An elderly postoperative patient is given metoclopramide (Reglan) for nausea
Which assessment finding would indicate this patient is experiencing a possible adverse reaction to this medication? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Involuntary muscle movements
2. Sedation
3. Dry mouth
4. Breakthrough vomiting
5. Hypotension
1,2
Rationale 1: Antiemetics such as metoclopramide (Reglan) can cause an extrapyramidal reaction. The patient would demonstrate involuntary muscle movements, muscle tone changes, and abnormal posturing.
Rationale 2: Metoclopramide can cause mild sedation.
Rationale 3: Dry mouth postoperatively is likely due to NPO status, not to administration of metoclopramide.
Rationale 4: Breakthrough vomiting is not an indication of an adverse reaction.
Rationale 5: Hypotension is not an adverse effect of metoclopramide.
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