A nurse is caring for a 62-year-old client with diabetes who has a new prescription for metoclopramide (Reglan). Which of the following statements is true regarding metoclopramide (Reglan)? (Select All That Apply.)
"Complications of this medication include tardive dyskinesia and prolonged QT interval."
"The IV form of this medication is used for control of postoperative and chemotherapy-induced nausea and vomiting, as well as facilitation of small bowel intubation and examination of the GI tract."
"Complications of this medication include tardive dyskinesia and sedation."
"The oral form is used for diabetic gastroparesis (delayed stomach emptying with gas and bloating) and management of GERD through its ability to increase gastric motility."
Correct Answer : A,B,C,D
A. "Complications of this medication include tardive dyskinesia and prolonged QT interval." This is correct. Metoclopramide (Reglan) can cause side effects such as tardive dyskinesia, a movement disorder, and may prolong the QT interval, which can increase the risk of arrhythmias.
B. "The IV form of this medication is used for control of postoperative and chemotherapy-induced nausea and vomiting, as well as facilitation of small bowel intubation and examination of the GI tract." This is correct. The IV form of metoclopramide is commonly used for these indications, particularly for nausea and vomiting related to chemotherapy or surgery, as well as aiding in small bowel intubation.
C. "Complications of this medication include tardive dyskinesia and sedation." This is correct. In addition to tardive dyskinesia, metoclopramide can also cause sedation, making patients feel drowsy or lethargic.
D. "The oral form is used for diabetic gastroparesis (delayed stomach emptying with gas and bloating) and management of GERD through its ability to increase gastric motility." This is correct. The oral form of metoclopramide is frequently used to treat diabetic gastroparesis by improving gastric emptying, as well as managing gastroesophageal reflux disease (GERD) by enhancing motility.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Prolonged QT interval – This is correct. Ondansetron can cause prolongation of the QT interval, increasing the risk of arrhythmias, including torsades de pointes. This is a serious complication that requires monitoring, particularly in clients with cardiac risks.
B. Extrapyramidal symptoms – This is incorrect. Ondansetron does not typically cause extrapyramidal symptoms, which are more associated with dopamine antagonists like metoclopramide or prochlorperazine.
C. Nausea – This is incorrect. Ondansetron is specifically used to treat nausea and vomiting, not to cause them. If nausea persists, it may indicate treatment failure or another underlying issue.
D. Vomiting – This is incorrect. Ondansetron is an antiemetic and works to prevent vomiting. Vomiting would not be a complication of this medication under proper use.
Correct Answer is ["C","D"]
Explanation
A. Glucagon (Glucagen): Glucagon is used to treat severe hypoglycemia and is not indicated for managing EPS or involuntary muscle spasms.
B. Metformin (Glucophage): Metformin is an oral hypoglycemic agent used to manage diabetes mellitus and is not relevant for treating EPS or involuntary muscle spasms.
C. Benztropine (Cogentin): Benztropine is an anticholinergic medication used to treat extrapyramidal symptoms (EPS), such as involuntary muscle spasms, caused by antipsychotic medications like prochlorperazine2.
D. Diphenhydramine (Benadryl): Diphenhydramine is an antihistamine with anticholinergic properties that can also be used to manage EPS, including dystonic reactions2.
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