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What action does the histamine-2 antagonist administered by the nurse have on the human body that will help to prevent peptic ulcer disease? A) Destroys Helicobacter pylori B) Coats and protects the stomach lining Cc) Increases the pH of the secreted hydrochloric acid Ans: D When comparing the histamine-2 antagonists to each other the nurse recognizes that cimetidine [Tagamet] is more likely to cause which advereleffac? A) Dizziness B) Headache ¢) Gynecomastia D) Somnolence Ans: c What Fig ZERREGORIS might the nurse STinisRePROTS EH? A) Cimetidine 8) Famotidine Cc) Nizatidine D) Ranitidine Ans: B An adult patient is prescribed cimetidine (Tagamet). Anurse will instruct the patient that an appropriate of cimetidine is what? A) 20 mg PO b.i.d B) 150 mg PO b.id Cc) 300 mg PO at bedtime WRBRESSTESH of crugs does the nurse administer to ER RC UST Ey SUppresSng HE A) Antipeptic agents B) Histamine-2 antagonists ) Proton pump inhibitors D) Prostaglandins When is the last time you checked your blood pressure? Ans: A When caring for a patient diagnosed with a peptic ulcer, the nurse administers omeprazole (Prilosec) to eradicate Helicobacter pylori? A) Gentamicin B) Ketoconazole Cc) Tetracycline D) Amoxicillin Ans: D What nursing interventions are included in the plan of care for a patient receiving antacids to relieve GI A) Administer this drug with other drugs or food. Administer the antacid 1 hour before or 2 hours after other 8) oral medications. Limit fluid intake to decrease dilution of the medication in Cc) the stomach. Have the patient swallow the antacid whole and do not D) crush or chew the tablet. Ans: B patient comes to the clinic complaining of acid indigestion and tells the nurse he is tired of buying overthe-counter (OTC) antacids and wants a prescription drug to cure the problem. What would the nurse BIE ypocalcemia GQ ypercholesterolemia BB Rebound tenderness at McBurneys paint Ans: A What priority teaching point does the nurse include when instructing patients about the use of antacids? A) Reduce calorie intake to reduce acid production. B) Take before each meal and before bed. ¢) Be aware of risk of acid rebound with long-term use. D) Consider liquid diet if diarrhea occurs. Ans: c What would the nurse consider an indication for the use of antacids? (Select all that apply.) Ans: A The home health nurse is caring for a in his home. He complains about almost daily diarrhea. The nurse assesses for what ? A) Diabetes B) Hypertensive medications ) Laxative overuse D) Glaucoma oO Ans: When would it be appropriate for the nurse to administer a cathartic laxative to the patient? (Select all that apply.) A) Partial small-bowel obstruction B) Appendicitis ¢) After having a baby D) After a myocardial infarction (Ml) ) After anthelmintic therapy Ans: ¢,.D;E A patient taking a chemical stimulant laxative and medications for heart failure and osteoarthritis cals the clinic and reports to the nurse that she is not feeling right. What is the priority question the nurse should ask this patient? A) Effectiveness of laxatives 8) Timing of medication administration Cc) The amount of fiber in her diet D) Amount of fluid ingested Ans: B What drug does the nurse recognize as being classified as a chemical stimulant? A) Bisacody| (Dulcolax) BX olycarbophil (FiberCon) QM Magnesium hydroxide (Milk of Magnesia) DN ocusate (Colace) Ans: A For ESERGA would the nurse init iagesiun/Gtate? A) Block absorption of fats B) Directly stimulate the nerve plexus in the intestinal wall Ans: B The nurse administers metoclopramide to the patient with what condition? BEE mpaction GME ncopresis Ppatients requiring diagnostic procedures Ans: A i i A) Bismuth salts (Pepto-Bismol) 8) loperamide (Imodium) Cc) Paregoric (generic) D) Difenoxin (Motofen) Ans: B What antidiartheal would the nurse administer to reduce the volume of discharge from the patients A) Diphenoxylate (Lomotil) B) Octreotide (Sandostatin) Cc) Psyllium (Metamucil) 0) Loperamide (Imodium) Ans: D The nurse administers loperamide (Imodium) to decrease the number and liquidity of stool by what A) Decreasing intestinal motility BMA bsorbing toxins GMNBinding with fecal material to increase bulk DN Blocking the chemoreceptor trigger zone (CTZ) Ans: A The nurse teaches the patient that a common adverse effect of loperamide (Imodium) is what? A) Fatigue BNFlatutence GMb isorientation BR remors Ans: A What drug does the nurse administer that inhibits intestinal peristalsis through direct effects on the 0) Patient states, | feel less nauseated. Ans: D The nurse is caring for a patient who is receiving chemotherapy. The nurse would teach the patient that with this medication? A) Weakness and rash B) Dysuria and photosensitivity ¢) Headache and myalgia D) Fever and diarrhea Ans: € People taking phenothiazines need to be assessed for extrapyramidal symptoms. What effects are considered adverse effects ofthe phenothiazines? A) Dysphoria, anxiety, and dizziness 8) Drowsiness, dystonia, and blurred vision Cc) Dry mouth, blurred vision, and urinary retention D) Hypertension, confusion, and shuffling gait Ans: B What is the therapeutic action ofthe phenothiatnes in reducing nausea? A) Increasing gastric motility Change responsiveness of the chemoreceptor trigger zone 8) (cr) Cc) Blocking histamine receptors D) Producing sedation Ans: B A is in the outpatient department to receive chemotherapy. The nurse administers prophylactically before the infusion. What will the nurses teaching for this patient include? BN cover the head in extreme of temperatures. Sake extra precautions to avoid heat stroke. DNcheck blood pressure at home on a regular basis. Ans: A The nurse is caring for a child who has been vomiting intermittently for 24 hours. What is the drug of A) Dronabinol (Marinol) B) Metoclopramide (Reglan) Cc) Meclizine (Antivert) Ans: B Chapter 40 The nurse is caring for a female patient who ee What assessment finding may indicate the patient is A) Decreased appetite B) Dehydration Cc) Occasional headaches D) History of deep vein thrombosis Ans: D A patient with a seizure disorder taking phenytoin (Dilantin) requests a prescription for an oral A) The effect of oral contraceptives containing progestin is reduced by phenytoin. The effect of oral contraceptives containing estrogen is Cc) reduced by phenytoin. You will need to increase the dosage of your phenytoin once D) you start contraceptives. Ans: B A 13-year-old teenage girl is started on oral contraceptives. When following this girl in the clinic, what is A) Closure of the epiphyses 8) Menstrual patterns Cc) Nutrition D) Cognitive development Ans: B ne What outcome would be ? A) The patient can demonstrate how to inject the medication. The patient can explain how medication will prevent B) sexually transmitted infections. The patient makes the necessary appointments for follow-up D) care. Ans: Cc The patient calls the clinic and says she just started oral contraceptives last month and is experiencing What symptom would the nurse recognize is not an adverse effect of the oral contraceptive and requires ah The risk for osteoporosis is much higher in women who take c) HRT. There is a possible increased risk of breast and cervical 0) cancer when taking HRT. Ans: D Chapter 41 A patient will begin taking sildenafil (Viagra) for penile erectile dysfunction (ED). What is the nurses about this drug? He will have an erection exactly 1 hour after taking the A) drug. The drug should not be taken with a penile implant or any B) anatomic penile obstruction. It is important to know the cause of ED because sildenafil D) does not treat all causes. Ans: Cc A patient has been prescribed sildenafil citrate. What should the nurse teach the patient about this medication? A) Take the medication with a glass of grapefruit juice. The drug should be taken 1 hour before attempting 8) intercourse, Facial flushing or headache should be reported to the Cc) physician immediately. A dose exceeding 80 mg will result in a change of vision, D) making everything appear blue. Ans: B BN sexual dysfunction GMNMbreast cancer BME ndometriosis Ans: A A patient tells the nurse that he has been unable to get an erection for the past 6 and he guesses his sex life is over. The provider orders diagnostic testing to determine whether is appropriate for the patient. What is the ‘most correct nursing diagnosis for this patient? BNMisturbed body image NM neffective sexuality pattern DMM isturbed tactile sensory perception 
