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Author Question: A patient with gastroesophageal reflux disease (GERD) asks the nurse why metoclopramide (Reglan) has ... (Read 86 times)

xroflmao

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on: Jul 23, 2018
A patient with gastroesophageal reflux disease (GERD) asks the nurse why metoclopramide (Reglan) has been prescribed. What is the nurse's best response?
 
  a. This purpose of this drug for GERD is to prevent nausea.
  b. This drug has been prescribed to help move food along through your GI tract.
  c. Metoclopramide will prevent vomiting and the risk for aspiration.
  d. This drug causes growth of new cells to heal your esophagus.

Question 2

A patient who is prescribed ethambutol (EMB, Myambutol) reports trouble distinguishing colors. What is the nurse's best action?
 
  a. Document the report as the only action.
  b. Hold the dose and notify the prescriber immediately.
  c. Caution the patient to wear sunglasses and a hat when outside.
  d. Reassure the patient that this is a common side effect of the drug.


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katieost

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Reply #1 on: Jul 23, 2018
Answer to Question 1

B
Metoclopramide increases stomach and small intestine contractions (peristalsis), helping to move food through the GI system. Moving food quickly into the intestinal system decreases the like-lihood of backup into the esophagus.

Answer to Question 2

B
Ethambutol at high doses can cause optic neuritis vision changes that include reduced color vi-sion, blurred vision, and reduced visual fields. This problem can lead to blindness. When the problem is discovered early, the eye problems are usually reversed when the drug is stopped.


xroflmao

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Reply 2 on: Jul 23, 2018
Excellent

kilada

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Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

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Did you know?

The term pharmacology is derived from the Greek words pharmakon("claim, medicine, poison, or remedy") and logos ("study").

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One way to reduce acid reflux is to lose two or three pounds. Most people lose weight in the belly area first when they increase exercise, meaning that heartburn can be reduced quickly by this method.

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Medication errors are more common among seriously ill patients than with those with minor conditions.

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Limit intake of red meat and dairy products made with whole milk. Choose skim milk, low-fat or fat-free dairy products. Limit fried food. Use healthy oils when cooking.

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To combat osteoporosis, changes in lifestyle and diet are recommended. At-risk patients should include 1,200 to 1,500 mg of calcium daily either via dietary means or with supplements.

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