A patient prescribed metoclopramide (Reglan) reports having difficulty sleeping, difficulty concentrating, tiredness, and feeling hopeless. What is the nurse's best action?
a. Instruct the patient that these are expected side effects of the drug.
b. Document these findings as the only action.
c. Check the patient's chart history of depression.
d. Hold the drug and notify the prescriber.
D
Difficulty sleeping and concentrating, tiredness, and feeling hopeless are signs of depression. Metoclopramide can cause mild to severe depression. The nurse should hold the drug and notify the prescriber. This drug should not be prescribed for patients with a history of depression.
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