The nurse understands that which of these clients is the most ...

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The nurse understands that which of these clients is the most appropriate candidate for metoclopramide therapy?
 
  a. a postoperative client with nausea c. a client debilitated by a stroke
  b. a child with cystic fibrosis d. a school teacher with GERD

Question 2

A young child being treated with metoclopramide for gastroesophageal reflux develops an acute dystonic reaction. The nurse anticipates administering:
 
  a. a proton pump inhibitor. c. an opioid analgesic.
  b. a muscle relaxant. d. parenteral diphenhydramine.

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Answer to Question 1

ANS: C

Feedback
A Incorrect: This is not an appropriate client.
B Incorrect: This is not an appropriate client.
C Correct: Because this client is at high risk for Curling's ulcer from prolonged contact between the gastric mucosa and gastric acid from immobility, this client is the most appropriate.
D Incorrect: Although an appropriate candidate, this is not the most appropriate.

Answer to Question 2

ANS: D

Feedback
A Incorrect: This is not appropriate therapy.
B Incorrect: This is not appropriate therapy.
C Incorrect: This is not appropriate therapy.
D Correct: Acute dystonic reaction in children receiving metoclopramide is reversed by parenteral diphenhydramine.

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