A patient is prescribed metoclopramide for the treatment of gastroparesis. Which of the following is a primary effect of metoclopramide?

Reduces gastric acid secretion

Enhances gastrointestinal motility

Relieves abdominal pain

Acts as an antiemetic by inhibiting serotonin

Answer and Explanation

The Correct Answer is B

A. While metoclopramide may have some effect on gastric acid secretion, its primary role is not to reduce it.

B. Metoclopramide primarily enhances gastrointestinal motility, which helps to facilitate gastric emptying and is especially useful in treating conditions like gastroparesis.

C. Metoclopramide does not specifically relieve abdominal pain; it focuses more on motility and nausea.

D. Although metoclopramide does have antiemetic properties, it primarily acts as a dopamine receptor antagonist rather than directly inhibiting serotonin.

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Correct Answer is D

Explanation

A. By directly relaxing vascular smooth muscle is not how lisinopril primarily works; it does not act directly on smooth muscle but rather affects hormonal pathways.

B. By blocking aldosterone from binding to mineralocorticoid receptors is a secondary effect of the angiotensin-converting enzyme (ACE) inhibitors but not the primary action of lisinopril itself.

C. By blocking the movement of calcium ions into arterial smooth muscles describes the action of calcium channel blockers, not ACE inhibitors like lisinopril.

D. By inhibiting the transformation of angiotensin I to angiotensin II is the correct answer because lisinopril inhibits the ACE enzyme, reducing the production of angiotensin II, which lowers blood pressure and decreases strain on the heart.

A. Auscultating bowel sounds B. Monitoring urine output C. Monitoring heart rate D. Administering an antidiarrheal agent E. Assessing deep tendon reflexes

Correct Answer is ["A","B","C"]

Explanation

A. Auscultating bowel sounds is important because anticholinergic agents can decrease gastrointestinal motility, leading to reduced bowel sounds and potential constipation.

B. Monitoring urine output is crucial as anticholinergics can cause urinary retention, and assessing output helps identify any adverse effects on bladder function.

C. Monitoring heart rate is necessary since anticholinergic agents can cause tachycardia as a side effect, making it important to assess the client’s cardiovascular status.

D. Administering an antidiarrheal agent is not typically indicated, as anticholinergic agents often cause constipation rather than diarrhea.

E. Assessing deep tendon reflexes is not directly relevant to the effects of anticholinergic medications and is not typically prioritized in this context.

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A patient is prescribed metoclopramide for the treatment of gastroparesis. Which of the following is a primary effect of metoclopramide?

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

Which would be important to perform for a client who has received an anticholinergic agent? (Select all that apply.)

Correct Answer is ["A","B","C"]

Explanation

Interpret and spell the abbreviation: tid Enter the word only.

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