The nurse administers metoclopramide to the client with what condition?

Impaction.

Chronic diabetic gastroparesis.

Encopresis.

Clients requiring diagnostic procedures.

Answer and Explanation

The Correct Answer is B

Metoclopramide is a medication that increases muscle contractions in the upper digestive tract and speeds up the rate at which the stomach empties into the intestines. It is used to treat gastroparesis (slow stomach emptying) in people with diabetes, which can cause heartburn and stomach discomfort after meals.

Choice A is wrong because impaction is a condition where a large mass of dry, hard stool becomes stuck in the rectum and cannot be passed.

Metoclopramide does not treat impaction, but laxatives or enemas may be used instead.

Choice C is wrong because encopresis is a condition where a child over the age of 4 has involuntary bowel movements, usually due to chronic constipation.

Metoclopramide does not treat encopresis, but behavioral therapy, laxatives, or dietary changes may be used instead.

Choice D is wrong because metoclopramide is not used for clients requiring diagnostic procedures involving the stomach or intestines.

However, it may be used to prevent nausea and vomiting caused by chemotherapy or surgery.

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Correct Answer is B

Explanation

The nurse should caution the student to avoid using alcohol with trimethobenzamide because this combination can cause side effects such as drowsiness, dizziness, and impaired reactions. Alcohol can also worsen the symptoms of nausea and vomiting.

Choice A is wrong because St.

John’s wort is a herbal supplement that is used to treat depression and anxiety.

It does not interact with trimethobenzamide.

Choice C is wrong because calcium channel blockers are a class of medications that are used to treat high blood pressure and heart problems.

They do not interact with trimethobenzamide.

Choice D is wrong because selective serotonin reuptake inhibitors (SSRIs) are a class of medications that are used to treat depression and anxiety.

They do not interact with trimethobenzamide.

Trimethobenzamide is an antihistamine that works by blocking the D receptor in the brain and suppressing the chemoreceptor trigger zone that causes nausea and vomiting.

It is available as an oral capsule or an intramuscular injection.

It can cause side effects such as skin rash, tremors, parkinsonism, and jaundice.

It should not be used in children or people with liver or kidney disease.

A. Liver failure. B. Radiation injury. C. Malignancy. D. Hypothyroidism.

Correct Answer is C

Explanation

Hypercalcemia is a condition caused by having too much calcium in the blood, which can affect the function of nerves, muscles, kidneys and heart. Hypercalcemia can occur in children due to various causes, both acquired and genetic. One of the most common causes of hypercalcemia in children is cancer, especially cancers that affect the bones or produce substances that mimic parathyroid hormone (PTH), which regulates calcium levels.

Choice A is wrong because liver failure does not directly cause hypercalcemia, although it can affect vitamin D metabolism and calcium absorption.

Choice B is wrong because radiation injury does not cause hypercalcemia, unless it damages the parathyroid glands or causes bone destruction.

Choice D is wrong because hypothyroidism does not cause hypercalcemia, although it can affect bone turnover and calcium excretion.

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The nurse administers metoclopramide to the client with what condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A college student with migraine headaches that cause nausea and vomiting has been prescribed trimethobenzamide. The nurse should caution the student to avoid using which substance?

Correct Answer is B

Explanation

The nurse is caring for a pediatric client with a new onset of hypercalcemia. What condition would be most likely to cause this altered serum calcium level?

Correct Answer is C

Explanation

The client is 8 weeks pregnant and requires an antithyroid medication. The nurse identifies what drug as the drug of choice for this client?

The nurse is providing client teaching regarding the administration of levothyroxine. What is the nurse’s priority teaching point?

A client with a duodenal ulcer is receiving sucralfate for short-term treatment. What should the nurse advise the client to avoid?

The home health nurse provides client teaching to a client who is taking oral prednisolone. The nurse provides what instruction to the client?

A client with type 2 diabetes presents at the clinic for a routine follow-up appointment. The client asks the nurse whether he or she can take the herbal supplement ginseng. What is the correct response by the nurse?

The client is 34 years old and has recently started taking theophylline. The nurse knows that medication teaching has been successful when the client agrees to what activity?

The nurse admits to the clinic a 7-month-old infant whose parents report that the baby has not had a bowel movement in 4 days. What is the nurse’s best action?

The nurse is caring for a client newly diagnosed with hypothyroidism. The client also takes theophylline to control asthma symptoms. What change may need to be made to the client’s theophylline dose?