What is the purpose for the nurse administering metoclopramide (Reglan) IV postoperatively?
Decrease the potential for thrombus formation.
Prevent postoperative nausea and vomiting.
Prolong the effects of anesthesia.
Decrease postoperative pain.
The Correct Answer is B
A. Decrease the potential for thrombus formation: Metoclopramide is not used to prevent thrombus formation; this is typically managed with anticoagulants or other interventions.
B. Prevent postoperative nausea and vomiting: Metoclopramide is a prokinetic agent that helps in increasing gastric motility and is commonly used to prevent or treat nausea and vomiting after surgery.
C. Prolong the effects of anesthesia: Metoclopramide does not affect the duration of anesthesia. It is primarily used for nausea and vomiting.
D. Decrease postoperative pain: Metoclopramide does not have analgesic properties and is not used for pain management postoperatively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Systemic infection: While liver disease can compromise immunity, systemic infection is not the most significantly increased risk.
B. Urinary infections: Liver disease does not directly increase the risk of urinary infections.
C. Drug allergy: Liver disease does not specifically increase the incidence of drug allergies.
D. Drug toxicity: Liver disease impairs drug metabolism, particularly of medications metabolized by the liver. This increases the risk of drug toxicity.
Correct Answer is A
Explanation
A. "No. The color will fade gradually as liver inflammation decreases.": This response provides accurate information and reassurance, addressing the patient's concerns about her appearance while being supportive.
B. "Yes, but cosmetics can disguise the color.": This dismisses the patient’s concerns and is not empathetic or accurate, as jaundice usually resolves when liver function improves.
C. "Yes, but your sclera will return to their previous white color.": While the sclera may clear up, this does not address the entire issue of jaundice affecting skin color.
D. "No. The color will change to freckles.": This is misleading and untrue, potentially worsening the patient's anxiety.
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