Palliative and End-of-Life Care · NCLEX Exam

A patient with advanced cancer is experiencing refractory nausea and vomiting despite standard therapy. What is the next step in symptom management?

  1. Stop all antiemetic medication and reassess in a few days
  2. Rotate the antiemetic class, add non-pharmacologic measures, and consult palliative care
  3. Explain that nausea is expected and provide no further treatment
  4. Increase the underlying chemotherapy dose to control the symptom
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Correct answer: Rotate the antiemetic class, add non-pharmacologic measures, and consult palliative care

Refractory nausea and vomiting require escalation: rotating antiemetic classes, adding non-pharmacologic measures, and involving the palliative team for tailored symptom control.

Difficulty: Medium Question 12 of 17

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