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

Column a Column b
1.
A.
Most gallstones are composed of
a. bile.
b. cholesterol.
c. calcium.
d. uric acid salts.
2.
B.
True or False: The exocrine pancreas is stimulated to secrete in response to secretin and cholecystokinin.
3.
C.
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
4.
D.
Which of the following findings would rule out a diagnosis of irritable bowel syndrome in a patient with chronic diarrhea?
a. Negative stool leukocytes
b. Intermittent constipation
c. Abdominal pain and distention
d. Bloody stools
5.
E.
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)
6.
F.
The nurse would question a prescription for alosetron (Lotronex) for a patient with a history of which health problem or problems? (Select all that apply.)
a. Ulcerative colitis
b. Traveler’s diarrhea
c. Intestinal obstruction
d. Diabetes
e. Diverticulitis
7.
G.
A pregnant woman tells the nurse that she takes daily vitamin supplements. Since learning of her pregnancy, she has increased her vitamin A supplement to 1200 RAEs per day. The nurse should
a. confirm that this dose is appropriate during pregnancy.
b. encourage the patient to increase the dose to 1500 RAEs to promote the development of the central nervous system of the fetus.
c. recommend that the patient reduce the dose to less than 700 RAEs, because higher doses may be teratogenic.
d. inform the patient that because vitamin A is water soluble, large doses are needed to maintain the vitamin in the system.
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.
Epigastric pain that is relieved by food is suggestive of
a. pancreatitis.
b. cardiac angina.
c. gastric ulcer.
d. dysphagia.
10.
J.
The nurse is caring for a patient who is receiving chemotherapy. The patient complains of nausea and begins to vomit. The nurse administers ondansetron (Zofran) to alleviate the nausea. Which medication given concurrently with ondansetron would increase its effectiveness?
a. Dexamethasone (Decadron)
b. Ranitidine (Zantac)
c. Loperamide (Imodium)
d. Alosetron (Lotronex)
11.
K.
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.”
12.
L.
True or False: Signs and symptoms of end-stage renal disease begin to appear when approximately 75% of nephrons have been lost.
13.
M.
Cholelithiasis
14.
N.
The nurse is preparing to provide the patient with methylcellulose (Citrucel). The patient asks the nurse how this type of laxative works. The nurse correctly states that this laxative is known as a(n) _________________ laxative and works by __________________.
a. bulk-forming; functioning as dietary fiber
b. surfactant; softening the feces
c. stimulant; stimulating peristalsis
d. osmotic; retaining water and softening the feces
15.
O.
The nurse is caring for a psychiatric patient with breast cancer who is just about to receive chemotherapy. What antiemetic would be most appropriate for this patient, who is anticipating nausea?
a. Loperamide (Imodium)
b. Ranitidine (Zantac)
c. Dronabinol (Marinol)
d. Lorazepam (Ativan)
16.
P.
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
17.
Q.
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.
18.
R.
chronic cholelithiasis symptoms
19.
S.
The pathophysiologic basis of acute glomerulonephritis is
a. renal ischemia.
b. bacterial invasion of the glomerulus.
c. an anaphylactic reaction.
d. an immune complex reaction.
20.
T.
The nurse is providing education to a patient who has been prescribed both an antacid and ranitidine (Zantac). Which instruction should the nurse give the patient about taking the medications?
a. “Take the antacid 1 hour after the ranitidine.”
b. “The antacid and ranitidine should be taken at the same time for better effect.”
c. “Take the antacid 15 minutes before the ranitidine.”
d. “Take the antacid 30 minutes after the ranitidine.”