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”
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is A
Explanation
Bupropion XL tablets should be taken whole. Crushing the tablet interferes with the pharmacokinetics of the drug leading to reduced efficacy and increased risk of toxicity. Administering bupropion XL inappropriately could result in harm to the client and should prompt the nurse to file an incident report to document the error and ensure appropriate follow-up and monitoring.
B. Meperidine is a commonly administered opioid analgesic and can be given intramuscularly in appropriate doses and sites.
C. Selection of the needle length and gauge depend on the route of administration and individual client's characteristics
D.Gentamicin can be administered by intermittent IV bolus over a prolonged period as part of its dosing regimen.
Correct Answer is C
Explanation
When administering phenytoin in suspension, it is essential to shake the container vigorously to ensure that the medication is well mixed and the correct dose of the active ingredient is given.
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