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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Correct Answer is C
Explanation
Choice A rationale:
Influenza vaccine is not contraindicated during pregnancy. In fact, the influenza vaccine is recommended for pregnant women because they are at higher risk of complications from influenza. It can protect both the pregnant woman and her baby from the flu.
Choice B rationale:
Tetanus vaccine is not contraindicated during pregnancy. In fact, tetanus vaccination during pregnancy is essential to protect both the mother and the newborn. Tetanus can be life-threatening, and vaccination is a preventive measure.
Choice C rationale:
Rhogam is contraindicated during pregnancy if the mother is Rh-negative and the baby is also Rh-negative. Rhogam is given to Rh-negative mothers to prevent sensitization to Rh-positive blood in case of fetal-maternal bleeding. If both the mother and baby are Rh-negative, there's no need for Rhogam during pregnancy.
Choice D rationale:
MMR (Measles, Mumps, Rubella) vaccine is contraindicated during pregnancy. It contains live attenuated viruses and is generally not recommended for pregnant women due to the theoretical risk of transmitting the virus to the developing fetus. It's typically given postpartum if the woman is not already immune to these diseases.
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