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

Column a Column b
1.
A.
The usual treatment for chronic pancreatitis includes
a. pancreatectomy.
b. strict dietary avoidance of fats.
c. abstinence from alcohol.
d. long-term narcotic administration for pain.
2.
B.
The most helpful laboratory value in monitoring the progression of declining renal function is
a. serum creatinine.
b. serum potassium.
c. blood urea nitrogen.
d. mental status changes.
3.
C.
The stage of “renal insufficiency” of chronic kidney disease is associated with
a. destruction of more than 90% of total nephrons.
b. uremic syndrome.
c. polyuria and nocturia.
d. proteinuria and hypoproteinemia.
4.
D.
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.
5.
E.
A high urine sodium and a fractional sodium excretion greater than 1 is associated with
a. hypovolemia.
b. acute tubular necrosis.
c. prerenal oliguria.
d. activation of the renin-angiotensin-aldosterone cascade.
6.
F.
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.
7.
G.
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
8.
H.
An urgent surgical consult is indicated for the patient with acute abdominal pain and
a. vomiting.
b. CVA tenderness.
c. absent bowel tones.
d. borborygmi.
9.
I.
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).
10.
J.
The definitive treatment for cholecystitis is
a. lithotripsy of stones.
b. chemical dissolution of stones.
c. antibiotics and antiinflammatories.
d. cholecystectomy.
11.
K.
Which of the following findings should prompt further diagnostic testing in a child presenting with diarrhea?
a. Periumbilical discomfort
b. Greenish, watery diarrhea
c. Frequent, large-volume diarrhea
d. Blood and mucus in the stools
12.
L.
The first indication of vitamin A deficiency is
a. easy bruising.
b. sore tongue.
c. poor night vision.
d. sore, bleeding gums.
13.
M.
Which of the following clinical findings would suggest an esophageal rather than an oropharyngeal cause of dysphagia?
a. Nasal regurgitation
b. Airway obstruction with swallowing
c. Chest pain during meals
d. Coughing when swallowing
14.
N.
Patients with acute pancreatitis are generally not allowed to eat and may require continuous gastric suctioning to
a. prevent abdominal distention.
b. remove the usual stimuli for pancreatic secretion.
c. prevent hyperglycemia associated with loss of insulin secretion.
d. prevent mechanical obstruction of the intestine.
15.
O.
A patient on antiulcer therapy complains of reduced libido and impotence. The nurse identifies a knowledge deficit in the patient. During teaching, the nurse informs the patient that _______ has been shown to cause reduced libido and impotence.
a. nizatidine (Axid)
b. cimetidine (Tagamet)
c. ranitidine (Zantac)
d. famotidine (Pepcid)
16.
P.
A Barrett esophagus is
a. best managed with H2 antagonists.
b. a preneoplastic lesion.
c. a benign condition.
d. a gastrin-secreting tumor.
17.
Q.
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.
18.
R.
When metronidazole (Flagyl) is a component of the H. pylori treatment regimen, the patient must be instructed to
a. avoid foods containing tyramine.
b. take the drug with food.
c. take the drug on an empty stomach.
d. avoid any alcoholic beverages.
19.
S.
Barrett esophagus
20.
T.
7. Z.C. is a 49-year-old man with autosomal dominant polycystic kidney disease (ADPKD). His kidneys are enlarged with multiple urine-filled cystic lesions. Z.C. is currently in a stage of renal insufficiency with a GFR of about 20% of normal. He suffers from recurrent urinary tract infections and chronic anemia. In counseling Z.C. about the risk of transmitting the disorder to his offspring, which of the following statements would be correct?
a. Each offspring has a 50% chance of developing the disease.
b. Each offspring has a 25% chance of developing the disease.
c. Each offspring has a 50% chance of being a carrier.
d. Only boys are affected, whereas girls are carriers.