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 D

Explanation

Glargine is a long-acting insulin that can provide a steady level of insulin for up to 24 hours. This would be suitable for a client who does not want to administer insulin on the plane, as they would only need one injection per day.

Choice A. Aspart is wrong because aspart is a rapid-acting insulin that has a peak effect within 1 to 3 hours and lasts for 3 to 5 hours.

This would require frequent injections and monitoring of blood glucose levels.

Choice B. Lispro is wrong because lispro is also a rapid-acting insulin that has a similar onset and duration as aspart.

It would not provide adequate coverage for a long international flight.

Choice C. Glulisine is wrong because glulisine is another rapid-acting insulin that has an onset of 15 minutes and a duration of 2 to 4 hours.

It would also require multiple injections and frequent blood glucose checks.

Normal ranges for blood glucose levels are 70 to 130 mg/dL before meals and less than 180 mg/dL after meals.

A. Benzonatate. B. Dextromethorphan. C. Dextromethorphan. D. Guaifenesin.

Correct Answer is D

Explanation

Guaifenesin is an expectorant that helps thin and loosen mucus in the lungs, making it easier to cough up the sputum. Some possible explanations for the other choices are:

Choice A. Benzonatate is wrong because benzonatate is an antitussive that suppresses the cough reflex by numbing the throat and lungs.

It does not help with sputum production or clearance.

Choice B. Dextromethorphan is wrong because dextromethorphan is also an antitussive that acts on the brain to reduce the urge to cough.

It does not affect the mucus or bronchial secretions.

Choice C. Hydrocodone is wrong because hydrocodone is a narcotic antitussive that works by binding to opioid receptors in the brain and spinal cord, blocking pain signals and decreasing cough.

It can cause sedation, respiratory depression, and dependence, and is not indicated for bronchitis.

Normal ranges for sputum production vary depending on the individual and the cause of the cough, but generally range from 10 to 100 mL per day.

Excessive or abnormal sputum may indicate an infection, inflammation, or obstruction of the airways.

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The nurse administers metoclopramide to the client with what condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with type 1 diabetes presents to the diabetes educator and asks about a change in insulin. The client’s occupation requires long international flights, and the client does not want to administer insulin on the plane. What kind of insulin would best meet this client’s needs?

Correct Answer is D

Explanation

A client presents at the clinic with a dry nonproductive cough. The client is diagnosed with bronchitis, and it has been determined that assistance is needed in thinning the sputum so the cough can become productive. What does the nurse expect the provider will prescribe?

Correct Answer is D

Explanation

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