Iclickers Flashcards
\_\_\_\_\_ is an inflammatory bowel disease known for its cobblestone appearance. A. Ulcerative Colitis B. Irritable Bowel Syndrome C. Crohns D. Inflammatory Bowel Disease
C Crohns
- ___ Aminosalicylates A. Fast-acting anti-inflammatory drugs
used to treat flare-up; intended for
short term use. - ___ Antibiotics B. Newest IBD drugs; target proteins that play a role
in inflammation; intended for long term use; can help
maintain remission. - ___ Corticosteroids C. May reduce intestinal bacteria; can be
effective in long-term use, particularly with Crohn’s
disease; may help maintain remission. - ___ Immunomodulators D. Contains the compound 5-aminosalicylic acid (5-
ASA) which helps control inflammation; may help
maintain remission - ___ Biologic therapies E. Weaken the activity of the immune system to
reduce inflammation; may help patients maintain
remission and get off corticosteroids.
1) D
2) c
3) A
4) E
5) B
7
The nurse is teaching a patient with a new
diagnosis of Crohn’s disease about prednisone.
Which of the following patient statements
indicates teaching was effective?
A. “This medication decreases movement of the
gastrointestinal tract.”
B. “This medication decreases inflammation of
the gastrointestinal tract.“
C. “This medication may reduce intestinal
bacteria.“
D. “This medication reduces proteins that are
part of the inflammation process.”
B “This medication decreases inflammation of
the gastrointestinal tract.“
You identify that your patient with a new
diagnosis of inflammatory bowel disease needs
further instruction about the action of one of her
medications when the patient says:
A. Mesalamine (Pentasa) decreases GI
inflammation.
B. Metronidazole (Flagyl) can prevent secondary
infections.
C. Corticosteroids decrease inflammation.
D. Loperamide (Imodium) increases
gastrointestinal motility.
D. Loperamide (Imodium) increases
gastrointestinal motility.
A patient who is quite thin reports that she has lost 12
pounds since exacerbation of her Crohn’s disease. The
physician orders hyperalimentation (TPN),
sulfasalazine, strict NPO status and IV corticosteroids.
The nurse recognizes that the NPO order is important
to:
A. prevent nausea and vomiting.
B. decrease abdominal distention.
C. promote bowel rest and healing.
D. allow for diagnostic tests to be completed.
C. promote bowel rest and healing.
\_\_\_\_\_ is an inflammatory bowel disease with bloody diarrhea as a classic symptom A. Crohns B. Inflammatory Bowel Disease C. Irritable Bowel Syndrome D. Ulcerative Colitis
D. Ulcerative Colitis
The nurse is teaching a patient with a new
diagnosis of ulcerative colitis about
sulfasalazine. Which of the following patient
statements indicates teaching was effective?
A. “The medication will prevent infections that
cause diarrhea.“
B. “The medication helps suppress the
inflammation in my large intestine.“
C. “The medication reduces proteins that are part
of the inflammation process.“
D. “I will need lab tests done to be sure that I can
still fight infections.”
B. “The medication helps suppress the
inflammation in my large intestine.“
A patient has a newly formed ileostomy. Which
instruction is appropriate concerning the care of
an ileostomy?
A. Restrict fluid intake to prevent constant liquid
drainage from the stoma.
B. Change the wafer every day to prevent
leakage of contents onto the skin.
C. Avoid foods that cause gas, diarrhea or
obstruction.
D. Irrigations should be done daily or every
other day to avoid having to wear a
drainage appliance.
C. Avoid foods that cause gas, diarrhea or
obstruction.
A patient has just returned from the operating
room following the creation of a colostomy. The
nurse assesses the drainage in the pouch attached
to the colostomy and notes sero-sanguinous
drainage. Which action is most appropriate based
on this assessment?
A. Notify the physician.
B. Document the amount and characteristics of
the drainage.
C. Apply ice to the stoma site.
D. Apply pressure to the stoma site.
B. Document the amount and characteristics of
the drainage.
What question can the nurse ask to determine if the patient is experiencing stable or unstable angina? A. “Where is your pain located?” B. “Can you rate your pain on a scale of 1-10?” C. “What were you doing when the pain started?” D. “Do you also feel short of breath?”
C. “What were you doing when the
pain started?”
When the ER nurse gave Lasix to Mr. Fullheart, which of the following was she trying to reduce? A.Heart rate B.Preload C.Contractility D.Blood pressure
B.Preload
According to Frank Starling’s law, when preload is increased, what is the initial response of the heart? A. Blood pressure decreased B. Contractility decreased C. Heart rate increased D. Contractility increased
D. Contractility increased
Your patient with heart failure asks you why
she is so short of breath. Which of the
following is the best response?
A. Because your heart is not squeezing as
effectively, fluid often backs up in the little
pockets of your lungs making it harder to get
the oxygen you need.
B. Your blood pressure is very high and this
makes you feel tired.
C. As a result of your heart failure, you have
less circulating red blood cells to carry
oxygen
D. The edema in your legs makes it harder to lift
them when you walk
A. Because your heart is not squeezing as
effectively, fluid often backs up in the little
pockets of your lungs making it harder to get
the oxygen you need.
Mr. Johnson was just diagnosed with heart
failure and has an ejection fraction of 30%. He
is very concerned and asks you, “What is
HEART FAILURE and how did I get it?” What
would be your best response?
A. You just haven’t been taking care of
yourself and this is what happens.
B. Heart failure is when your heart fails to
beat properly.
C. There are multiple causes of heart failure
but the most common is a result of years
of high blood pressure putting too much
strain on the heart.
D. You have a weak heart and will need to
take medications the rest of your life.
C. There are multiple causes of heart failure
but the most common is a result of years
of high blood pressure putting too much
strain on the heart.
Which of the following would not be an indicator of pulmonary edema? A.Crackles upon auscultation B.BNP of 800 pg/ml C.Rhonchi upon auscultation D.Pink frothy sputum
B.BNP of 800 pg/ml
What part do the kidneys play in the heart failure? A. Reduce blood pressure B. Improve renal filtratration C. Prevent sodium reabsorption to improve blood pressure D. Activate the renin-angiotensinaldosterone- system which causes vasoconstriction
D. Activate the renin-angiotensinaldosterone-
system which
causes vasoconstriction
***all others are opposite
Your patient has been taking an ACE inhibitor daily since she was diagnosed with heart failure. Aside from lowering blood pressure, what is the other benefit of ACE inhibitors for cardiac patients? A. Lowers sodium level B. Increases preload C. Decreases afterload D. Lowers heart rate
C. Decreases afterload
Your patient was diagnosed with stage II heart failure and
is being discharged home today with prescriptions for a
beta blocker and an ACE inhibitor. The patient does not
have a history of high blood pressure and asks you why
he needs to take these medications. Your most
appropriate response would be:
A. Let me get the doctor because this probably isn’t right
B. These medications will improve your vital signs
C. These medications will dilate your blood vessels
making it easier for your heart to circulate blood, as
well as help prevent the progression of your disease
and irregular heart rhythms
D. These medications will increase the strength of your
heart’s contraction by increasing the amount of
calcium available to the heart cells
C. These medications will dilate your blood vessels
making it easier for your heart to circulate blood, as
well as help prevent the progression of your disease
and irregular heart rhythms
Your patient has heart failure. She is 90kg and
struggling to adhere to her cardiac diet. While
attempting to help her to the bathroom you discover
she is unable to ambulate more than 10 feet without
becoming extremely short of breath. Which of the
following responses would not be an appropriate
response for this patient?
A. Encourage her to walk more because she needs
the exercise.
B. Get her back to bed and take a set of vital signs
C. Cluster her care so as not to tire her
D. Notify the physician of the severity of her activity
intolerance
A. Encourage her to walk more because she needs
the exercise
Your patient is in cardiogenic shock. The
max dose of Dobutamine is infusing and
the patient is still exhibiting signs of poor
cardiac output. What other treatment
options can improve your patient’s cardiac
output?
A. Lasix 40mg IVP
B. Placement of an intra-aortic balloon
pump
C. Insertion of a Swan-Ganz catheter
D. Placement of an endotracheal tube with
mechanical ventilation
B. Placement of an intra-aortic balloon
pump
Your patient is being evaluated to determine if he is a candidate for a heart transplant. Which of the following is not a factor in determining if a patient will be placed on the transplant list? A.Psychiatric stability B.Friend/family support system C.Blood type D.Ejection fraction
C.Blood type
Mrs. Kelly has Stage III heart failure. Based on your knowledge of the progression of the disease, what would be an appropriate goal for this patient? A. Increase amount of daily exercise B. Increase PO fluid intake C.Keep systolic blood pressure greater than 130 to promote perfusion D.Restrict dietary sodium
D.Restrict dietary sodium
Mr. Knott was admitted 5 days ago in heart
failure with pulmonary edema. He has been
effectively diuresed and reports feeling
much better. He is being discharged today
and the physician is adding Lasix 20mg BID
and Lisinopril to his home medication
regimen. What is your priority nursing
intervention for Mr. Knott today?
A. Patient education
B. Reduce anxiety
C. Restrict fluid intake
D. Promote proper hand hygiene
A. Patient education
Your patient has been prescribed Toprol XL (Metoprolol) for the treatment of Hypertension. Which change do you expect to occur in your patient as a result of this new prescription? A. Decrease in heart rate B. Increased urine output C. Decreased blood glucose levels D. Decreased serum sodium levels
A. Decrease in heart rate
HTN often goes undetected until symptoms of major organ system failure begin to appear. Which of the following would be the most likely to occur in the patient with HTN? A. Cerebrovascular accident B. Myocardial infarction C. Liver failure D. Pulmonary edema
A. Cerebrovascular accident
Your patient has been prescribed a vasodilator (Hydralazine) for the treatment of HTN. Which side effect do you want to monitor your patient for? A. Tachycardia B. Elevated temperature C. Confusion and irritability D. Decreased deep tendon reflexes
A. Tachycardia
