Nokea
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?
- A. Difficulty swallowing
- B. Uncontrolled tongue movements
- C. Muscle laxity
- D. Shuffling gait
- E. Diarrhea
Correct Answer: A,B,D
Rationale: When taking metoclopramide, the client should immediately report any of the following signs: difficulty speaking or swallowing; mask-like face; shuffling gait; rigidity; tremors; uncontrolled movements of the mouth, face, or extremities; and uncontrolled chewing or unusual movements of the tongue. Diarrhea does not require the client to notify the health care provider.
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A nurse educating a client on the antacid magnesium oxide (Mag-Ox) should warn the client of which of the following adverse reactions?
- A. Tremors
- B. Anorexia
- C. Diarrhea
- D. Dehydration
- E. Hypotension
Correct Answer: C,D,E
Rationale: Adverse reactions of magnesium oxide (Mag-Ox) include severe diarrhea, dehydration, and hypermagnesemia (nausea, vomiting, hypotension, and decreased respirations).
After teaching a group of nursing students about upper gastrointestinal system drugs, the instructor determines that the teaching was successful when the students identify which of the following as a gastrointestinal stimulant?
- A. Ranitidine (Zantac)
- B. Misoprostol (Cytotec)
- C. Omeprazole (Prilosec)
- D. Metoclopramide (Reglan)
Correct Answer: D
Rationale: Metoclopramide (Reglan) is classified as a gastrointestinal stimulant. Ranitidine is a histamine-2 receptor antagonist. Omeprazole is a proton pump inhibitor. Misoprostol is a miscellaneous acid reducer.
The nurse should administer which of the following medications cautiously to clients with vitamin B12 deficiency as the prolonged use of these drugs decreases the body's ability to absorb vitamin B12?
- A. Metoclopramide (Reglan)
- B. Rabeprazole (AcipHex)
- C. Sucralfate (Carafate)
- D. Pantoprazole (Protonix)
- E. Promethazine (Phenergan)
Correct Answer: B,D
Rationale: The nurse should administer proton pump inhibitors, like rabeprazole (AcipHex) and pantoprazole (Protonix), cautiously to clients with vitamin B12 deficiency as the prolonged use of these drugs decreases the body's ability to absorb vitamin B12.
A nurse should recognize that administering antacids to clients taking which of the following medications can result in decreased drug absorption and decreased drug effects?
- A. Simvastatin (Zocor)
- B. Isoniazid (Nydrazid)
- C. Digoxin (Lanoxin)
- D. Phenytoin (Dilantin)
- E. Enalapril (Vasotec)
Correct Answer: B,C,D
Rationale: Antacids decrease the absorption of digoxin, isoniazid, phenytoin, and chlorpromazine, leading to decreased effect of those drugs.
A nurse educating a client on the antacid aluminum hydroxide (ALternaGEL) should warn the client about which of the following adverse reactions?
- A. Alopecia
- B. Anorexia
- C. Diarrhea
- D. Tremors
- E. Bone pain
Correct Answer: B,D,E
Rationale: Adverse reactions of aluminum hydroxide (ALternaGEL) include constipation, intestinal impaction, anorexia, weakness, tremors, and bone pain.