Unit 2 Quiz Flashcards
A 60-year-old male client has presented to his primary care provider to follow up with his ongoing treatment for peptic ulcer disease. What is the most likely goal of this client’s pharmacologic treatment?
a) inhibiting gastric acid production
b) increasing muscle tone of the cardiac sphincter
c) increasing the rate of gastric emptying
d) promoting hypertrophy of gastric mucosa
A
A 66-year-old woman has been diagnosed with diverticular disease based on her recent complaints and the results of a computed tomography (CT) scan. Which of the client’s following statements demonstrates an accurate understanding of this diagnosis?
a) “I think this might have happened because I’ve used enemas and laxatives too much”
b) “I’ve always struggled with heartburn and indigestion, and I guess I shouldn’t have ignored those warning signs”
c) “I supposed I should try to eat a bit more fiber in my diet”
d) “From now on, I’m going to stick to an organic diet and start taking more supplements”
C
Which of the following meals is most likely to exacerbate an individual’s celiac disease?
a) barbecued steak and baked potato with sour cream
b) spaghetti with meatballs and garlic bread
c) oatmeal with milk, brown sugar, and walnuts
d) stir-fried chicken and vegetables with rice
B
The physician thinks a teenager is having clinical manifestations of irritable bowel syndrome. Which of the following complaints would support this diagnosis? Select all that apply.
a) pain is worse after and between meals
b) belching makes the pains go away
c) pain is most severe at night
d) pain is relieved by defecation
e) pain is described as “cramping” in the lower abdomen
D, E
A teenager who has a history of achalasia will likely complain of which of the following clinical manifestations?
a) excessive heartburn following a high-fat meal of French fries
b) feeling like there is food stuck in the back of the throat
c) vomiting large amounts of bright red emesis
d) projectile vomiting across the room unrelated to meals
B
A client presents to the emergency department with some vague symptoms. After history and physical exam, the physician is suspecting the client may have viral hepatitis. Which of the following clinical manifestations leads the nurse to suspect the client is in the prodromal period of viral hepatitis?
a) muscle aches and pain along with fatigue
b) onset of severe itching with skin breakdown
c) liver tenderness on palpation
d) slight jaundice in the sclera of the eyes
A
Which of the following individuals most likely faces the highest risk of developing chronic pancreatitis?
a) a woman who has six to eight alcoholic beverages each evening
b) an obese man who has a high-fat diet and has a sedentary lifestyle
c) a woman who takes two Tylenol tablets five to six times a day
d) a man who has become profoundly ill during a tropical vacation
A
The nurse who is providing care for a client with pancreatic cancer should prioritize which of the following assessments?
a) assessment for deep vein thrombosis
b) vigilant monitoring of blood glucose levels
c) respiratory assessment and monitoring of arterial blood gases
d) assessment for ascites and close monitoring of fluid balance
A
A client with hepatitis B asks the nurse, “How did I get this hepatitis?” The nurse responds that the mode of transmission is predominantly by: Select all that apply.
a) unprotected sexual intercourse
b) sharing oral secretions by kissing
c) inhalation of airborne droplets
d) fecal-oral route
e) intravenous drug use
A, E
A client is suspected of having the onset of alcoholic liver disease. The nurse should be assessing for which of the following manifestations related to the necrosis of liver cells?
a) long muscle group atrophy
b) tremors of the hands
c) development of multiple skin nodules
d) rapid onset of jaundice
D
What nursing interventions are included in the plan of care for a patient receiving antacids to relieve GI discomfort?
a) administer the antacid 1 hour before or 2 hours after other oral medications
b) have the patient swallow the antacid whole and do not crush or chew the tablet
c) administer this drug with other drugs or food
d) limit fluid intake to decrease dilution of the medication in the stomach
A
What histamine-2 antagonist might the nurse administer to a child?
a) cimetidine
b) omeprazole
c) nizatidine
d) famotidine
D
An adult patient is prescribed cimetidine (Tagamet). A nurse will instruct the patient that an appropriate dosage and frequency of cimetidine is what?
a) 300 mg PO at bedtime
b) 150 mg PO B.I.D.
c) 20 mg PO B.I.D.
d) 800 mg PO at bedtime
D
The nurse teaches the patient who was prescribed a chemical stimulant laxative that this medication may have either a slow, steady effect or may cause severe cramping and rapid evacuation of the contents of the large intestine. What drug is the nurse teaching this patient about?
a) castor oil
b) bisacodyl
c) cascara
d) bismuth salts
C
A new mother required an episiotomy during the birth of her baby. Two days after delivery, the patient is in need of a laxative. What will be the most effective drug for the nurse to administer?
a) cascara
b) docusate
c) magnesium sulfate (epsom salts)
d) castor oil (Neolid)
B
