A patient prescribed metoclopramide (Reglan) tells the nurse that his abdomen is making gurgling sounds. What is the nurse's best action?
a. Instruct the patient that this is an expected effect of the drug.
b. Document this finding as the only action.
c. Hold the drug and notify the prescriber.
d. Give the drug and notify the prescriber.
A
Metoclopramide increases stomach and small intestine contractions (peristalsis) which helps move food through the GI system. Increased peristalsis causes increased and sometimes loud bowel sounds. The patient should be instructed that this is an expected action of the drug.
You might also like to view...
The nurse is caring for a patient following insertion of a left subclavian central venous catheter (CVC). Which action by the nurse best reduces the risk of catheter- related bloodstream infection (CRBSI)?
a. Review daily the necessity of the central venous catheter. b. Cleanse the insertion site daily with isopropyl alcohol. c. Change the pressurized tubing system and flush bag daily. d. Maintain a pressure of 300 mm Hg on the flush bag.
Parents ask the nurse if there was something that should have been done during the pregnancy to prevent their child's cleft lip. Which statement should the nurse give as a response?
a. "This is a type of deformation and can sometimes be prevented." b. "Studies show that taking folic acid during pregnancy can prevent this defect." c. "This is a genetic disorder and has a 25% chance of happening with each pregnancy." d. "The malformation occurs at approximately 5 weeks of gestation; there is no known way to prevent this."
An older patient is being admitted to a long-term care facility. The nurse recognizes that the primary purpose of the initial geriatric health assessment is to
a. identify the patient's physiologic base-lines. b. ultimately create a plan of care that pre-vents disability and dependence. c. initiate the therapeutic nurse-patient rela-tionship. d. document self-care deficiencies that the patient exhibits.
You intend to research the perceptions of patients in the community setting with in-dwelling urinary catheters. What might you consider as inclusion/exclusion criteria?
What will be an ideal response?