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

Column a Column b
1.
A.
The nurse is caring for a patient with cancer who has been undergoing chemotherapy. The patient now suffers from oral mucositis as a result of the chemotherapy. An order is written for palifermin (Kepivance). The nurse plans to discontinue the dose at least ____ hours prior to the next chemotherapy dose.
a. 8
b. 12
c. 24
d. 72
2.
B.
The nurse has admitted a patient to the unit who has been experiencing bowel problems. The patient is to receive a bowel preparation for a radiologic procedure. The nurse would anticipate administration of which of the following medications?
a. Psyllium (Metamucil)
b. Docusate sodium (Colace)
c. Castor oil
d. Bisacodyl (Dulcolax)
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.
cholecystitis
5.
E.
True or False: The presence of white blood cell casts in the urine is indicative of pyelonephritis
6.
F.
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
7.
G.
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)
8.
H.
The nurse is administering magnesium hydroxide (Milk of Magnesia) to a patient who has been complaining of constipation and has consistently taken the medication every day for a week. The patient has poor skin turgor, BP 90/60, and HR 120. The nurse should further assess the patient for
a. toxicity.
b. dehydration.
c. increased sodium.
d. increased potassium.
9.
I.
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
10.
J.
The nurse, who is teaching a class at a local community center, explains to the audience that more patients are using vitamins to supplement their dietary intake. The nurse correctly tells the audience that the role of vitamins in metabolism is that
a. large amounts are required to meet the metabolic needs of an active individual.
b. vitamins are inorganic compounds.
c. vitamins are needed for energy transformation and to regulate metabolic processes.
d. vitamins serve as an energy source, along with proteins, carbohydrates, and fats.
11.
K.
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.
12.
L.
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.”
13.
M.
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.”
14.
N.
An adult who has been self-medicating, using nutritional therapy for elevated cholesterol, complains of repeated episodes of flushing. The nurse suspects that the patient has been taking
a. niacin.
b. thiamin.
c. riboflavin.
d. pyridoxine.
15.
O.
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
16.
P.
A silent abdomen 3 hours after bowel surgery most likely indicates
a. peritonitis.
b. mechanical bowel obstruction.
c. perforated bowel.
d. functional bowel obstruction.
17.
Q.
The nurse has provided education on factors that contribute to ulcer formation to her patient diagnosed with peptic ulcer disease (PUD). Which of the following statements by the patient indicates a need for further teaching?
a. “I guess I’ll have to avoid coffee and cola from now on.”
b. “I am surprised to learn that Helicobacter pylori infection can lead to ulcers.”
c. “Instead of ibuprofen, I’ll take acetaminophen for my arthritis.”
d. “I’m going to ask my doctor to order a nicotine patch to help me quit smoking.”
18.
R.
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)
19.
S.
Renal artery stenosis, hypertension, and nephrosclerosis may all contribute to renal failure by causing
a. hydronephrosis.
b. renal ischemia.
c. nephrosis.
d. renal inflammation.
20.
T.
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.”