of increased intracranial pressure, which of the following is the most appropriate treatment?

A. Dexamethasone

B. Antibiotic

C. Haloperidol

D. Metoclopramide

Which of the following is most likely to contribute to the symptom of dyspnea?

A. Companionship

B. Isolation

C. Spiritual support

D. Relaxation

Which of the following orders is least likely to provide effective relief for patients who are dying of respiratory failure and experiencing severe dyspnea, anxiety, restlessness, and family stress?

A. SC infusion of hydromorphone with midazolam titrated upward until relief is achieved

B. Chlorpromazine, 25 mg PO or PR every 8 hours

C. Phenobarbital, 30 mg PO or SC bolus every 8 hours as needed

D. Buspirone, 5 mg twice a day

When treating anxious patients for severe dyspnea who are taking strong opioids, which of the following orders may be the most effective?

A. Increasing the dosage of the patient’s opioid until relief is achieved.

B. Acetaminophen with codeine, one tablet every 4 hours with an extra dose of one tablet every 2 hours as needed for breakthrough dyspnea

C. Hydrocodone syrup, 1 mL to 3 mL every 4 hours with an extra full dose as needed for breakthrough dyspnea

D. One hydrocodone tablet, 5 mg every 4 hours with an extra dose of one tablet every 2 hours as needed for breakthrough dyspnea

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Clinical Insights on Nausea and Dyspnea

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