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

Column a Column b
1.
A.
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.
2.
B.
True or False: Patients with end-stage renal disease are at a high risk of developing hypocalcemia.
3.
C.
A Barrett esophagus is
a. best managed with H2 antagonists.
b. a preneoplastic lesion.
c. a benign condition.
d. a gastrin-secreting tumor.
4.
D.
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
5.
E.
The nurse is providing education for a patient taking bisacodyl (Dulcolax) tablets daily. Which statement by the patient best demonstrates the need for further teaching?
a. “I should swallow the pill intact.”
b. “I should take the pills with milk or dairy products.”
c. “The pill will be effective within 6 to 12 hours.”
d. “Most people take the pill at bedtime, with good results in the morning.”
6.
F.
The finding of hypotension, rigid abdomen, and absent bowel sounds in a patient with pancreatitis
a. is an expected finding and requires no specific intervention.
b. indicates peritonitis with substantial risk for sepsis and shock.
c. requires immediate surgical intervention.
d. is an unusual finding in pancreatitis and indicates misdiagnosis.
7.
G.
Mechanical bowel obstruction
8.
H.
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.
9.
I.
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.”
10.
J.
A person with acute pyelonephritis would most typically have
a. fever.
b. oliguria.
c. edema.
d. hypertension.
11.
K.
steatorrhea
12.
L.
Which of the following interventions has been found to retard the advancement of chronic kidney disease?
a. Calcium supplementation
b. Erythropoietin
c. Insulin
d. ACE inhibitors or A-II receptor blockers
13.
M.
Barrett esophagus
14.
N.
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)
15.
O.
A biliary cause of acute pancreatitis is suggested by which of the following laboratory results?
a. Elevated serum lipase
b. Elevated serum amylase
c. Elevated serum glucose
d. Elevated serum alkaline phosphatase
16.
P.
The nurse on an oncology unit is caring for a patient with lung cancer. Prior to the next dose of cisplatin (Platinol-AQ), which antiemetic would the nurse most likely administer to the patient?
a. Metoclopramide (Reglan)
b. Droperidol (Inapsine)
c. Ondansetron (Zofran)
d. Prochlorperazine
17.
Q.
A patient comes to the clinic, worried that he may have contracted a sexually transmitted disease. He complains that his lips are cracked, and he has a “thick” tongue and an itchy scrotum. Upon further assessment, the nurse finds cheilosis, glossitis, vascularization of the cornea, and irritated dermatitis of the scrotum. The nurse suspects that these signs and symptoms are consistent with which vitamin deficiency?
a. Riboflavin
b. Thiamin
c. Pyridoxine
d. Niacin
18.
R.
Most gallstones are composed of
a. bile.
b. cholesterol.
c. calcium.
d. uric acid salts.
19.
S.
Polycystic kidney disease is
a. always rapidly fatal.
b. due to a streptococcal infection.
c. associated with supernumerary kidney.
d. genetically transmitted.
20.
T.
What information would be most important for the nurse to provide to a patient requesting a prn dose of magnesium hydroxide (Milk of Magnesia)?
a. “You will need to increase your fluid intake.”
b. “Avoid drinking milk for an hour after the magnesium hydroxide.”
c. “I’ll need to get a prescriber’s order for mineral oil to avoid irritation.”
d. “You can expect immediate results.”