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”
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
After a pneumonectomy, positioning the client on the nonoperative side helps maximize ventilation to the remaining lung and facilitates drainage of secretions. Placing the client on the nonoperative side allows for better perfusion and ventilation of the remaining lung, which can improve oxygenation and respiratory function.
B-sims position is used during insertion of suppository of a rectal exam
C -Semi-Fowler's position is used in clients with heart failure and pulmonary edema to promoted ventilation in the upper lungs
D-Prone position is used during surgical procedures involving the back in the operating room
Correct Answer is D
Explanation
Ciprofloxacin is a fluoroquinolone antibiotic that is associated with tendon rupture and tendonitis especially involving the Achilles tendon. Informing the client to report any tendon pain ensure that any complication is addressed and the medications stopped if need be.
A. ciprofloxacin causes diplopia and blurred vision but does not cause photophobia hence no need for sunglasses
B. The client should increase hydration as organism in UTI can predispose to urolithiasis
C. Antacids containing aluminum, magnesium, or calcium can interfere with the absorption of ciprofloxacin, reducing its effectiveness. They should be taken at least 2 hours before or 6 hours after taking the medication.
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