The nurse is caring for a patient who has been prescribed scopolamine for motion sickness

Drug information provided by: IBM Micromedex

Use this medicine exactly as directed by your doctor. Do not use more of it, do not use it more often, and do not use it for a longer time than your doctor ordered. It will only work if applied correctly.

This medicine comes with a Medication Guide and patient instructions. Read and follow these instructions carefully. Ask your doctor if you have any questions.

To use the patch:

  • Wash your hands with soap and water before and after applying a patch. Do not touch your eyes until after you have washed your hands.
  • Apply the patch right away after removing it from the protective pouch. Do not cut it into smaller pieces and do not touch the sticky surface of the patch.
  • Apply the patch to a clean, dry, and intact skin area behind your ear. Choose an area with little or no hair and free of scars, cuts, pain, tenderness, or irritation.
  • Press the patch firmly in place with your fingertips to make sure that the edges of the patch stick well.
  • The patch should stay in place even during showering, bathing, or swimming. Apply a new patch behind the other ear if the first one becomes too loose or falls off.
  • Only one patch should be used at any time.
  • Remove the patch after 3 days. If treatment is to be continued for more than 3 days, remove the first patch and apply a new one behind the opposite ear.

Dosing

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

  • For transdermal dosage form (patch):
    • For prevention of nausea and vomiting after anesthesia, narcotic pain medicine, and surgery:
      • Adults—Apply one patch behind the ear the evening before surgery. Leave it in place for 24 hours.
      • Children—Use is not recommended.
    • For prevention of nausea and vomiting from motion sickness:
      • Adults—Apply one patch behind the ear at least 4 hours before the effect is needed, for up to 3 days.
      • Children—Use is not recommended.

Missed Dose

If you forget to wear or change a patch, put one on as soon as you can. If it is almost time to put on your next patch, wait until then to apply a new patch and skip the one you missed. Do not apply extra patches to make up for a missed dose.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

After removing a used patch, fold the patch in half with the sticky sides together. Make sure to dispose of it out of the reach of children and pets.

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Portions of this document last updated: June 01, 2022

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Game Title: Pharm I & II, Units 5-6

Question: 1

The nurse is caring for a patient who has been prescribed scopolamine for motion sickness

A nurse has an order to administer heparin, before initiating therapy, a priority nursing assessment will be the patient’s:
APTT

Game Title: Pharm I & II, Units 5-6

Question: 2

The nurse is caring for a patient who has been prescribed scopolamine for motion sickness

A nurse caring for a Patient who has a new prescription for verapamil to treat A-Fib. The nurse should instruct the patient to avoid drinking grapefruit juice while taking verapamil because it can cause the patient to experience which condition?
Hypotension

Game Title: Pharm I & II, Units 5-6

Question: 3

The nurse is caring for a patient who has been prescribed scopolamine for motion sickness

A patient should be instructed to take sublingual Nitroglycerin how often if he experiences chest pain?
Every 5 minutes, up to 3 times

Game Title: Pharm I & II, Units 5-6

Question: 4

The nurse is caring for a patient who has been prescribed scopolamine for motion sickness

A nurse is providing teaching to a patient who has new prescription for lisinopril. The nurse should instruct the patient to report which finding because it could indicate an adverse reaction to the new drug?
Angioedema

Game Title: Pharm I & II, Units 5-6

Question: 5

The nurse is caring for a patient who has been prescribed scopolamine for motion sickness

What is the most common osmotic diuretic ordered for a patient with a sever head injury?
Mannitol (Osmitrol)

Game Title: Pharm I & II, Units 5-6

Question: 6

The nurse is caring for a patient who has been prescribed scopolamine for motion sickness

What would a nurse administer for a Heparin overdose?
Protamine Sulfate

Game Title: Pharm I & II, Units 5-6

Question: 7

The nurse is caring for a patient who has been prescribed scopolamine for motion sickness

What is the most common loop diuretic given?
Lasix- Furosemide

Game Title: Pharm I & II, Units 5-6

Question: 8

The nurse is caring for a patient who has been prescribed scopolamine for motion sickness

A nurse should instruct a patient who will start taking an ACE inhibitor that a Rash is a common side effect.
False, Persistent Cough

Game Title: Pharm I & II, Units 5-6

Question: 9

The nurse is caring for a patient who has been prescribed scopolamine for motion sickness

Antacids are known to react with Digoxin how?
Antacids decrease absorption of digoxin and its effectiveness.

Game Title: Pharm I & II, Units 5-6

Question: 10

The nurse is caring for a patient who has been prescribed scopolamine for motion sickness

When should a nurse withhold Digoxin for their patient with heart failure?
If HR is less than 60

Game Title: Pharm I & II, Units 5-6

Question: 11

The nurse is caring for a patient who has been prescribed scopolamine for motion sickness

What are the signs of Digoxin toxicity?
Anorexia, N\V, Vision changes (blurred, yellow\green or white halos), fatigue and weakness

Game Title: Pharm I & II, Units 5-6

Question: 12

The nurse is caring for a patient who has been prescribed scopolamine for motion sickness

What type of medication is prescribed to treat hypercholesterolemia?
Statins

Game Title: Pharm I & II, Units 5-6

Question: 13

The nurse is caring for a patient who has been prescribed scopolamine for motion sickness

What finding would indicate an adverse effect of Hydrochlorothiazide in a patient who has gouty arthritis?
Hyperuricemia

Game Title: Pharm I & II, Units 5-6

Question: 14

The nurse is caring for a patient who has been prescribed scopolamine for motion sickness

A nurse is caring for a client who has gastroesophageal disease and a prescription for metoclopramide. A nurse would monitor for urinary retention because this is an adverse reaction.
False- A nurse would monitor for sedation

Game Title: Pharm I & II, Units 5-6

Question: 15

The nurse is caring for a patient who has been prescribed scopolamine for motion sickness

A nurse is reinforcing teaching with a client who has a peptic ulcer disease and is starting therapy with sucralfate. When would the nurse tell the patient to take the medication?
Take the medication 1 hour before meals

Game Title: Pharm I & II, Units 5-6

Question: 16

The nurse is caring for a patient who has been prescribed scopolamine for motion sickness

Excessive laxative use can cause an electrolyte imbalance.
True

Game Title: Pharm I & II, Units 5-6

Question: 17

The nurse is caring for a patient who has been prescribed scopolamine for motion sickness

A transdermal scopolamine patch is applied where?
Behind the ear

Game Title: Pharm I & II, Units 5-6

Question: 18

The nurse is caring for a patient who has been prescribed scopolamine for motion sickness

How does sucralfate achieve a therapeutic effect?
By forming a protective barrier over the gastric mucosa

Game Title: Pharm I & II, Units 5-6

Question: 19

The nurse is caring for a patient who has been prescribed scopolamine for motion sickness

To avoid fecal impaction, psyllium or Metamucil should be administered with atleast how many ounces of fluid?
8 ounces

Game Title: Pharm I & II, Units 5-6

Question: 20

The nurse is caring for a patient who has been prescribed scopolamine for motion sickness

A patient stating that “I can move my joints more easily” would indicate that the omeprazole that they have been taking is effective.
False, The patient would state that they had relief from the pain in their stomach or something similar

Game Title: Pharm I & II, Units 5-6

Question: 21

The nurse is caring for a patient who has been prescribed scopolamine for motion sickness

Ondansetron should be infused 1 hour before a patient is to receive Chemotherapy.
False, 30 minutes prior

Game Title: Pharm I & II, Units 5-6

Question: 22

The nurse is caring for a patient who has been prescribed scopolamine for motion sickness

When a Histamine, H2 antagonist drug is prescribed for the treatment of a peptic ulcer, the nurse monitors the client for which adverse effect?
Headache and Somnolence

Game Title: Pharm I & II, Units 5-6

Question: 23

The nurse is caring for a patient who has been prescribed scopolamine for motion sickness

A patient receiving an anticholinergic drug should be taught to expect to have a dry mouth.
True

Game Title: Pharm I & II, Units 5-6

Question: 24

The nurse is caring for a patient who has been prescribed scopolamine for motion sickness

The nurse should teach a client about which antiemetic commonly used to prevent motion sickness?
Scopolamine

Game Title: Pharm I & II, Units 5-6

Question: 25

The nurse is caring for a patient who has been prescribed scopolamine for motion sickness

A nurse is reviewing medications for a client who has been diagnosed with a small bowel obstruction. The nurse should withhold senna prescribed orally based on what understanding?
Laxatives are contraindicated in clients who have a small bowel obstruction

Which drug class is used along with commonly prescribed antiemetics to prevent nausea and vomiting associated with chemotherapy?

Ondansetron is used to prevent nausea and vomiting caused by cancer chemotherapy, radiation therapy, and surgery. Ondansetron is in a class of medications called serotonin 5-HT3 receptor antagonists.

Which antiemetic is most likely to treat motion sickness?

Ondansetron is the most often recommended antiemetic but has been shown to be a poor treatment choice for motion sickness. Benzodiazepines such as diazepam have been shown to prevent motion sickness but not as well as other options.

What drug treats nausea and vomiting and motion sickness?

Dimenhydrinate is used to prevent and treat nausea, vomiting, and dizziness caused by motion sickness. Dimenhydrinate is in a class of medications called antihistamines.

Is scopolamine an antiemetic?

Transderm Scop is a prescription medicine used to treat the symptoms of nausea or vomiting caused by motion sickness or from anesthesia. Transderm Scop may be used alone or with other medications. Transderm Scop belongs to a class of drugs called Antiemetic Agents.