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

Column a Column b
The nurse is teaching a pharmacology refresher class to a group of medical-surgical nurses. The nurse asks “Alosetron (Lotronex) is approved for which patient population?” Which response by one of the nurses best indicates understanding of the use of this drug?
a. “It has been approved for use in women with diarrhea-predominant IBS.”
b. “It can be given to men with diarrhea and crampy abdominal pain due to IBS.”
c. “It would be indicated for pregnant women with iron-associated constipation.”
d. “It is approved for use in children whose growth rate is reduced because of IBS.”
True or False: Prerenal oliguria is a reversible stage of acute renal failure.
The nurse is discussing the mechanism of action of omeprazole (Prilosec) with a group of nursing students. Which statement by a student would best indicate understanding of the mechanism of action of omeprazole?
a. “The duration of action is short, because the drug has a short half-life.”
b. “Absorption occurs in the stomach when the pH is greater than 5.”
c. “It irreversibly inhibits the enzyme needed to produce stomach acid.”
d. “The complete return of acid production occurs 24 hours after discontinuation.”
The nurse is teaching a class to a community group about peptic ulcer disease. Which statement about the use of anticholinergics for PUD is correct?
a. “Because very high doses of these drugs are needed to inhibit acid secretion, the side effects usually are unacceptable to those taking the drug.”
b. “Anticholinergics can cause diarrhea, glucose intolerance, and dehydration.”
c. “Anticholinergics are the drugs of choice for most patients with peptic ulcer disease.”
d. “Anticholinergics can cure PUD when used as single-agent therapy.”
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.
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.
Candidates for the use of sibutramine (Meridia) who have no other risk factors should have a BMI of at least
a. 25.
b. 27.
c. 30.
d. 35.
In patients with polycystic kidney disease, renal failure is expected to progress over time as the cystic process destroys more nephrons. At what point will a patient reach end-stage renal disease?
a. Not possible to predict based on nephron loss
b. Greater than 50% nephron loss
c. Greater than 75% nephron loss
d. Greater than 90% nephron loss
Renal artery stenosis, hypertension, and nephrosclerosis may all contribute to renal failure by causing
a. hydronephrosis.
b. renal ischemia.
c. nephrosis.
d. renal inflammation.
A patient with gouty arthritis develops renal calculi. The composition of these calculi is most likely to be
a. calcium oxalate.
b. struvite.
c. cysteine.
d. uric acid crystals.
A patient has been taking phentermine (Adipex-P) for 12 weeks for weight loss. At a follow-up appointment, the patient reports that the medication is no longer causing appetite suppression. The nurse should advise the patient that the prescriber most likely will
a. switch to another agent in this class.
b. discontinue the drug.
c. increase the dosage.
d. continue the current dosage.
The nurse is caring for a pregnant patient who is suffering from severe traveler’s diarrhea. The nurse should prepare to administer
a. azithromycin (Zithromax).
b. ciprofloxacin (Cipro).
c. levofloxacin (Levaquin).
d. doxycycline (Vibramycin).
A patient admitted to the unit for dehydration tells the nurse that he has not had a bowel movement in 5 days, and he typically has one daily. The nurse administers psyllium (Metamucil) as ordered and should monitor the patient for
a. bright red stools.
b. black, tarry stools.
c. pale, clay-colored stools.
d. intestinal obstruction.
The nurse is working with a group of obese patients. One states, “My goal is to reduce my weight from 280 pounds to 230 pounds in the first 6 months.” What response by the nurse would be most appropriate for this patient?
a. “That is a realistic goal for your weight-reduction program.”
b. “Because most weight loss occurs in the first 6 months, you should aim for 200 pounds.”
c. “Weight loss of more than 20 pounds in 6 months could be dangerous.”
d. “Safe and maintainable weight loss should be about 10% of body weight in 6 months.”
Mechanical bowel obstruction
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.
The nurse is caring for a patient with cancer who has been undergoing chemotherapy. The patient now suffers from oral mucositis as a result of the chemotherapy. An order is written for palifermin (Kepivance). The nurse plans to discontinue the dose at least ____ hours prior to the next chemotherapy dose.
a. 8
b. 12
c. 24
d. 72
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
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.”