Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A. Reduces gastric acid secretion
While metoclopramide may have some effect on gastric acid secretion, its primary role is not to reduce it.
B. Enhances gastrointestinal motility
Metoclopramide primarily enhances gastrointestinal motility, which helps to facilitate gastric emptying and is especially useful in treating conditions like gastroparesis.
C. Relieves abdominal pain
Metoclopramide does not specifically relieve abdominal pain; it focuses more on motility and nausea.
D. Acts as an antiemetic by inhibiting serotonin
Although metoclopramide does have antiemetic properties, it primarily acts as a dopamine receptor antagonist rather than directly inhibiting serotonin.
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Full Explanation
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.
Similar Questions
A patient receiving metoclopramide is also taking an antidepressant. What should the nurse monitor for?
A. Decreased appetite
Decreased appetite may occur but is not the most critical concern in this context.
B. Increased risk of serotonin syndrome
The combination of metoclopramide, which can influence serotonin pathways, with certain antidepressants, especially SSRIs, increases the risk of serotonin syndrome, a potentially life-threatening condition.
C. Elevated blood pressure
While some antidepressants can influence blood pressure, monitoring for elevated blood pressure is not the primary concern with metoclopramide.
D. Enhanced antidepressant effects
There is no evidence to suggest that metoclopramide enhances the effects of antidepressants; the focus should be on potential adverse interactions instead.
Full Explanation
A. Decreased appetite may occur but is not the most critical concern in this context.
B. The combination of metoclopramide, which can influence serotonin pathways, with certain antidepressants, especially SSRIs, increases the risk of serotonin syndrome, a potentially life-threatening condition.
C. While some antidepressants can influence blood pressure, monitoring for elevated blood pressure is not the primary concern with metoclopramide.
D. There is no evidence to suggest that metoclopramide enhances the effects of antidepressants; the focus should be on potential adverse interactions instead.
The nurse is caring for a 38-year-old client who has been diagnosed with asthma and is prescribed albuterol. What assessment finding should the nurse most likely attribute to adverse medication effects?
A. The client reports excessive thirst.
Excessive thirst is not a common adverse effect associated with albuterol.
B. The client's heart rate is 99 beats/min.
Albuterol, a beta-agonist, can cause tachycardia as an adverse effect; a heart rate of 99 beats/min may indicate this response.
C. The client's oral temperature is 100°F (37.8°C).
An oral temperature of 100°F may suggest a mild infection or other issues, but it is not a specific adverse effect of albuterol.
D. The client had diarrhea this morning.
Diarrhea is not typically associated with albuterol use and is less likely to be attributed to the medication.
Full Explanation
A. Excessive thirst is not a common adverse effect associated with albuterol.
B. Albuterol, a beta-agonist, can cause tachycardia as an adverse effect; a heart rate of 99 beats/min may indicate this response.
C. An oral temperature of 100°F may suggest a mild infection or other issues, but it is not a specific adverse effect of albuterol.
D. Diarrhea is not typically associated with albuterol use and is less likely to be attributed to the medication.
Interpret and spell the abbreviation : ec
Enter the word below.
Full Explanation
Correct answer is emergency contraception.