Pharmacology Final Review 1. What scheduled drug is Hydromorphone? Hydromorphone is used to relieve moderate to severe pain. Hydromorphone is an opioid (narcotic) pain reliever. The schedule of drug is schedule II or schedule I. 2. When giving antihistamine, what education would you provide your patients? Avoid driving or operating machinery. 3. What is a priority teaching when giving antibiotics? Its important that the patient finishes the entire bottle, make sure to take it with food. 4. What is the dosage system used to measures medications? Metric system 5. Where do you go if there is a bioterrorism agent happening? Visit the centers for disease control and prevention (CDC) web site. 6. More teaching about antibiotic therapy? I will add the names and dosages of these new drugs to my medication list in my wallet. 7. To prevent superinfection when giving antibiotics, what would you educate the patient about? Educate the client about the like hood of a superinfection caused by destruction of normal flora 8. Why is it difficult to treat viruses compared to bacteria? 9. What type of tape worm does the elementary students get? pinworms 10. If your giving antineoplastic agent to a school-aged child for leukemia, what would be a priority before you give that medication, what would you do first? Check laboratory studies to determine most recent measures of bone marrow function. 11. A 10-year-old is complaining of chronic headaches, and is giving Tylenol, what blood work would you look out for? Hepatic function 12. Interferon Alfa-2b what are those drugs? Interferon alfa-2b is in a class of medications called immunomodulators. Interferon alfa-2b works to treat hepatitis C virus (HCV) and hepatitis B virus (HBV) by decreasing the amount virus in the body. 13. If child is receiving their first immunization, what would be a priority teaching? 14. What would be a priority for benzodiazepine? Help the patient out of bed to the bathroom and encourage her to void. 15. What type of medication is Fluvoxamine, what would you teach your patient about this medication? Fluvoxamine is in a class of medications called selective serotonin reuptake inhibitors (SSRIs). It works by increasing the amount of serotonin, a natural substance in the brain that helps maintain mental balance. 16. Methylphenidate if giving this medication to a patient with ADHD what would be a nursing priority? Weight AND Height 17. What medications is giving for convulsive seizures? Phenobarbital (Luminal) 18. If giving benztropine, what is this drug used to treat? is used to treat symptoms of Parkinson's disease or involuntary movements due to the side effects of certain psychiatric drugs (antipsychotics such as chlorpromazine/haloperidol). 19. A patient with multiple sclerosis what muscle relaxant would you give to treat MS? Baclofen 20. If setting up a patient on a PCA pump, what would be a priority? The device is preset, so your mother cannot get more than a specific amount. 21. If giving a thyroid medication, what lab work would you look at? TSH (thyroid-stimulating hormone) Free T4 (thyroxine) Free T3 or total T3 (triiodothyronine) 22. If patient is taking anabolic steroids, what is a serious adverse effect? Jaundice 23. What are the hearts natural pacemaker called? sinoatrial node (SA node) 24. Where does the first heartbeat come from? electrical impulses that travel down a special pathway through your heart: SA node (sinoatrial node) – known as the heart's natural pacemaker. The impulse starts in a small bundle of specialized cells located in the right atrium, called the SA node 25. If African American is overweight and hypertensive, what would be the first drug to administer? A diuretic 26. If giving a medication for blood pressure, what would be a nursing priority? 27. Before giving a blood pressure medication, what would you tell the patient to do before they take it? 28. If patient is hypertensive, what type of food would you tell them to stay away from? red meat, salt (sodium), and foods and drinks that contain added sugars. 29. How do cardiac glycosides work? (Digoxin) 30. Nitroglycerin for angina, what would be a nursing priority? The nurse should instruct the patient to stop all activities and sit or rest in bed in a semi-Fowler's position when they experience angina. 31. What is the term used for the movement that occurs when food passes the esophagus? Peristalsis 32. Where is nutrients absorbed? The small intestine 33. What does the liver produce for digestive processing? bile 34. If a has a peptic ulcer, what is the bacteria called that causing peptic ulcers? bacterium Helicobacter pylori (H. pylori) 35. How does Nexium work? It works by decreasing the amount of acid your stomach makes. It relieves symptoms such as heartburn, difficulty swallowing, and persistent cough. 36. What is Carafate used to treat and what does it do? This medication is used to treat and prevent ulcers in the intestines. 37. If a woman just had a C-section, what would drug would be ordered to ensure a normal bowel movement? (Soften stool) 38. What is Loperamide (Imodium), List side effects of this medication? dizziness, tiredness, constipation, stomach pain, skin rash, or. itching. 39. If 89-year-old continues to have liquid stool, what would be a good nursing diagnoses for that patient? Deficient fluid volume 40. If a nurse is administering magnesium citrate, what does it do? Increase motility, increase fluid, and enlarge bulk of fecal matter 41. If the patient has traveler’s diarrhea, what bacteria would you expect to see, when obtaining a stool culture? 42. If a patient is vomiting, what is a nursing diagnosis? 43. Why would a nurse administer antiemetics, how do they work? 44. A patient is going on a cruise and is prescribed medication for motion sickness, when would you suggest patient take medication? scopolamine. 45. If person is vomiting, is the most important thing for the nurse to do? 46. If a young female of childbearing age is vomiting, what would the nurse suspect? 47. If a female college student is complaining of headaches, nausea, and vomiting, and have been prescribed trimethobenzamide, what would you have them avoid while taking this medication? alcohol 48. Weight base Dosage Cal/ Dosage Cal (2 questions) 49. If a 9-year-old is vomiting, what would be the appropriate drug to administer? 50. What would be a priority for vomiting? Gastrointestinal system GI will be on exam: 1. What is a unique characteristic of the gastrointestinal (GI) system? It is the only system open to the external environment. 2. What is the purpose of the peritoneum? Help keep the GI tract in place and prevent friction with movement 3. A patient complains of frequent acid indigestion. The nurse instructs the patient to increase intake of what to reduce stimulation of acid production? Fiber 4. When the nurse administers a medication that stimulates the parasympathetic nervous system the drug will have what impact on the GI system? Decrease sphincter tone 5. What reflex causes an increase in small intestine activity when the stomach is stimulated by stretching, the presence of food, or cephalic stimulation? Gastroenteric 6. The nurse expects to find that the major activities of the GI tract decrease in a patient experiencing what? A stress reaction 7. The nurse assesses the postoperative patient who had abdominal surgery and finds a complete absence of bowel sounds caused by what reflex? Intestinalintestinal reflex 8. The nurse is caring for a patient who is having difficulty swallowing tablets. What action will the nurse implement to help the patient swallow their medication? I have the patient suck on popsicle 9. What does the nurse anticipate will happen first when the chemoreceptor trigger zone (CTZ) is stimulated? Salivation increases 10. What is the most basic type of movement that occurs in the esophagus? Peristalsis 11. Which substance is required for digestion and absorption of fats and fat-soluble vitamins? Bile 12. The nurse, caring for a patient about to undergo gastric bypass surgery, explains that the majority of nutrients are absorbed where? Small intestine 13. Water is absorbed in which portion of the intestine? Colon 14. The nurse is caring for a patient who does not produce adequate mucus in the stomach resulting in what problem? Ulceration 15. What is the stimulus for the Duodenalcolic reflex? Presence of food 16. The patient learns there are healthy bacteria in the bowel that aids in digestion and asks the nurse why bacterium doesn’t get into the bloodstream. The nurse described what barrier to answer the patient’s question? The omenta 17. The nurse is caring for a child diagnosed with cystic fibrosis whose body does not produce pancreatic enzymes appropriately which results in what? Digestion of carbohydrates 18. What does the liver produce that is important in the digestive process? bile 19. What is a layer of the nerve plexus? Myenteric 20. A nurse in a rehab facility recognizes the patient with damage to what area of the brain will affect the patient’s ability to swallow? Medulla oblongata 21. The nurse collects a nursing history from a patient who says she keeps so busy she often ignores the need to defecate. The nurse explains the danger of this behavior is what? External sphincter will require more distention to stimulate reflex 22. Nutrients absorbed from the small intestine travel directly to the liver via what system? Portal system 23. The nurse is caring for a patient who has developed severe constipation. What rationale does the nurse have for why the patient has also lost his or her appetite? Ileogastric reflex 24. A patient presents at the walk-in clinic complaining of stomach pain that is relieved by eating which the nurse suspects is caused by a peptic ulcer. How would the nurse explain the ulceration in the stomach to the patient? A mucosal lining protects the stomach from hydrochloric acid and a reduction in the mucosal lining or increase in acid production allows peptic ulcers to develop. 25. What process is used by the large intestine to evacuate waste products from the body? Mass movement 26. The steps of the swallowing reflex are 1. Soft palate elevates. 2. Respirations cease. 3. Larynx rises and the glottis closes., 4. Pharyngeal constrictor muscles contract. In what order do these actions occur in order to allow a person to swallow? 1,2,3,4 27. What occurs when the emetic zone is stimulated? Projectile vomiting 28. The patient who experiences nausea produces less stomach acid. The nurse recognizes this as having what effect? Protects the lining of the upper GI tract 29. The nurse is caring for a young child who fell and hit his or her head and is brought to the emergency room with projectile vomiting. How does the nurse interpret this behavior? The child has increased intracranial pressure 30. What actions are required by the patient to protect the lungs when vomiting? Closing of the glottis 31. While bathing the noncommunicative patient, the nurse notices the patient is swallowing repeatedly. What should the nurse do in response? Ready the emesis basin 32. The nurse admits a woman to the clinic for an annual exam. The patient denies any health issues but reports frequent constipation despite increasing fiber and water intake in her diet. What assessment questions will the nurse ask? Do you often wear Spanx or other tight constraining clothing? Drugs Affecting Gastrointestinal Secretions 1. What action does the histamine-2 antagonist administered by the nurse have on the human body that will help to prevent peptic ulcer disease? Reduces the amount of hydrochloric acid secreted 2. What classification of drugs does the nurse administer to treat peptic ulcers by suppressing the secretion of hydrochloric acid into the lumen of the stomach? Proton pump inhibitors 3. The nurse is caring for a patient requiring digestive enzyme replacement therapy and establishes what appropriate nursing diagnosis for this patient? Risk for imbalanced nutrition 4. What nursing interventions are included in the plan of care for a patient receiving antacids to relieve GI discomfort? Administer the antacid 1 hour before or 2 hours after other oral medications. 5. An adult patient is prescribed cimetidine (Tagamet). A nurse will instruct the patient that an appropriate dosage and frequency of cimetidine is what? 800 mg PO at bedtime 6. The nurse develops a discharge teaching plan for a patient who was prescribed pancreatic enzyme replacement and includes what important teaching point? Avoid spilling the powder on the skin because it may be irritating. 7. A patient comes to the clinic complaining of acid indigestion and tells the nurse he is tired of buying over-the-counter (OTC) antacids and wants a prescription drug to cure the problem. What would the nurse specifically assess for? alkalosis 8. A patient with a duodenal ulcer is receiving sucralfate for short-term treatment. What will the nurse advise the patient to avoid? Aluminum salts 9. A patient has been prescribed esomeprazole (Nexium). What statement by the patient does the nurse evaluate as indicating that he or she has a good understanding of his newly prescribed drug? I need to swallow the drug whole and not chew the capsules. 10. Which of these patients would the nurse expect to be the best candidate for misoprostol (Cytotec)? An 83-year-old man with rheumatoid arthritis 11. When comparing the histamine-2 antagonists to each other the nurse recognizes that cimetidine (Tagamet) is more likely to cause which adverse effect? Gynecomastia 12. What H2 antagonist would the nurse consider the drug of choice for a patient with advanced liver failure? Nizatidine 13. When caring for a patient diagnosed with a peptic ulcer, the nurse administers omeprazole (Prilosec) along with what antibiotic to eradicate Helicobacter pylori? Amoxicillin 14. What priority teaching point does the nurse include when instructing patients about the use of antacids? Be aware of risk of acid rebound with long-term use. 15. For treatment of a gastric ulcer, what would the recommended dosing schedule of famotidine (Pepcid) be? 20 mg b.i.d 16. The 59-year-old patient has peptic ulcer disease and is started on sucralfate (Carafate). What is an appropriate nursing diagnosis related to this medication? Risk for constipation related to GI effects 17. The nurse is preparing a patient for discharge with a prescription for sucralfate (Carafate) and teaches the patient to take the medication when? 1 hour before or 2 hours after meals and at bedtime 18. The patient will receive ranitidine (Zantac) 150 mg PO at bedtime. Prior to administration, the nurse inform the patient that common adverse effects related to this medication include what? Headache 19. The nurse administers ranitidine (Zantac) cautiously to patients with evidence of what conditions? Renal disease 20. The nurse would question an order for misoprostol if the patient was diagnosed with what condition? pregnancy 21. After providing teaching to a patient prescribed lansoprazole (Prevacid), the nurse evaluates the patient understands the action of this medication when the patient makes what statement? The medication inhibits acid secretions. 22. A patient presents to the walk-in clinic complaining of vomiting and burning in his or her midepigastria. The nurse suspects peptic ulcer disease and knows that to confirm peptic ulcer disease, the physician is likely to order a diagnostic test to detect the possible presence of what? Infection with Helicobacter pylori 23. The nurse is providing education for a patient with peptic ulcer disease resulting from chronic nonsteroidal anti-inflammatory drug (NSAID) use who will begin a prescription of misoprostol (Cytotec). The nurse evaluates that the patient understands the actions of this drug when he or she says it does what? Protects the stomachs lining 24. What drug combination will the nurse normally administer most often to treat a gastric ulcer? 25. What drug combination will the nurse normally administer most often to treat a gastric ulcer? Antibiotics and proton pump inhibitors 26. The nurse questions an order for a proton pump inhibitor when the patient is known to take what other medication? Theophylline 27. What histamine-2 antagonist might the nurse administer to a child? Famotidine 28. The nurse is caring for a 27-year-old female patient who has just been prescribed misoprostol. What is a priority teaching point for this patient? You will need to use a barrier-type contraceptive 29. The clinic nurse is caring for a 78-year-old male patient who is taking a proton pump inhibitor. What condition is this patient at increased risk for developing? Pernicious anemia 30. The nurse admits a patient who reports having taken a proton pump inhibitor for more than a decade. What assessment question will the nurse ask this patient? Are you experiencing diarrhea? 31. What symptoms would the nurse find to be consistent with a diagnosis of a peptic ulcer? Pain a few hours after eating 32. The nurse is caring for a patient with cystic fibrosis who has recently not been taking her pancreatic enzymes recently. What is the primary assessment finding the nurse will see as a result of this noncompliance? Malnutrition 33. The nurse, caring for a patient with cystic fibrosis, administers pancreatic enzymes on what schedule? With meals and snacks 34. The patient prescribed nizatidine (Axid) chooses to take the medication once a day at bedtime. What dosage will the nurse administer? 150 to 300 mg Drugs Affecting Gastrointestinal Motility 1. The nurse teaches the patient to best maintain optimal GI function by including what in the daily routine? Proper diet, fluid intake, and exercise 2. The nurse admits to the clinic a 7-month-old infant whose mother reports that the baby has not had a bowel movement in 6 days. What drug would be appropriate to treat this patient? Glycerin (Sani-Supp) 3. The nurse provides drug teaching to the patient who will begin taking polycarbophil (FiberCon). What is the nurse’s priority teaching point? Drink lots of water when taking the drug. 4. A new mother required an episiotomy during the birth of her baby. Two days after delivery, the patient is in need of a laxative. What will be the most effective drug for the nurse to administer? Docusate (Colace) 5. The nurse, teaching a patient to be discharged with an order to use chemical stimulant laxatives PRN, instructs the patient that one of the most common adverse effects of this type of laxative is what? Abdominal cramping 6. A patient taking a chemical stimulant laxative and medications for heart failure and osteoarthritis calls the clinic and reports to the nurse that she is not feeling right. What is the priority question the nurse should ask this patient? Timing of medication administration 7. A patient who is taking metoclopramide (Reglan) has come to the clinic for a follow-up visit. The nurse will be most concerned about a drug-drug interaction when learning the patient is taking what other medication? Digoxin (Lanoxin) 8. What should the nurse tell the patient who will begin taking rifaximin (Xifaxan) for traveler’s diarrhea? Do not take the drug if you have bloody diarrhea. 9. A clinic patient with a history of heart failure requires a laxative for treatment of chronic constipation. What medication would be most appropriate for this patient? Lactulose (Chronulac) 10. A man with irritable bowel syndrome reports ongoing diarrhea and asks for a prescription for alosetron (Lotronex), which was helpful for his coworker who recently started taking the drug. What is the nurse’s best response? This drug is only approved for use in women. 11. The nurse administers psyllium hydrophilic mucilloid (Metamucil) expecting it to have what action? Adds bulk to the stool 12. The nurse administers loperamide (Imodium) to decrease the number and liquidity of stool by what mechanism? Decreasing intestinal motility 13. The nurse teaches the patient that a common adverse effect of loperamide (Imodium) is what? fatigue 14. The nurse will question an order for bismuth salts (Pepto-Bismol) in a patient with what condition? Allergy to aspirin 15. The home health nurse is caring for a 72-year-old man in his home. He complains about almost daily diarrhea. The nurse assesses for what common cause of diarrhea in older adults? Laxative overuse 16. What is the antidiarrheal of choice the nurse will administer to children older than 2 years of age with diarrhea? Loperamide (Imodium) 17. What antidiarrheal would the nurse administer to reduce the volume of discharge from the patient’s ileostomy? Loperamide (Imodium) 18. The nurse teaches the patient who was prescribed a chemical stimulant laxative that this medication may have either a slow, steady effect or may cause severe cramping and rapid evacuation of the contents of the large intestine. What drug is the nurse teaching this patient about? Cascara 19. What is the priority nursing diagnosis for an 89-year-old patient with frequent liquid stools? Deficient fluid volume 20. What drug does the nurse recognize as being classified as a chemical stimulant? Bisacodyl (Dulcolax) 21. The nurse is caring for a patient who has had impacted stools twice in the past month. What is an appropriate laxative for this patient? Agoral Plain 22. The home health nurse is caring for a patient with encopresis who was started on mineral oil therapy. The nurse teaches the patient and family that a common adverse effect is what? Leakage 23. When would it be appropriate for the nurse to administer castor oil as a laxative? To evacuate the bowel for diagnostic procedures 24. For what action would the nurse administer magnesium citrate? Increase motility, increase fluid, and enlarge bulk of fecal matter 25. The nurse administers metoclopramide to the patient with what condition? Chronic diabetic gastroparesis 26. What drug does the nurse administer that inhibits intestinal peristalsis through direct effects on the longitudinal and circular muscles of the intestinal wall? Loperamide 27. The family brings a patient to the emergency department saying he has been hallucinating and falls so deeply asleep he stops breathing when not stimulated. The nurse learns the patient has been self- treating diarrhea and suspects the patient was taking what medication? Paregoric 28. The nurse develops a teaching plan for a 77-year-old patient who has been prescribed loperamide PRN. The nurse’s priority teaching point is what? Take drug after each loose stool 29. A patient receiving loperamide (Imodium) should be alerted by the nurse to what possible adverse effect? Fatigue 30. The patient had surgery 2 days ago and bowel motility has not returned. What drug might the nurse administer to stimulate the gastrointestinal (GI) tract? Dexpanthenol 31. The hospice nurse is caring for a patient diagnosed with bone cancer who is receiving large doses of opioid medications to relieve pain. The patient has used other laxatives in the past to treat opioid- induced constipation but nothing is working now. What drug would the nurse request the family doctor to order for this patient? Methylnaltrexone (Relistor) 32. The nurse, providing patient teaching, explains that difenoxin and diphenoxylate are chemically related to what medication? demerol 33. The nurse collects a stool culture from a patient diagnosed with traveler’s diarrhea. What bacterium does the nurse expect the culture to grow? Escherichia coli 34. The nurse administers lubiprostone (Amitiza) to the patient with irritable bowel syndrome and anticipates what therapeutic action from the drug? Secretion of chloride-rich intestinal fluid leading to increased motility Antiemetic Agents 1. A high school student starts vomiting and goes to see the school nurse. The student asks the nurse what part of his brain makes him vomit. What area of the brain will the nurse tell the student must be stimulated for vomiting to occur? Chemoreceptor trigger zone (CTZ) 2. A 25-pound child is in the clinic because of vomiting the last 24 hours. The nurse is to administer trimethobenzamide (Tigan). What dose will the nurse administer by what route? 100 mg rectally 3. The clinic nurse is caring for a 55-year-old farmer who has been prescribed an antiemetic for an inner ear problem. The patient states I need to get back to work. With this patient especially, what will the nurse caution him about? Photosensitivity 4. A female college student with migraine headaches that cause nausea and vomiting has been prescribed trimethobenzamide (Tigan). It is important for the nurse to caution the student to avoid using what? Alcohol 5. A cancer patient is in the outpatient department to receive chemotherapy. The nurse administers prochlorperazine (Compazine) prophylactically before the infusion. What will the nurse’s teaching for this patient include? Avoid driving or any dangerous activities if dizziness or drowsiness occurs. 6. What is an appropriate nursing action for a hospitalized patient receiving aprepitant (Emend)? Encourage fluids. 7. The nurse is working in the medical station at a local amusement park. An adult is being seen complaining of dizziness and feelings of seasickness after going on several rides. What would the nurse suspect the patient may benefit from? An anticholinergic 8. A women’s community group is attending the first-aid class the nurse is teaching. The nurse will instruct the women to do what if a child ingests a possible overdose of medication or other potential poison? Call the local poison control center and follow their directions. 9. The nurse is caring for a child who has been vomiting intermittently for 24 hours. What is the drug of choice for children who need an antiemetic? Prochlorperazine (Compazine) 10. The nurse is caring for a patient who has begun vomiting after undergoing bariatric surgery. When including this complication in the plan of care, what would be an appropriate nursing diagnosis related to the adverse effects of drowsiness and weakness associated with an antiemetic? Risk for injury related to CNS effects 11. What medication, given with aprepitant (Emend), is used to effectively manage chemotherapyinduced emesis? Dexamethasone What symptom may be related to the use of dronabinol (Marinol)? 12. People taking phenothiazines need to be assessed for extrapyramidal symptoms. What effects are considered adverse effects of the phenothiazines? Drowsiness, dystonia, and blurred vision 13. A 57-year-old patient is to receive metoclopramide (Reglan) for nausea. What statement by the patient leads the nurse to believe that the patient has understood the nurse’s teaching? I may be drowsy as a result of taking this medication. 14. Prochlorperazine (Compazine) is contraindicated in which population? Pregnant women 15. A clinic nurse is caring for a 5-year-old brought to the clinic with a history of intermittent vomiting for 24 hours. The nurse would recognize that which drug is not recommended for use in children? Metoclopramide 16. A 54-year-old patient is going on an ocean cruise. What medication would be most effective for motion sickness? Meclizine (Antivert) 17. What is the best indicator of decreased nausea after administering ondansetron (Zofran) IV? Patient states, I feel less nauseated. 18. What is an example of a locally acting antiemetic? antacid 19. What is the therapeutic action of the phenothiazines in reducing nausea? Change responsiveness of the chemoreceptor trigger zone (CTZ) 20. How does buclizine (Bucladin) function as an effective antiemetic? Promotes anticholinergic effects 21. What is the main action of antiemetics? Depressing hyperactive vomiting reflex 22. When would the nurse recommend that a traveler take an oral antiemetic to prevent motion sickness? 30 minutes prior to trip 23. The nurse is caring for a patient who is vomiting. Which nursing intervention is most important after the patient vomits? Rinse patient’s mouth with water 24. The nurse is caring for a patient who is receiving ondansetron (Zofran) for nausea associated with chemotherapy. The nurse would teach the patient that what adverse effect may occur with this medication? Headache and myalgia 25. The obstetrics nurse is caring for a patient who started vomiting before delivering her son. The patient is still complaining of nausea and vomiting an hour after her delivery. What medicine would the nurse expect the physician to order for this patient? Hydroxyzine (Vistaril) 26. The patient has begun complaining about nausea and vomiting. What would the nurse assess to determine the need for therapy? Color, amount, and frequency of vomiting episodes 27. The nurse is caring for an oncology patient who is vomiting. When writing a plan of care for this patient, what would be an appropriate nursing diagnosis? Decreased cardiac output related to cardiac effects 28. The nurse is discharging a patient being sent home on antiemetic therapy. How would the nurse evaluate the plan of care that this patient has had while hospitalized? Monitor for adverse effects. 29. A nursing student correctly identifies which body system as being associated with most of the adverse effects of antiemetics? Central nervous system (CNS) 30. A patient has received a prescription for nabilone (Cesamet) for treatment of nausea. The nurse is aware that this medication is used for what reason ? The patient has not responded to other medications. 31. The nurse is performing an admission assessment of a female teenage patient who has been experiencing nausea and vomiting. What question would be most important for the nurse to ask this patient? What is the date of your last period? 32. A patient develops intractable hiccoughs after surgery. The nurse anticipates that the physician will order which drug? Chlorpromazine (Thorazine) 33. The nurse is aware that patients who experience motion sickness are experiencing problems with which body system? Vestibular