A nurse is caring for a client who has nausea and a prescription for metoclopramide intermittent IV bolus every 4 hr as needed. The client asks the nurse how metoclopramide Will relieve her nausea. Which of the following explanations should the nurse provide?

“The medication works by decreasing gastric acid secretions”

"The medication relieves nausea by promoting gastric emptying."

"The medication relieves nausea slowing peristalsis.

"The medication works by relaxing gastric muscles”

Answer and Explanation

The Correct Answer is B

Metoclopramide is a prokinetic agent that increases the motility of the upper gastrointestinal tract. Metoclopramide helps accelerate gastric emptying and promotes movement of food through the digestive system. This action can alleviate symptoms of nausea and vomiting by reducing the likelihood of food staying in the stomach for an extended period, which can contribute to feelings of discomfort.

A. Metoclopramide does not increase or decrease gastric acid secretions.

C. Metoclopramide accelerates peristalsis or the movement of food through the gastrointestinal tract.

D. Metoclopramide increases muscle tone and GI motility

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Correct Answer is B

Explanation

Baclofen is a muscle relaxant use to manage muscle spasm in clients with neuromuscular disorders such as multiple sclerosis. Dizziness and drowsiness are among the common side effects of baclofen. Concurrent use of antihistamines can worsen the drowsiness because antihistamines also have a sedative effect

A. Baclofen commonly causes constipation

C. Baclofen can be taken even with a headache

D. Baclofen can be taken with or without food.

A. "Clients who have glaucoma should not take warfarin." B. "Clients who have rheumatoid arthritis should not take warfarin." C. "Clients who are pregnant should not take warfarin." D. "Clients who have hyperthyroidism should not take warfarin."

Correct Answer is C

Explanation

Warfarin is a coumarin anticoagulant that has potential to increase the risk of bleeding. When taken during pregnancy, warfarin causes fetal bleeding. Warfarin is also teratogenic and it causes various birth defects including skeletal abnormalities, hypoplastic nose, intellectual disabilities and deafness hence it's contraindicated. Pregnant women who require anticoagulation are put of heparin in the place of warfarin to prevent these complications.
A. B, D - are not contraindications for warfarin use.

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A nurse is caring for a client who has nausea and a prescription for metoclopramide intermittent IV bolus every 4 hr as needed. The client asks the nurse how metoclopramide Will relieve her nausea. Which of the following explanations should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has multiple sclerosis about a new prescription for baclofen. Which of the following instructions should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is educating a group of clients about the contraindications of warfarin therapy. Which of the following statements should the nurse include in the teaching?

Correct Answer is C

Explanation

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