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

Column a Column b
1.
A.
Odynophagia
2.
B.
Fecal leukocyte screening would be indicated in a patient with suspected
a. lactose intolerance.
b. inflammatory bowel disease.
c. laxative abuse.
d. giardiasis.
3.
C.
Match the following predisposing factors with the types of acute renal failure below.
a. Nephrotoxic antibiotic
b. Shock
c. Prostatic hyperplasia


1. Prerenal

2. Intrarenal

3. Postrenal
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 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.
6.
F.
cholecystitis
7.
G.
The nurse reviews the patient data and health history of a patient who is prescribed tegaserod (Zelnorm) for treatment of IBS. For which of the following patients should the nurse question the order? (Select all that apply.)
a. The patient who is a 56-year-old male.
b. The patient who has irritable bowel syndrome–constipation.
c. The patient who has a history of sulfa allergy.
d. The patient who is a chronic dialysis patient.
e. The patient who is a 40-year-old female.
8.
H.
The nurse is providing patient education to a group of obese patients. To minimize the risk of vitamin deficiency in patients taking orlistat (Xenical), the nurse should instruct the patients to
a. take Metamucil to reduce the GI effects of orlistat.
b. take a daily multivitamin 2 hours before or after taking orlistat.
c. eat vitamin-rich foods at the same time orlistat is taken.
d. take a daily multivitamin at the same time orlistat is taken.
9.
I.
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.”
10.
J.
True or False: Patients with end-stage renal disease are at a high risk of developing hypocalcemia.
11.
K.
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)
12.
L.
A silent abdomen 3 hours after bowel surgery most likely indicates
a. peritonitis.
b. mechanical bowel obstruction.
c. perforated bowel.
d. functional bowel obstruction.
13.
M.
Achalasia
14.
N.
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.”
15.
O.
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.
16.
P.
A 30-year-old female patient is to be started on misoprostol (Cytotec) for treatment of a gastric ulcer secondary to long-term ibuprofen (Motrin) use. Which of the following must the nurse include in the patient education?
a. “Start taking the drug at the end of your next menstrual period.”
b. “Take the medication 1 hour before meals.”
c. “Use a reliable method of birth control.”
d. “Perform a breast self-examination weekly while on the medication.”
17.
Q.
The nurse is preparing to administer medications to a patient taking sucralfate (Carafate) and ciprofloxacin (Cipro). The drugs are ordered for 0900. In what manner should the nurse proceed to administer the drugs?
a. The nurse should administer the drugs with a full glass of water.
b. The nurse should ask the prescriber to change the times to prevent concurrent administration.
c. The nurse should administer the two drugs at same time with food.
d. The nurse should administer the ciprofloxacin 15 minutes before the sucralfate.
18.
R.
Achalasia
19.
S.
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.
20.
T.
Polycystic kidney disease is
a. always rapidly fatal.
b. due to a streptococcal infection.
c. associated with supernumerary kidney.
d. genetically transmitted.