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Exam (elaborations)

Lewis Med Surg - Upper and Lower GI NCLEX Practice Questions 100% Solved

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  • Med Surg

Lewis Med Surg - Upper and Lower GI NCLEX Practice Questions 100% Solved Following administration of a dose of metoclopramide (Reglan) to the patient, the nurse determines that the medication has been effective when what is noted? A. Decreased blood pressure B. Absence of muscle tremors C. Re...

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  • October 18, 2024
  • 19
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Med Surg
  • Med Surg
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sirjoel
©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM



Lewis Med Surg - Upper and Lower GI
NCLEX Practice Questions 100% Solved




Following administration of a dose of metoclopramide (Reglan) to the patient, the nurse

determines that the medication has been effective when what is noted?




A. Decreased blood pressure

B. Absence of muscle tremors

C. Relief of nausea and vomiting


D. No further episodes of diarrhea - answer✔C. Relief of nausea and vomiting




Metoclopramide is classified as a prokinetic and antiemetic medication. If it is effective, the

patient's nausea and vomiting should resolve. Metoclopramide does not affect blood pressure,

muscle tremors, or diarrhea.

, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM


The patient receiving chemotherapy rings the call bell and reports the onset of nausea. The nurse

should prepare an as-needed dose of which medication?




A. Morphine sulfate

B. Zolpidem (Ambien)

C. Ondansetron (Zofran)


D. Dexamethasone (Decadron) - answer✔Ondansetron is a 5-HT3 receptor antagonist antiemetic

that is especially effective in reducing cancer chemotherapy-induced nausea and vomiting.

Morphine sulfate may cause nausea and vomiting. Zolpidem does not relieve nausea and

vomiting. Dexamethasone is usually used in combination with ondansetron for acute and

chemotherapy-induced emesis.

The patient who is admitted with a diagnosis of diverticulitis and a history of irritable bowel

disease and gastroesophageal reflux disease (GERD) has received a dose of Mylanta 30 mL PO.

The nurse should evaluate its effectiveness by questioning the patient as to whether which

symptom has been resolved?




A. Diarrhea

B. Heartburn

, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM


C. Constipation


D. Lower abdominal pain - answer✔B. Heartburn




Mylanta is an antacid that contains both aluminum and magnesium. It is indicated for the relief

of GI discomfort, such as heartburn associated with GERD. Mylanta can cause both diarrhea and

constipation as a side effect. Mylanta does not affect lower abdominal pain.

A patient complains of nausea. When administering a dose of metoclopramide (Reglan), the

nurse should teach the patient to report which potential adverse effect?




A. Tremors

B. Constipation

C. Double vision


D. Numbness in fingers and toes - answer✔A. Tremors




Extrapyramidal side effects, including tremors and tardive dyskinesias, may occur as a result of

metoclopramide (Reglan) administration. Constipation, double vision, and numbness in fingers

and toes are not adverse effects of metoclopramide.

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