A nurse is caring for a client who has gastroesophageal disease and a prescription for metoclopramide. For which of the following adverse effects should the monitor?
Sedation
Hypertension
Urinary retention
Blurred vision
The Correct Answer is A
Metoclopramide is a medication commonly used to treat gastrointestinal disorders such as gastroesophageal reflux disease (GERD). While it is generally well-tolerated, it can have some adverse effects. Sedation is one of the common side effects of metoclopramide. It can cause drowsiness, dizziness, and a feeling of tiredness in some individuals. Therefore, the nurse should monitor the client for any signs of sedation or excessive drowsiness, especially when the client starts taking the medication or when the dose is increased.
Hypertension: Metoclopramide is not known to cause hypertension (high blood pressure) as a common side effect. In fact, it may have a mild hypotensive (blood pressure-lowering) effect in some individuals.
Urinary retention: Metoclopramide does not typically cause urinary retention. Instead, it can enhance gastrointestinal motility and increase the frequency of bowel movements.
Blurred vision: While visual disturbances are rare adverse effects of metoclopramide, blurred vision is not a commonly reported side effect. However, other visual disturbances like oculogyric crisis (involuntary rolling back of the eyes) have been reported in rare cases. Nevertheless, monitoring for blurred vision specifically is not a priority when administering metoclopramide.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Measuring the output from an indwelling urinary catheter is within the scope of practice for an assistive personnel (AP). It involves a straightforward task that does not require specialized nursing knowledge or judgment.
The other tasks mentioned should not be delegated to an AP:
Administer an enteral feeding to a client who has a new gastrostomy tube: Administering enteral feedings requires specialized knowledge and training to ensure proper placement and administration. This task should be performed by a licensed nurse.
Evaluate a client's pain level 30 min after receiving an oral analgesic: Evaluating pain level and the effectiveness of pain management requires nursing assessment and judgment. This task should be performed by a licensed nurse.
Reinforce foot care to a client who has a new diagnosis of diabetes mellitus: Providing education and reinforcing foot care to a client with a new diagnosis of diabetes requires
specialized knowledge about the disease and its management. This task should be performed by a licensed nurse.
Correct Answer is B,A,C,D
Explanation
The correct sequence of steps the nurse should take to administer the enema is:
1. Provide for the client's privacy by closing the curtains.
2. Confirm the client's identity by checking her wristband.
3. Assist the client into the Sims position.
4. Insert the tip of the enema tubing into the client's rectum.
Proper infection control measures, preparing the enema solution, monitoring the flow rate, and documenting the procedure are among other important considerations that should be taken into account.
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