A nurse is teaching a client who is prescribed metoclopramide about signs and symptoms to report to the primary health care provider.
The nurse determines that the teaching was successful when the client states which of the following?

Difficulty swallowing.

Nausea.

Muscle laxity.

Shuffling gait.

Answer and Explanation

The Correct Answer is A

Choice B rationale:

Nausea is a common side effect of metoclopramide, and while it is important to monitor, it is not a symptom that the client should specifically report to the primary healthcare provider unless it becomes severe or persistent.

Choice C rationale:

Muscle laxity and shuffling gait (Choices C and D) are potential side effects of other medications, such as antipsychotic drugs, but they are not typically associated with metoclopramide. Therefore, these are not the symptoms the client should report. Difficulty swallowing (Choice A) is a concerning side effect of metoclopramide and should be reported to the healthcare provider immediately. It can be a sign of a serious condition called tardive dyskinesia, which is a potentially irreversible side effect of the medication. Early recognition and discontinuation of metoclopramide are essential to prevent further complications.

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Correct Answer is B

Explanation

Choice A rationale:

Nizatidine is not a proton pump inhibitor; it is an H2 receptor antagonist. It works by blocking the histamine H2 receptors in the stomach, reducing acid production. Proton pump inhibitors (PPIs) work differently by directly inhibiting the proton pump (H+/K+ ATPase) responsible for acid secretion in the stomach.

Choice B rationale:

Omeprazole is a proton pump inhibitor (PPI). PPIs are drugs that reduce gastric acid production by inhibiting the proton pump (H+/K+ ATPase) in the parietal cells of the stomach. This action is highly effective in treating conditions such as gastroesophageal reflux disease (GERD) and peptic ulcers.

Choice C rationale:

Sucralfate is not a proton pump inhibitor; it is a medication that forms a protective barrier over ulcers and erosions in the stomach and intestines. It does not directly affect acid production.

Choice D rationale:

Misoprostol is not a proton pump inhibitor; it is a synthetic prostaglandin E1 analog. It is primarily used to prevent gastric ulcers in individuals who are at high risk due to chronic nonsteroidal anti-inflammatory drug (NSAID) use. It has a protective effect on the gastric mucosa but does not inhibit acid secretion.

A. Wash hands thoroughly before preparing or eating food. B. Disinfect toilets on a weekly basis. C. Bathe at minimum, every other day. D. Allow fingers in the mouth or biting fingernails.

Correct Answer is A

Explanation

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A nurse is teaching a client who is prescribed metoclopramide about signs and symptoms to report to the primary health care provider.The nurse determines that the teaching was successful when the client states which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A group of nursing students is reviewing information about upper gastrointestinal system drugs.The students demonstrate understanding of the material when they identify which of the following as a proton pump inhibitor?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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A nurse is teaching a client who is prescribed metoclopramide about signs and symptoms to report to the primary health care provider.The nurse determines that the teaching was successful when the client states which of the following?

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A nurse is teaching a client who is prescribed metoclopramide about signs and symptoms to report to the primary health care provider.
The nurse determines that the teaching was successful when the client states which of the following?