nurs6521 week 7 quiz latest 2018 april

Week 7 quiz

Question 1

A 29-year-old female patient has been prescribed orlistat
(Xenical) for morbid obesity. The nurse is providing patient education
concerning the drug. An important instruction to the patient would be to

Question 2

A 22-year-old male college senior has lived with a diagnosis
of Crohn’s disease for several years and has undergone several courses of
treatment with limited benefit. Which of the following targeted therapies has
the potential to alleviate the symptoms of Crohn’s disease?

Question 3

Following an endoscopy, a 66-year-old man has been diagnosed
with a duodenal ulcer resulting from Helicobacter pylori infection. Which of
the following medications will likely be used in an attempt to eradicate the
patient’s H. pylori infection? (Select all that apply.)

Question 4

A woman with an inflammatory skin disorder has begun taking
prednisone in an effort to control the signs and symptoms of her disease. The
nurse who is providing care for this patient should prioritize which of the
following potential nursing diagnoses in the organization of the patient’s
care?

Question 5

A 33-year-old woman has irritable bowel syndrome (IBS). The
physician has prescribed simethicone (Mylicon) for her discomfort. Which of the
following will the nurse monitor most closely during the patient’s drug
therapy?

Question 6

A 52-year-old man is suffering from a deficiency of exocrine
pancreatic secretions and is prescribed pancrelipase (Pancrease MT). Before the
medication therapy begins, the nurse will assess for allergies related to

Question 7

A 42-year-old man is being treated for a peptic ulcer with
ranitidine (Zantac) taken PO at bedtime. Even though few adverse effects are
associated with this drug, one common adverse effect that can be severe is

Question 8

A woman with numerous chronic health problems has been
diagnosed with a benign gastric ulcer has begun treatment with ranitidine
(Zantac). Which of the following teaching points should the nurse provide to
this patient?

Question 9

A patient has been prescribed a histamine-2 (H2) receptor
antagonist for the treatment of GERD. Why are H2RAs more effective than H1
receptor antagonists in the treatment of diseases of the upper GI tract?

Question 10

A patient comes to the clinic asking for help to quit
drinking alcohol. She has a 21-year history of heavy drinking and is worried
about developing cirrhosis of the liver. The patient agrees to take disulfiram
(Antabuse). The nurse will teach the patient that the combination of alcohol
and Antabuse will cause which of the following?

Question 11

A 73-year-old woman has scheduled an appointment with her
nurse practitioner to discuss her recurrent constipation. The woman states that
she experiences constipation despite the fact that she takes docusate on a
daily basis and performs cleansing enemas several times weekly. How should the
nurse best respond to this patient’s statements?

Question 12

A patient who is postoperative day one following a
metatarsal amputation is experiencing nausea and vomiting. Consequently, the
nurse has administered an intravenous dose of metoclopramide. This drug will
relieve the patient’s nausea by

Question 13

A 58-year-old man is prescribed dicyclomine (Bentyl) for
irritable bowel syndrome. In which of the following conditions is dicyclomine
therapy contraindicated?

Question 14

Mr. Tan is a 69-year-old man who prides himself in
maintaining an active lifestyle and a healthy diet that includes adequate fluid
intake. However, Mr. Tan states that he has experienced occasional constipation
in recent months. What remedy should be the nurse’s first suggestion?

Question 15

It is determined that a patient, who is in a hepatic coma,
needs a laxative. Lactulose is prescribed. Which of the following should the
nurse monitor to assess the efficacy of the lactulose therapy?

Question 16

A patient has been prescribed rabeprazole (Aciphex). It will
be important for the nurse to assess the patient’s drug history to determine if
the patient is taking which of the following drugs?

.

Question 17

A patient develops diarrhea secondary to antibiotic therapy.
He is to receive two tablets of diphenoxylate HCl with atropine sulfate
(Lomotil) orally as needed for each loose stool. The nurse should inform him
that he may experience

Question 18

A patient has GERD and is taking ranitidine (Zantac). She
continues to have gastric discomfort and asks whether she can take an antacid.
Which of the following is an appropriate response by the nurse?

Question 19

Mesalamine (Asacol) is prescribed for a 22-year-old woman
with Crohn disease. The nurse will discuss with the patient the possibility for
which of the following adverse effects related to the new drug therapy?

Question 20

A 60-year-old man has scheduled a follow-up appointment with
his primary care provider stating that the omeprazole (Prilosec) which he was
recently prescribed is ineffective. The patient states, “I take it as soon as I
feel heartburn coming on, but it doesn’t seem to help at all.” How should the
nurse best respond to this patient’s statement?

Question 21

A nurse is assessing a female patient who is taking
diphenoxylate HCl with atropine sulfate. Which of the following would lead the
nurse to suspect that she is experiencing an allergic reaction?

Question 22

A nurse is providing patient education for a patient who has
been prescribed diphenoxylate HCl with atropine sulfate. Which of the following
instructions would be important for self-administration of this drug?

Question 23

Prior to administering a dose of 5-FU to a patient with
pancreatic cancer, the nurse is conducting the necessary drug research. The
nurse is aware that 5-FU is a cell cycle–specific chemotherapeutic agent. Which
of the following statements best describes cell cycle–specific drugs?

Question 24

A nurse is aware that diphenoxylate HCl with atropine
sulfate is an effective adjunct in the treatment of diarrhea. For which of the
following patients could the administration of this drug be potentially
harmful?

Question 25

A 29-year-old woman has been prescribed alosetron (Lotronex)
for irritable bowel syndrome. Before starting the drug therapy, the nurse will
advise the patient about which of the following adverse effect(s)?

Question 26

A teenage boy has undergone a diagnostic workup following
several months of persistent, bloody diarrhea that appears to lack an
infectious etiology. The boy has also experienced intermittent abdominal pain
and has lost almost 15 pounds this year. Which of the following medications is
most likely to treat this boy’s diagnosis?

Question 27

To maximize the therapeutic effect of diphenoxylate HCl with
atropine sulfate, the nurse will instruct the patient to take the medication

Question 28

A nurse is providing discharge instructions to a patient who
will be taking fludrocortisone at home. The nurse will encourage the patient to
eat a diet that is

Question 29

A 57-year-old man is to begin 5-FU therapy for colon cancer.
It will be most important for the nurse to monitor which of the following
during the first 72 hours of the initial treatment cycle?

Question 30

A 48-year-old woman who works as an office manager is
prescribed metoclopramide (Reglan) for diabetic gastroparesis. The nurse will
be sure to assess the patient for

Question 31

A clinic nurse is planning care for a 68-year-old man who
has been on omeprazole (Prilosec) therapy for heartburn for some time.
Regarding the patient’s safety, which of the following would be a priority
nursing action?

Question 32

A patient with a long history of alcohol abuse has been
admitted to an acute medical unit with signs and symptoms of hepatic
encephalopathy. His current medication orders include QID doses of oral
lactulose. What desired outcomes should the nurse associate with this drug
order?

Question 33

A patient on 5-FU calls the clinic and reports that he has
between five and seven loose bowel movements daily. The nurse will instruct the
patient to

Question 34

An adult patient who has been diagnosed with a rectal tumor
is scheduled to begin treatment with cisplatin. The nurse has conducted patient
teaching about the possibility of nausea and vomiting. In order to reduce the
patient’s risk of severe nausea, the nurse should

Question 35

A nurse is overseeing the care of a young man whose
ulcerative colitis is being treated with oral prednisone. Which of the
following actions should the nurse take in order to minimize the potential for
adverse drug effects and risks associated with prednisone treatment?

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