A nurse is teaching a client who is prescribed metoclopramide about signs and symptoms to report to the primary health care provider.
The nurse determines that the teaching was successful when the client states which of the following?
Difficulty swallowing.
Nausea.
Muscle laxity.
Shuffling gait.
The Correct Answer is A
Choice B rationale:
Nausea is a common side effect of metoclopramide, and while it is important to monitor, it is not a symptom that the client should specifically report to the primary healthcare provider unless it becomes severe or persistent.
Choice C rationale:
Muscle laxity and shuffling gait (Choices C and D) are potential side effects of other medications, such as antipsychotic drugs, but they are not typically associated with metoclopramide. Therefore, these are not the symptoms the client should report. Difficulty swallowing (Choice A) is a concerning side effect of metoclopramide and should be reported to the healthcare provider immediately. It can be a sign of a serious condition called tardive dyskinesia, which is a potentially irreversible side effect of the medication. Early recognition and discontinuation of metoclopramide are essential to prevent further complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Simethicone is not typically associated with causing heartburn. Its primary function is to relieve gas in the digestive system and alleviate abdominal discomfort.
Choice B rationale:
Simethicone is not known to induce vomiting. It is used to reduce gas in the gastrointestinal tract, and its side effects are generally mild.
Choice C rationale:
Fainting is not a common side effect of simethicone. Simethicone is generally well-tolerated and does not have a significant impact on blood pressure or consciousness.
Choice D rationale:
The nurse should assess the client for the possibility of nausea after administering simethicone. Nausea is a potential side effect of the medication, although it is not very common. Monitoring for this side effect is important to ensure the client's comfort and safety.
Correct Answer is C
Explanation
Choice A rationale:
Instructing the patient to increase dietary intake is not the most likely intervention when a patient shows improvement with penicillin therapy. Dietary advice would be more relevant if the patient was experiencing gastrointestinal side effects or had specific nutritional needs due to their condition or treatment.
Choice B rationale:
Informing the primary health provider immediately is not typically necessary when a patient shows improvement with penicillin therapy. It's crucial to continue monitoring the patient's progress, but this choice suggests an unnecessary action.
Choice C rationale:
This is the correct answer. When a patient undergoing penicillin therapy shows improvement, the nurse should record assessments and observations on the patient's chart. This helps track the patient's progress and ensures that the healthcare team has up-to-date information about the patient's condition.
Choice D rationale:
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