Answer to Question 1
ANS: A, D
The nurse should question the order for tegaserod for the male patient and also for the chronic dialysis patient. The drug is approved only for use in females under the age of 55. It is contraindicated in severe renal impairment.
Tegaserod is not contraindicated for the patient with constipation, because it is used to treat constipation-predominant IBS.
It is not contraindicated in patients with sulfa allergies.
Tegaserod is approved for use in women under 55.
Answer to Question 2
ANS: A
The nurse should administer diphenhydramine for extrapyramidal reactions (ie, severe spasms of the tongue, neck, and face), which are caused by long-term use of metoclopramide.
IV diphenhydramine is not indicated for dry mouth, urinary retention, diarrhea, or constipation.