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

Column a Column b
1.
A.
Histamine antagonists may be used in the management of peptic ulcer disease to
a. increase gastric motility.
b. inhibit secretion of pepsinogen.
c. neutralize gastric acid.
d. decrease hydrochloric acid (HCl) secretion.
2.
B.
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.
3.
C.
Polycystic kidney disease is
a. always rapidly fatal.
b. due to a streptococcal infection.
c. associated with supernumerary kidney.
d. genetically transmitted.
4.
D.
Achalasia
5.
E.
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.
6.
F.
A Barrett esophagus is
a. best managed with H2 antagonists.
b. a preneoplastic lesion.
c. a benign condition.
d. a gastrin-secreting tumor.
7.
G.
The nurse is caring for a patient with chronic back pain, for which the patient takes opiates daily. To help prevent nausea, the patient also takes metoclopramide (Reglan). For which of the following signs and symptoms would the nurse administer intravenous (IV) diphenhydramine (Benadryl)?
a. Severe spasms of the tongue, face, and neck
b. Dry mouth and urinary retention
c. Diarrhea and abdominal cramps
d. Constipation
8.
H.
The nurse is teaching a nutrition class to a group of nursing students. The nurse asks, “Which vitamin cannot be stored in large amounts in the body and requires frequent ingestion for replacement?” The students would be correct to respond vitamin
a. A.
b. B.
c. D.
d. E.
9.
I.
Functional bowel obstruction.
10.
J.
An early indicator of colon cancer is
a. rectal pain.
b. bloody diarrhea.
c. a change in bowel habits.
d. jaundice.
11.
K.
Celiac sprue is a malabsorptive disorder associated with
a. inflammatory reaction to gluten-containing foods.
b. megacolon at regions of autonomic denervation.
c. ulceration of the distal colon and rectum.
d. deficient production of pancreatic enzymes.
12.
L.
The nurse is preparing to administer magnesium hydroxide (Milk of Magnesia) per a patient’s request for a laxative. The patient asks the nurse how this medication works. Which of the following would be a correct statement by the nurse?
a. “It draws water into the colon to soften the feces.”
b. “It lubricates the passage of stool.”
c. “It increases bulk in the colon.”
d. “It stimulates the nerves that regulate defecation.”
13.
M.
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)
14.
N.
The recovery room nurse is caring for a patient status post surgery and administers an antiemetic agent for postoperative nausea and vomiting. The patient is transferred to the unit and beings to display extrapyramidal effects. The nurse suspects that which category of agents is most likely responsible?
a. Phenothiazines
b. Glucocorticoids
c. Cannabinoids
d. Serotonin-receptor antagonists
15.
O.
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.
16.
P.
A patient with irritable bowel syndrome has received a prescription for a tricyclic antidepressant (TCA). When asked about the rationale for this drug, the nurse should explain that
a. TCAs effectively relieve constipation.
b. these agents can effectively reduce abdominal pain.
c. lifting depression is the goal for this condition.
d. TCAs alter the dopaminergic effects in the gastrointestinal (GI) tract.
17.
Q.
Primary risk factor for chronic pancreatitis?
18.
R.
The nurse is preparing to administer dronabinol (Marinol) to a newly admitted patient. Prior to administration, the nurse reviews the patient’s health history. For which of the following reasons found in the health history would the nurse clarify the order?
a. The patient has a history of bradycardia.
b. The patient has a history of drug abuse.
c. The patient has acquired immunodeficiency syndrome (AIDS).
d. The patient has a history of psychiatric disorders.
19.
S.
The first indication of vitamin A deficiency is
a. easy bruising.
b. sore tongue.
c. poor night vision.
d. sore, bleeding gums.
20.
T.
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.”