Certified Hospice and Palliative Assistant (CHPNA) Practice Test

Which of the following is not an appropriate intervention for a bowel obstruction?

1. Hydration therapy

2. Metoclopramide

3. Dietary modifications

4. Pain management

The correct answer is: Metoclopramide

Metoclopramide is a medication that stimulates gut motility and is often used to treat conditions like nausea and vomiting, as well as to facilitate gastric emptying. In the case of a bowel obstruction, however, utilizing medications that promote bowel movements can lead to complications. Specifically, administering a medication like metoclopramide can exacerbate the blockage or cause further distress to the patient by increasing peristalsis in an obstructed bowel, which could potentially result in perforation or worsening of the obstruction. On the other hand, hydration therapy is crucial for maintaining fluid balance in a patient with a bowel obstruction, as it helps to prevent dehydration and electrolyte imbalances. Dietary modifications might also be necessary to avoid any further obstruction or to transition the patient to appropriate nutritional support if needed. Pain management is essential for providing comfort to the patient, as bowel obstructions can be quite painful. These interventions are appropriate and play vital roles in the care of a patient experiencing a bowel obstruction.