The nurse is preparing to administer a scheduled dose of metoclopramide IV to a client with diabetic gastroparesis. Which clinical finding causes the nurse to question the prescription?

Question

The nurse is preparing to administer a scheduled dose of metoclopramide IV to a client with diabetic gastroparesis.  Which clinical finding causes the nurse to question the prescription?

Quizplus · Accepted Answer

11ecbb05_cc81_c520_b433_fb0c59e20fbd_MD0009_00 Metoclopramide is a commonly used antiemetic medication that treats nausea, vomiting, and gastroparesis by increasing gastrointestinal motility and promoting stomach emptying. With extended use and/or high doses, metoclopramide may lead to the development of tardive dyskinesia (TD), a movement disorder that is characterized by uncontrollable motions (eg, sucking/smacking lip motions) and is often irreversible (Option D). uncontrollable motions The movement alterations of TD may impact a client's essential activities of daily living (eg, eating, dressing) and overall quality of life. The nurse should question the administration of a medication associated with TD in clients experiencing movement alterations. (Option A) Metoclopramide increases gastrointestinal motility, which may result in diarrhea in some clients. This symptom is reversible and usually easily managed. (Option B) Burping is not a typical side effect associated with metoclopramide. (Option C) Headache is a common adverse effect of metoclopramide that typically improves spontaneously. Educational objective: Clients receiving metoclopramide at high doses and/or for extended periods are at risk for developing tardive dyskinesia (TD), an often irreversible movement disorder. The nurse should question a prescription for metoclopramide if symptoms of TD (eg, uncontrollable lip smacking, hand wringing, rocking) are present.

The Nurse Is Preparing to Administer a Scheduled Dose of Metoclopramide