NCLEX-PN® ExaminationPharmacological TherapiesMedium
An LPN is caring for a client receiving chemotherapy for cancer. The client reports severe nausea and vomiting despite receiving prophylactic antiemetics. Which nursing intervention is most appropriate for the LPN to implement?
- AEncourage the client to eat a large meal to settle the stomach.
- BOffer the client warm, caffeinated beverages to aid digestion.
- CAdminister an additional dose of the prescribed antiemetic.
- DNotify the registered nurse (RN) or healthcare provider.
Show answer & explanationAnswer & explanation
Correct answer: D. Notify the registered nurse (RN) or healthcare provider.
Severe nausea and vomiting despite prophylactic antiemetics can lead to dehydration, electrolyte imbalance, and significant discomfort, impacting the client's quality of life and adherence to treatment. It warrants immediate notification of the RN or healthcare provider for further assessment and potential adjustment of the antiemetic regimen or other interventions.
Why the other options are wrong
- A. Eating a large meal is likely to worsen nausea and vomiting in this situation.
- B. Warm, caffeinated beverages can irritate the stomach and worsen nausea; bland, cool, non-carbonated liquids are generally preferred.
- C. An LPN cannot administer an additional dose of medication without an order. The current regimen is already proving insufficient.
Chemotherapy-Induced N/V
Chemotherapy-induced nausea and vomiting (CINV) is a common and distressing side effect. Severe, uncontrolled CINV requires escalation of care and collaboration with the healthcare team.
- Common side effect of chemotherapy.
- Can lead to dehydration, malnutrition, discomfort.
- Prophylactic antiemetics are standard.
- Uncontrolled CINV requires provider notification.
Memory trick: CINV: Call Immediately, New Vitals