Matching (20) Match items in column A to column B

Column a Column b
1.
A.
The nurse is preparing to provide the patient with methylcellulose (Citrucel). The patient asks the nurse how this type of laxative works. The nurse correctly states that this laxative is known as a(n) _________________ laxative and works by __________________.
a. bulk-forming; functioning as dietary fiber
b. surfactant; softening the feces
c. stimulant; stimulating peristalsis
d. osmotic; retaining water and softening the feces
2.
B.
A patient is being discharged from the hospital and is receiving patient education about medications, including vitamin C (ascorbic acid). Which symptom would indicate excessive doses of vitamin C?
a. Constipation
b. Seizure activity
c. Excessive bleeding tendencies
d. Gastrointestinal disturbances
3.
C.
The nurse is reviewing the medication administration record to verify medications at the start of the shift. The nurse notes a new order for diphenoxylate. What assessment finding would cause the nurse to withhold the medication?
a. Dehydration
b. Diarrhea
c. Constipation
d. Dizziness
4.
D.
The nurse is caring for a patient who is receiving chemotherapy. The patient complains of nausea and begins to vomit. The nurse administers ondansetron (Zofran) to alleviate the nausea. Which medication given concurrently with ondansetron would increase its effectiveness?
a. Dexamethasone (Decadron)
b. Ranitidine (Zantac)
c. Loperamide (Imodium)
d. Alosetron (Lotronex)
5.
E.
An adult who has been self-medicating, using nutritional therapy for elevated cholesterol, complains of repeated episodes of flushing. The nurse suspects that the patient has been taking
a. niacin.
b. thiamin.
c. riboflavin.
d. pyridoxine.
6.
F.
steatorrhea
7.
G.
The nurse is providing education for a patient taking bisacodyl (Dulcolax) tablets daily. Which statement by the patient best demonstrates the need for further teaching?
a. “I should swallow the pill intact.”
b. “I should take the pills with milk or dairy products.”
c. “The pill will be effective within 6 to 12 hours.”
d. “Most people take the pill at bedtime, with good results in the morning.”
8.
H.
Renal artery stenosis, hypertension, and nephrosclerosis may all contribute to renal failure by causing
a. hydronephrosis.
b. renal ischemia.
c. nephrosis.
d. renal inflammation.
9.
I.
For a patient with which of the following would the nurse withhold a prn order for magnesium hydroxide?
a. Hemorrhoids
b. Prostatitis
c. Cirrhosis
d. Chronic renal failure
10.
J.
The nurse is caring for a patient with ulcerative colitis who is being treated with azathioprine. Which laboratory test result should be monitored periodically?
a. Microscopic urine examination
b. Complete blood count (CBC) with differential
c. Immunoglobulin survey
d. Serum albumin
11.
K.
The most likely cause of anemia in a patient with end-stage renal disease is
a. insufficient erythropoietin.
b. blood loss secondary to hematuria.
c. vitamin B12 deficiency secondary to deficient intrinsic factor.
d. iron deficiency.
12.
L.
The nurse is preparing to administer cimetidine 300 mg IV per the prescriber’s order. Which of the following represents proper administration of the medication?
a. Mix 300 mg with 10 mL of 5% dextrose and water and give IVP over 1 minute.
b. Mix 300 mg with 10 mL of 0.9% sodium chloride and give IVP over 2 minutes.
c. Mix 300 mg in 50 mL of 0.9% sodium chloride and infuse over 15 minutes.
d. Mix 300 mg in 100 mL of 0.9% sodium chloride and infuse over 5 minutes.
13.
M.
A deficiency of lipid digestion or absorption commonly results in
a. steatorrhea.
b. constipation.
c. hyperlipidemia.
d. cholelithiasis.
14.
N.
Osteodystrophy commonly occurs in patients with end-stage renal disease because of
a. hypoparathyroidism.
b. hypercalcemia.
c. insufficient active vitamin D.
d. phosphate deficiency.
15.
O.
The patient has an order for vitamin K, to be given intravenously (IV) now. The nurse would suspect that the patient most likely has been taking which medication?
a. Heparin
b. Aspirin
c. Warfarin (Coumadin)
d. Enoxaparin (Lovenox)
16.
P.
The pathophysiologic basis of acute glomerulonephritis is
a. renal ischemia.
b. bacterial invasion of the glomerulus.
c. an anaphylactic reaction.
d. an immune complex reaction.
17.
Q.
The definitive treatment for cholecystitis is
a. lithotripsy of stones.
b. chemical dissolution of stones.
c. antibiotics and antiinflammatories.
d. cholecystectomy.
18.
R.
A pregnant woman tells the nurse that she takes daily vitamin supplements. Since learning of her pregnancy, she has increased her vitamin A supplement to 1200 RAEs per day. The nurse should
a. confirm that this dose is appropriate during pregnancy.
b. encourage the patient to increase the dose to 1500 RAEs to promote the development of the central nervous system of the fetus.
c. recommend that the patient reduce the dose to less than 700 RAEs, because higher doses may be teratogenic.
d. inform the patient that because vitamin A is water soluble, large doses are needed to maintain the vitamin in the system.
19.
S.
Elevated serum lipase and amylase levels are indicative of
a. gallbladder disease.
b. appendicitis.
c. pancreatitis.
d. peritonitis.
20.
T.
Appropriate management of end-stage renal disease includes
a. potassium supplementation.
b. a high-protein diet.
c. erythropoietin administration.
d. a high-phosphate diet.