A client with metastatic abdominal cancer has become debilitated secondary to bowel-related signs and symptoms. The nurse is preparing to administer octreotide (Sandostatin). The nurse would anticipate:
1. a decrease in gastric reflux signs and symptoms.
2. a decrease in nausea and vomiting episodes.
3. severe constipation and possible ileus.
4. a decrease in the number of diarrheal stools.
Correct Answer: 4
Rationale 1: This medication is not used to treat reflux disease.
Rationale 2: This medication does not decrease nausea and vomiting.
Rationale 3: Severe constipation is unlikely with this medication.
Rationale 4: Sandostatin is indicated for the management of signs and symptoms associated with metastatic carcinoid cancers and vasoactive intestinal peptide tumors. Severe diarrhea can result with these tumors, and Sandostatin should decrease the number of stools and increase stool consistency.
Global Rationale: Sandostatin is indicated for the management of signs and symptoms associated with metastatic carcinoid cancers and vasoactive intestinal peptide tumors. Severe diarrhea can result with these tumors, and Sandostatin should decrease the number of stools and increase stool consistency. It is not indicated to treat reflux disease or nausea and vomiting and will not result in severe constipation.
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