Which explanation by the nurse is accurate to include when teaching a patient who is beginning therapy for gastroesophageal reflux disease (GERD) with metoclopramide?
a. "This medication decreases esophageal muscle tone to reduce reflux."
b. "Peristalsis is increased, so food is digested more quickly."
c. "Gastric emptying is delayed, so you may feel full for longer intervals."
d. "This medication is an antikinetic agent, so you may have difficulty with motor skills."
ANS: B
Prokinetic agents increase the lower esophageal sphincter muscle pressure and peristalsis, hastening emptying of the stomach to reduce reflux. Metoclopramide increases lower esophageal sphincter pressure. Metoclopramide hastens gastric emptying. Metoclopramide is a prokinetic agent and does not affect motor function.
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