A charge nurse and a newly licensed nurse are providing care for a client who reports nausea and has a
presciption for metoclopramide (Reglan) as an antiemetic. Which of the following statements by the newly
licensed nurse indicates a correct understanding of the actions of the medication. "Metoclopramide":
A. depresses vagal nerve activity
B. decreases gastric acid secretions
C. slows peristalsis
D. promotes gastric emptying - ansD. promotes gastric emptying
Rationale: Metoclopramide is a gastrointestinal stimulant used to relieve nausea, vomiting, heartburn, stomach
pain, bloating, and persistent feeling of fullness after meals.
- Metoclopramide works by promoting gastric emptying
A client has a PRN order for loperamide (Imodium). The nurse should plan to administer this medication if the
client has:
A. constipation
B. abdominal pain
C. episode of diarrhea
D. Hematest-positive nasogastric tube drainage - ansC. episode of diarrhea, loperamide (Imodium) is an
antidiarrheal
A client has a PRN order for ondansetron (Zofran). The nurse would administer this medication to the
postoperative client for relief of:
A. paralytic ileus
B. incisional pain
C. urinary retention
D. Nausea and vomiting - ansD. Nausea and vomiting, ondansetron (Zofran) is an antiemetic
, A client has an order to take magnesium citrate to prevent constipation following a barium study of the upper
gastrointestinal (GI) tract. The nurse plans to administer this medication:
A. chilled
B. with fruit juice only
C. room temp
D. with a full glass of water - ansA. chilled
A client has been taking omeprazole (Prilosec) for 4 weeks. The nurse determines that the client is receiving the
optimal intended effect of the medication if the client reports absence of which of the following symptoms?
A. Diarrhea
B. Heartburn
C. Flatulence
D. Constipation - ansB. Heartburn ,omeprazole (Prilosec) is used for GERD
A client has been taking omeprazole (Prilosec) for the past 4 weeks. The nurse determines that the medication
is effective when the client reports?
A. nausea
B. diarrhea
C.headache
D. acid indigestion - ansD. acid indigestion
Rationale: Omeprazole, a proton pump inhibitor, reduces gastric acid secretion and treats duodenal and gastric
ulcers, prolonged dyspepsia, gastrointestinal reflux disease and erosive esophagitis