Author Question: A patient with gastroesophageal reflux disease (GERD) asks the nurse why metoclopramide (Reglan) has ... (Read 82 times)

xroflmao · **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.

katieost · **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.