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

Column a Column b
1.
A.
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.”
2.
B.
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)
3.
C.
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.
4.
D.
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.
5.
E.
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.”
6.
F.
Osteodystrophy commonly occurs in patients with end-stage renal disease because of
a. hypoparathyroidism.
b. hypercalcemia.
c. insufficient active vitamin D.
d. phosphate deficiency.
7.
G.
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.
8.
H.
An early indicator of colon cancer is
a. rectal pain.
b. bloody diarrhea.
c. a change in bowel habits.
d. jaundice.
9.
I.
The nurse administers psyllium (Metamucil) to a patient who has requested a laxative. The nurse should monitor the patient for ____________ and provide ______________ to minimize the effects and risks.
a. nausea and vomiting; an antiemetic
b. abdominal cramps; a K-pad (warming pad)
c. esophageal obstruction; 8 ounces of water
d. watery stools; 30 mL of water
10.
J.
The nurse is providing patient education about the use of vitamins. Which statement by the patient demonstrates a need for further teaching?
a. “Night blindness may indicate a vitamin A deficiency.”
b. “I take vitamin E for its antioxidant effects.”
c. “Scurvy is caused by excess vitamin C.”
d. “Deficiency of folic acid may lead to birth defects.”
11.
K.
A silent abdomen 3 hours after bowel surgery most likely indicates
a. peritonitis.
b. mechanical bowel obstruction.
c. perforated bowel.
d. functional bowel obstruction.
12.
L.
cholecystitis
13.
M.
Most renal calculi are composed of: _____________
14.
N.
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.
15.
O.
The nurse is preparing to administer diphenoxylate (Lomotil) to a patient who complains of diarrhea. For what side effects would the nurse observe the patient after administration of this medication?
a. Reduced heart rate
b. Salivation
c. Urinary frequency
d. Blurred vision
16.
P.
The nurse is preparing to administer cimetidine 300 mg IV per the prescriber’s order. Which of the following represents proper administration of the medication?
a. Mix 300 mg with 10 mL of 5% dextrose and water and give IVP over 1 minute.
b. Mix 300 mg with 10 mL of 0.9% sodium chloride and give IVP over 2 minutes.
c. Mix 300 mg in 50 mL of 0.9% sodium chloride and infuse over 15 minutes.
d. Mix 300 mg in 100 mL of 0.9% sodium chloride and infuse over 5 minutes.
17.
Q.
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.”
18.
R.
In which of the following cases would it be inappropriate to manage dyspepsia with an empiric trial of an H2 blocker?
a. Concomitant dysphagia
b. Chronic use of nonsteroidal antiinflammatory drugs
c. Dyspepsia occurring after meals
d. Dyspepsia relieved by meals
19.
S.
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
20.
T.
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.