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

Column a Column b
1.
A.
Fecal leukocyte screening would be indicated in a patient with suspected
a. lactose intolerance.
b. inflammatory bowel disease.
c. laxative abuse.
d. giardiasis.
2.
B.
Encopresis
3.
C.
The organism most commonly associated with acute pyelonephritis is
a. Streptococcus.
b. Escherichia coli.
c. Klebsiella.
d. Enterobacter.
4.
D.
Appropriate management of end-stage renal disease includes
a. potassium supplementation.
b. a high-protein diet.
c. erythropoietin administration.
d. a high-phosphate diet.
5.
E.
While planning care for obese patients, two nurses are contrasting the differences between orlistat (Xenical) and other weight-loss agents. Which of the following statements best demonstrates how orlistat is different from most weight-loss drugs?
a. It reduces fat absorption in the intestines.
b. It suppresses the appetite center in the brain.
c. It increases the metabolism to help burn calories.
d. It increases serotonin levels and improves mood.
6.
F.
A patient inadvertently took an excessive dose of warfarin (Coumadin) and was immediately treated with IV vitamin K (Phytonadione). The symptoms that would most concern the nurse after administration of vitamin K are
a. mild pruritus, pulse of 92.
b. respirations of 32, bronchoconstriction, O2 sats of 83%.
c. prolonged sensitization to warfarin (Coumadin).
d. blood pressure of 107/52 and bleeding gums.
7.
G.
True or False: Prerenal acute renal failure occurs when kidney perfusion is impaired.
8.
H.
The nurse is providing patient education to a patient who has been diagnosed with scurvy. The nurse would be correct to tell the patient that she is deficient in
a. folic acid.
b. ascorbic acid.
c. nicotinic acid.
d. riboflavin.
9.
I.
True or False: Signs and symptoms of end-stage renal disease begin to appear when approximately 75% of nephrons have been lost.
10.
J.
The nurse in a clinic is caring for an obese adult patient who requests dexfenfluramine (Redux) after reading about the drug online. The nurse should instruct the patient that this drug
a. has been approved for long-term weight control.
b. is indicated only for obese patients with hypertension or heart disease.
c. was removed from the market because of associated heart damage.
d. may help with weight loss, but diet management should be used first.
11.
K.
Which of the following signs is consistent with a diagnosis of glomerulonephritis?
a. Pyuria
b. Proteinuria
c. White blood cell casts in the urine
d. Foul-smelling urine
12.
L.
The nurse is preparing to administer diphenoxylate (Lomotil) to a patient who complains of diarrhea. For what side effects would the nurse observe the patient after administration of this medication?
a. Reduced heart rate
b. Salivation
c. Urinary frequency
d. Blurred vision
13.
M.
The nurse has provided education on factors that contribute to ulcer formation to her patient diagnosed with peptic ulcer disease (PUD). Which of the following statements by the patient indicates a need for further teaching?
a. “I guess I’ll have to avoid coffee and cola from now on.”
b. “I am surprised to learn that Helicobacter pylori infection can lead to ulcers.”
c. “Instead of ibuprofen, I’ll take acetaminophen for my arthritis.”
d. “I’m going to ask my doctor to order a nicotine patch to help me quit smoking.”
14.
N.
The nurse administers psyllium (Metamucil) to a patient who has requested a laxative. The nurse should monitor the patient for ____________ and provide ______________ to minimize the effects and risks.
a. nausea and vomiting; an antiemetic
b. abdominal cramps; a K-pad (warming pad)
c. esophageal obstruction; 8 ounces of water
d. watery stools; 30 mL of water
15.
O.
An early indicator of colon cancer is
a. rectal pain.
b. bloody diarrhea.
c. a change in bowel habits.
d. jaundice.
16.
P.
The nurse is providing patient education about the use of vitamins. Which statement by the patient demonstrates a need for further teaching?
a. “Night blindness may indicate a vitamin A deficiency.”
b. “I take vitamin E for its antioxidant effects.”
c. “Scurvy is caused by excess vitamin C.”
d. “Deficiency of folic acid may lead to birth defects.”
17.
Q.
The nurse, who is caring for a patient with constipation, is preparing to administer morning medications. The nurse determines that concurrent drug administration of which of the following medications most likely would contribute to constipation? (Select all that apply.)
a. Oxycodone/acetaminophen (Percocet)
b. Aluminum hydroxide
c. Benztropine (Cogentin)
d. Ranitidine (Zantac)
e. Diazepam (Valium)
18.
R.
The nurse is providing education to a patient with ulcerative colitis who is being treated with sulfasalazine (Azulfidine). What statement by the patient best demonstrates understanding of the action of sulfasalazine?
a. “It treats the infection that triggers the condition.”
b. “It reduces the inflammation.”
c. “It enhances the immune response.”
d. “It increases the reabsorption of fluid.”
19.
S.
A patient is placed on a multidrug regimen that includes bismuth for treatment of peptic ulcer disease (PUD). The nurse should include which of the following points when providing patient education?
a. One week of therapy should heal ulcers, relieve symptoms, and eradicate H. pylori.
b. Resolution of pain indicates that the ulcer has healed.
c. The tongue and stool may turn black.
d. A single-antibiotic regimen is preferable to a multi-antibiotic regimen whenever possible.
20.
T.
Functional bowel obstruction.