A client with a long history of constipation is prescribed magnesium sulfate. What aspect of the client's current health status should the nurse address before administering the medication?

The client's age and mobility deficits.

Most of the client's meals are brought in by family members.

The client's preferred beverage is diet soda, and the client is slightly obese.

The client has type 2 diabetes and takes metformin.

Answer and Explanation

The Correct Answer is A

A. The client's age and mobility deficits: Older adults with limited mobility are at increased risk for electrolyte imbalances and dehydration when given osmotic laxatives like magnesium sulfate. Impaired mobility also slows bowel motility, increasing the risk of complications such as bowel impaction or overcorrection leading to diarrhea.

B. Most of the client's meals are brought in by family members: While dietary patterns can influence bowel habits, knowing where meals come from is less relevant to the safety of magnesium sulfate administration.

C. The client's preferred beverage is diet soda, and the client is slightly obese: These lifestyle details may be important for long-term constipation management but are not immediately relevant to the safe use of magnesium sulfate.

D. The client has type 2 diabetes and takes metformin: Although diabetes can contribute to gastrointestinal issues, magnesium sulfate does not interact with metformin. The combination does not pose a significant risk that would outweigh concerns related to age and reduced mobility.

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Correct Answer is C

Explanation

A. By coating my stomach, this medication will reduce my upset stomach: Metoclopramide does not act by coating the gastric lining. That mechanism is characteristic of gastrointestinal protectants like sucralfate. Metoclopramide works as a prokinetic and antiemetic.

B. I'll be able to go right back to work as a truck driver as soon as I start the medication: Metoclopramide can cause central nervous system side effects such as drowsiness, dizziness, and extrapyramidal symptoms. This may impair ability to operate heavy machinery or drive.

C. This medication will increase the motility of the GI tract: Metoclopramide enhances gastric and intestinal motility by sensitizing tissues to acetylcholine and antagonizing dopamine receptors. It is commonly used to treat gastroparesis and promote gastric emptying.

D. This medication will decrease stomach acid production: Metoclopramide does not reduce acid secretion. Acid suppression is achieved by PPIs or H2 blockers. Metoclopramide’s role is primarily in enhancing GI motility and reducing nausea and vomiting.

A. "Change the tubing frequently, at recommended intervals." B. "Additional insulin requires a separate injection site." C. "Make sure to have your pump calibrated weekly." D. "Watch for signs and symptoms of infection."

Correct Answer is ["A","C","D"]

Explanation

A. "Change the tubing frequently, at recommended intervals.": Insulin pump users must change tubing and infusion sites every 2–3 days to prevent occlusion, insulin degradation, or infection. Proper maintenance helps ensure consistent insulin delivery and reduces complications.

B. "Additional insulin requires a separate injection site.": External insulin pumps can deliver both basal and bolus doses through the same subcutaneous site, eliminating the need for separate injections. Therefore, additional insulin dosing does not require a different site unless the pump malfunctions.

C. "Make sure to have your pump calibrated weekly.": Many pumps require regular calibration or confirmation of accurate delivery, especially if integrated with a continuous glucose monitor. Weekly checks help ensure safe and effective insulin administration.

D. "Watch for signs and symptoms of infection.": Infection is a risk due to the constant presence of subcutaneous tubing. Clients must inspect the site regularly for redness, swelling, warmth, or discharge and practice proper hygiene when changing the site to prevent complications.

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A client with a long history of constipation is prescribed magnesium sulfate. What aspect of the client's current health status should the nurse address before administering the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching a client about metoclopramide (Reglan) therapy. Which client statement indicates to the nurse that the client has a correct understanding of the therapy?

Correct Answer is C

Explanation

The nurse is teaching a client who has been diagnosed with type 2 diabetes about the newly prescribed external insulin pump. What are appropriate teaching points for the nurse to include? Select all that apply.

Correct Answer is ["A","C","D"]

Explanation

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