Answer to Question 1
A
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Indications for metoclopramide include relief of acute and chronic diabetic gastroparesis, short-term treatment of gastroesophageal reflux disorder in adults who cannot tolerate standard therapy, prevention of postoperative or chemotherapy-induced nausea and vomiting, facilitation of small-bowel intubation, stimulation of gastric emptying, and promotion of intestinal transit of barium. It would not be used for treatment of impaction, encopresis, and in patients requiring diagnostic procedures.
Answer to Question 2
B
Feedback:
TMP/SMX is associated with an increased risk of severe adverse effects in patients with reduced liver and kidney function. Because kidney function is known to decline as a natural part of aging, older adults would be at more increased risk of severe reactions and would require more careful monitoring. Severe skin reactions and bone marrow depression are the most frequently reported severe reactions. Diarrhea and vomiting are possible adverse effects of most medications but are not examples of severe reactions, although they would require proper intervention to prevent dehydration. GI motility is more likely to increase than to decrease.
Lumbar puncture. Abbreviated LP, the lumbar puncture is a common procedure that withdraws cerebrospi
Chronic Renal Failure
Building competency in patient centered care
Empathy draws a more positive response from the patient because it is based on the willingness of th
Areas of sclerosis (see arrows) in the white matter of a patient with MS.
Erosion of palatal surfaces of maxillary teeth due to chronic vomiting.