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

Column a Column b
1.
A.
While planning care for obese patients, two nurses are contrasting the differences between orlistat (Xenical) and other weight-loss agents. Which of the following statements best demonstrates how orlistat is different from most weight-loss drugs?
a. It reduces fat absorption in the intestines.
b. It suppresses the appetite center in the brain.
c. It increases the metabolism to help burn calories.
d. It increases serotonin levels and improves mood.
2.
B.
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.
3.
C.
The nurse is preparing to provide the patient with methylcellulose (Citrucel). The patient asks the nurse how this type of laxative works. The nurse correctly states that this laxative is known as a(n) _________________ laxative and works by __________________.
a. bulk-forming; functioning as dietary fiber
b. surfactant; softening the feces
c. stimulant; stimulating peristalsis
d. osmotic; retaining water and softening the feces
4.
D.
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.
5.
E.
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.
6.
F.
An early indicator of colon cancer is
a. rectal pain.
b. bloody diarrhea.
c. a change in bowel habits.
d. jaundice.
7.
G.
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.
8.
H.
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
9.
I.
Cholelithiasis is present in ____ % of patients who have acute cholecystitis
10.
J.
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.
11.
K.
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
12.
L.
A patient with pancreatitis may experience muscle cramps and laryngospasm secondary to
a. alkalosis.
b. hyperglycemia.
c. hypocalcemia.
d. hypermagnesemia.
13.
M.
The recovery room nurse is caring for a patient status post surgery and administers an antiemetic agent for postoperative nausea and vomiting. The patient is transferred to the unit and beings to display extrapyramidal effects. The nurse suspects that which category of agents is most likely responsible?
a. Phenothiazines
b. Glucocorticoids
c. Cannabinoids
d. Serotonin-receptor antagonists
14.
N.
A deficiency of lipid digestion or absorption commonly results in
a. steatorrhea.
b. constipation.
c. hyperlipidemia.
d. cholelithiasis.
15.
O.
Achalasia
16.
P.
The definitive treatment for cholecystitis is
a. lithotripsy of stones.
b. chemical dissolution of stones.
c. antibiotics and antiinflammatories.
d. cholecystectomy.
17.
Q.
The nurse is caring for an obese patient who is tearful and wants diet pills to control the weight. Select the most appropriate response by the nurse.
a. “Let’s begin with a comprehensive diet, exercise, and behavior management program.”
b. “Drugs are the cornerstone of an effective weight-loss program for people who are obese rather than just overweight.”
c. “Drugs are indicated only for patients who have no health risks from their obesity.”
d. “Drugs produce an excessively rapid weight loss, which could be hazardous to your heart.”
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.
Epigastric pain that is relieved by food is suggestive of
a. pancreatitis.
b. cardiac angina.
c. gastric ulcer.
d. dysphagia.
20.
T.
Diverticulosis