A nurse is caring for a client who has nausea and a prescription for metoclopramide intermittent IV bolus every 4 hr as needed. The client asks the nurse how metoclopramide Will relieve her nausea. Which of the following explanations should the nurse provide?

“The medication works by decreasing gastric acid secretions”

"The medication relieves nausea by promoting gastric emptying."

"The medication relieves nausea slowing peristalsis.

"The medication works by relaxing gastric muscles”

Answer and Explanation

The Correct Answer is B

Metoclopramide is a prokinetic agent that increases the motility of the upper gastrointestinal tract. Metoclopramide helps accelerate gastric emptying and promotes movement of food through the digestive system. This action can alleviate symptoms of nausea and vomiting by reducing the likelihood of food staying in the stomach for an extended period, which can contribute to feelings of discomfort.

A. Metoclopramide does not increase or decrease gastric acid secretions.

C. Metoclopramide accelerates peristalsis or the movement of food through the gastrointestinal tract.

D. Metoclopramide increases muscle tone and GI motility

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Correct Answer is B

Explanation

The nurse should identify the concerns that the client has regarding to the medications prescribed. This allows the nurse and the provider to demystify any incorrect information the client might have or address any other underlying issues.

A. Just documenting does not address the client’s issues and shows lack of empathy

C. Explaining is important but the reason for refusal could be something else

D. The nurse should not use any reason to try and force the client to take the medications

A. Photosensitivity B. Polyuria C. Headache D. Dependent edema

Correct Answer is C

Explanation

Ondansetron is an antiemetic used in the prevention and management of nausea and vomiting. Its potential side effects include headaches.

A, B, D- Photosensitivity, polyuria and dependent edema are not adverse effects of ondansetron.

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A nurse is caring for a client who has nausea and a prescription for metoclopramide intermittent IV bolus every 4 hr as needed. The client asks the nurse how metoclopramide Will relieve her nausea. Which of the following explanations should the nurse provide?

Nursing Test Bank

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