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NUR 316 Exam 4 Questions And Answers
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NUR 316 Exam 4 Questions And Answers...
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NUR 316 Exam 4 Questions And AnswersMonitor the patient closely for confusion and dizziness. - ANSWER A nurse is caring for
an elderly patient who has received cimetidine. What is the nursing intervention
required for this patient?
Peptic ulcer disease - ANSWER A patient is receiving nonsteroidal anti-inflammatory
agents for arthritis of the knees and hips. For what disease is this medication
responsible due to cellular destruction of the gastrointestinal tract?
Drug-to-drug interaction - ANSWER The nurse instructs the patient to take
over-the-counter ranitidine (Zantac) instead of cimetidine (Tagamet). What risk is
reduced with the use of ranitidine compared to cimetidine?
Gynecomastia - ANSWER A male client is taking misoprostol (Tagamet). Which side
effect is more likely to occur with cimetidine compared to other histamine2 receptor
antagonists?
Infection with H. pylori - ANSWER A 25-year-old client presents to the walk-in clinic with
complaints of vomiting and burning in the midepigastric area. The nurse suspects the
client to have peptic ulcer disease. Which of the following is a possible cause of peptic
ulcer disease?
Histamine-2 Antagonists - ANSWER Inhibit release of hydrochloric acid in response to
gastrin.
Prostaglandin - ANSWER inhibit the secretion of gastrin and increase the secretion of
the mucous lining of the stomach, providing a buffer.
interfere with the metabolism of other drugs. - ANSWER Ranitidine and cimetidine are
both H2RAs used in the treatment of peptic ulcer disease. Of the two, ranitidine is
, preferred in critically ill clients because it is less likely to:
are pregnant. - ANSWER Misoprostol is a synthetic analogue of prostaglandin E
administered to prevent erosion and ulceration of the gastric mucosa. The medication is
not indicated for individuals who:
Increased risk for fracture - ANSWER Which of the following adverse effects of proton
pump inhibitors applies only to menopausal women with osteoporosis?
Rebound acidity - ANSWER A female client comes into the physician's office with
increased stomach acidity. She has been giving herself calcium antacids. She states
that she seems to be having more problems with stomach acid so she has been taking
the calcium antacids more often. The nurse believes this might have caused what to
happen with this client?
Esomeprazole - ANWER Which of the following would the nurse expect to be
administered intravenously?
Renal impairment - ANWER The patient has Maalox ordered to be given before meals.
Which of the following conditions is a contraindication to the administration of Maalox?
Use effective contraceptive measures - ANWER A 23-year-old female patient is being
treated with misoprostol (Cytotec). Which patient teaching intervention is most
important?
Imbalanced nutrition: less than body requirements, related to impaired digestion
secondary to inadequate pancreatic enzymes - ANSWER Carter is a 2-year-old who has
just been diagnosed with cystic fibrosis; the doctor orders pancrelipase for him. Which
of the following would be the most appropriate diagnosis for Carter regarding his
pharmacological regimen?
an hour before meals. - ANSWER The nursing instructor is providing instruction to the
students regarding the appropriate administration of sucralfate. According to the
instructor, sucralfate is given:
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