A Patient Is Beginning the Second Round of High-Dose Cisplatin

question 6

Multiple Choice

A patient is beginning the second round of high-dose cisplatin.Severe,chemotherapy-induced nausea and vomiting (CINV) occurred following the first treatment,requiring 72 hours of continuous IV hydration.In addition to her chemotherapy regimen,which medication would be best to administer?

• A) Prochlorperazine (Compazine)suppository daily,on the day of treatment and the next 3 days
• B) Anticholinergic agents,such as diphenhydramine or meclizine
• C) Parenteral ondansetron 1 hour before chemotherapy,with oral ondansetron to continue for the next 4 days
• D) Parenteral ondansetron during chemotherapy,with prochlorperazine suppositories daily for 1 week

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Definitions:

Conditioned Response Strength

The magnitude of a response elicited by a conditioned stimulus, often influenced by factors like the frequency and consistency of conditioning.

Church Bell

A bell found in a church tower or steeple, used for calling the congregation to worship and marking time.

Doorbell

A device designed to produce a sound, or a bell signal when pressed, used as an alert mechanism for the presence of visitors.

Optimal Interstimulus Intervals

The ideal time gap between consecutive stimuli that maximizes learning or the effectiveness of a response.