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

Column a Column b
1.
A.
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.
2.
B.
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.
3.
C.
Dysphagia
4.
D.
True or False: Patients with end-stage renal disease are at a high risk of developing hypocalcemia.
5.
E.
True or False: Colicky, spasmodic pains in the flank area are likely to occur with ureteral irritation
6.
F.
The nurse is providing discharge teaching for an obese patient who is going home on sibutramine (Meridia). Which statement by the patient demonstrates a need for further education?
a. “I may experience a headache while taking this drug.”
b. “I may experience an increase in my heart rate.”
c. “This medication will help me lose weight by suppressing my appetite.”
d. “I can expect to have diarrhea while taking this medication.”
7.
G.
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
8.
H.
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).
9.
I.
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.”
10.
J.
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)
11.
K.
The nurse at a public health clinic is assessing a patient’s risks for heart disease. A patient who has a BMI of 28 would require which intervention?
a. No intervention is indicated; the patient’s BMI is within normal limits.
b. The patient should be instructed in methods for gaining weight
c. The patient should be educated about weight reduction.
d. The patient should be referred for surgical intervention for extreme obesity.
12.
L.
The best indicator of renal function:
13.
M.
The organism most commonly associated with acute pyelonephritis is
a. Streptococcus.
b. Escherichia coli.
c. Klebsiella.
d. Enterobacter.
14.
N.
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
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 a history of chronic alcohol abuse has been admitted to the unit with cirrhosis. Upon review of the patient’s laboratory test results, the nurse notes that the ammonia level is 218. What medication should the nurse prepare to administer?
a. 0.9% NS
b. Lactulose
c. Docusate sodium (Colace)
d. Polyethylene glycol (MiraLax)
17.
Q.
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.
18.
R.
Which of the following symptoms suggests the presence of a hiatal hernia?
a. Nausea
b. Heartburn
c. Diarrhea
d. Abdominal cramps
19.
S.
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.
20.
T.
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.