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

Column a Column b
1.
A.
A 30-year-old female patient is to be started on misoprostol (Cytotec) for treatment of a gastric ulcer secondary to long-term ibuprofen (Motrin) use. Which of the following must the nurse include in the patient education?
a. “Start taking the drug at the end of your next menstrual period.”
b. “Take the medication 1 hour before meals.”
c. “Use a reliable method of birth control.”
d. “Perform a breast self-examination weekly while on the medication.”
2.
B.
The finding of hypotension, rigid abdomen, and absent bowel sounds in a patient with pancreatitis
a. is an expected finding and requires no specific intervention.
b. indicates peritonitis with substantial risk for sepsis and shock.
c. requires immediate surgical intervention.
d. is an unusual finding in pancreatitis and indicates misdiagnosis.
3.
C.
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.”
4.
D.
Renal artery stenosis, hypertension, and nephrosclerosis may all contribute to renal failure by causing
a. hydronephrosis.
b. renal ischemia.
c. nephrosis.
d. renal inflammation.
5.
E.
The most likely cause of compensated acidosis in a patient with end-stage renal disease is
a. insufficient filtration of bicarbonate ions at the glomerulus.
b. excessive production of respiratory and metabolic acids.
c. insufficient metabolic acid excretion due to nephron loss.
d. hypoventilation secondary to uremic central nervous system depression.
6.
F.
People with alcoholism and those who take isoniazid should be monitored for which vitamin B6–related complications? (Select all that apply.)
a. Sprue
b. Glossitis
c. Microcytic anemia
d. Seborrheic dermatitis
e. Changes in neurologic function
7.
G.
The definitive treatment for cholecystitis is
a. lithotripsy of stones.
b. chemical dissolution of stones.
c. antibiotics and antiinflammatories.
d. cholecystectomy.
8.
H.
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
9.
I.
A patient comes to the emergency department complaining of nausea, vomiting, and abdominal cramps. The nurse anticipates that the patient should receive
a. a stimulant laxative, such as bisacodyl (Dulcolax).
b. increased fiber and water to promote defecation.
c. an osmotic laxative, such as magnesium citrate (Citro-mag).
d. nothing; further assessment should be performed, given the patient’s symptoms.
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.
Functional bowel obstruction.
12.
L.
A patient comes to the clinic for a checkup and shares upcoming plans to go on a vacation cruise. The patient asks for a medication to prevent sea sickness. The nurse practitioner orders scopolamine. The nurse provides education and tells the patient to be aware of the potential side effects, which include
a. nausea and vomiting.
b. blurred vision and drowsiness.
c. itching and diarrhea.
d. hearing loss and salivation.
13.
M.
The nurse is caring for a patient with Crohn’s disease. The patient has been taking metronidazole (Flagyl) for 6 months. The patient begins to complain of numbness and tingling in the extremities. The nurse should suspect
a. myopathy.
b. peripheral neuropathy.
c. myalgia.
d. extrapyramidal symptoms.
14.
N.
At his most recent clinic visit, a patient with end-stage renal disease is noted to have edema, congestive signs in the pulmonary system, and a pericardial friction rub. Appropriate therapy at this time would include
a. initiation of dialysis.
b. fluid restriction.
c. antibiotics.
d. phlebotomy.
15.
O.
A biliary cause of acute pancreatitis is suggested by which of the following laboratory results?
a. Elevated serum lipase
b. Elevated serum amylase
c. Elevated serum glucose
d. Elevated serum alkaline phosphatase
16.
P.
Appropriate management of end-stage renal disease includes
a. potassium supplementation.
b. a high-protein diet.
c. erythropoietin administration.
d. a high-phosphate diet.
17.
Q.
Chronic pancreatitis may lead to
a. diabetes mellitus.
b. Crohn disease.
c. gallstones.
d. celiac sprue.
18.
R.
Most gallstones are composed of
a. bile.
b. cholesterol.
c. calcium.
d. uric acid salts.
19.
S.
A patient with diarrhea has been prescribed methylcellulose (Citrucel). The patient asks the nurse, “I thought this was for constipation. Why am I getting it?” Select the most appropriate response from the nurse.
a. “Methylcellulose adds bulk to the stool to firm it up.”
b. “Methylcellulose acts by reducing the volume of diarrhea.”
c. “Methylcellulose reduces intestinal motility, slowing intestinal transit.”
d. “Methylcellulose stimulates the bowel to eliminate the diarrhea, leaving only formed stools.”
20.
T.
Ulcerative colitis is commonly associated with
a. bloody diarrhea.
b. malabsorption of nutrients.
c. fistula formation between loops of bowel.
d. inflammation and scarring of the submucosal layer of the bowel.