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 A

Explanation

Following traumatic brain injury, the cerebral tissues undergoes an inflammatory process in response to the trauma leading to brain edema. This increases intracranial pressure which presents with features such as seizures, headaches and other focal neurological deficits. Mannitol is an osmotic diuretic that works by drawing water out of brain tissue and into the bloodstream, thereby reducing cerebral edema and intracranial pressure.
B, C, D have no role in raised intracranial pressure

A. Insert the needle slowly and gently. B. Use 45' angle of insertion. C. Aspirate for to 10 seconds. D. Pull the skin 1.2 cm (1/2 inch) to the side.

Correct Answer is D

Explanation

The Z-track technique is an intramuscular injection technique used to prevent leakage to medication into the subcutaneous site after injection. It involves;

pulling the skin and subculture tissue about one inch away from the muscle
Insert the needle at 90 degrees
Needle inserted quickly and deeply
Remove the needle then release the skin
Do not massage or aspirate

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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 caring for a client who has a traumatic head injury and is exhibiting signs of increasing intracranial pressure. Which Of the following medications should the nurse plan to administer?

Correct Answer is A

Explanation

A nurse is preparing to use the Z-track technique to administer a medication to a client. Which of the following is an appropriate action during this procedure?

Correct Answer is D

Explanation

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