Metoclopramide (Reglan) is prescribed for a client with GERD. The nurse realizes that teaching about this drug has been effective when the client says "I understand metoclopramide
a. acts as an antacid to reduce gastric acidity."
b. decreases the time food and fluids are in my stomach."
c. has a local anesthetic effect on the esophagus and stomach."
d. helps to promote movement in the esophagus."
B
Metoclopramide may be prescribed because it increases LES pressure by stimulating the smooth muscle of the gastrointestinal tract and increasing the rate of gastric emptying. It has no effect on gastric acidity, no anesthetic effects, and does not work in the esophagus.
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