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ACC EXAM 3 QUESTIONS WITH ACTUAL ANSWERS GRADED A+
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ACC EXAM 3 QUESTIONS WITH ACTUAL ANSWERS GRADED A+
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ACC EXAM 3QUESTIONS WITH
ACTUAL
ANSWERS
GRADED A+
Evatee
ACC
10/29/24
,ACC EXAM 3 QUESTIONS WITH ACTUAL
ANSWERS GRADED A+
A 53-year-old male patient with deep partial-thickness burns from a chemical
spill in the workplace experiences severe pain followed by nausea during
dressing changes. Which action will be most useful in decreasing the patients
nausea? a. Keep the patient NPO for 2 hours before and after dressing changes.
b. Avoid performing dressing changes close to the patients mealtimes. c.
Administer the prescribed morphine sulfate before dressing changes. d. Give
the ordered prochlorperazine (Compazine) before dressing changes. Answer -
c. Administer the prescribed morphine sulfate before dressing changes.
Because the patient's nausea is associated with severe pain, it is likely that it is
precipitated by stress and pain. The best treatment will be to provide adequate
pain medication before dressing changes. The nurse should avoid doing painful
procedures close to mealtimes, but nausea/vomiting that occur at other times
also should be addressed. Keeping the patient NPO does not address the
reason for the nausea and vomiting and will have an adverse effect on the
patients nutrition. Administration of antiemetics is not the best choice for a
patient with nausea caused by pain.
Which item should the nurse offer to the patient who is to restart oral intake
after being NPO due to nausea and vomiting? a. Glass of orange juice b. Dish of
lemon gelatin c. Cup of coffee with cream d. Bowl of hot chicken broth Answer
- b. Dish of lemon gelatin. Clear cool liquids are usually the first foods started
after a patient has been nauseated. Acidic foods such as orange juice, very hot
foods, and coffee are poorly tolerated when patients have been nauseated.
A 38-year old woman receiving chemotherapy for breast cancer develops a
Candida albicans oral infection. The nurse will anticipate the need for: a.
hydrogen peroxide rinses. b. the use of antiviral agents. c. administration of
nystatin (Mycostatin) tablets. d. referral to a dentist for professional tooth
cleaning. Answer - c. administration of nystatin (Mycostatin) tablets. Candida
,albicans is treated with an antifungal such as nystatin. Oral saltwater rinses
may be used but will not cure the infection. Antiviral agents are used for viral
infections such as herpes simplex. Referral to a dentist is indicated for gingivitis
but not for Candida infection.
Which finding in the mouth of a patient who uses smokeless tobacco is
suggestive of oral cancer? a. Bleeding during tooth brushing b. Painful blisters
at the lip border c. Red, velvety patches on the buccal mucosa d. White, curd
like plaques on the posterior tongue. Answer - c. Red, velvety patches on the
buccal mucosa. A red, velvety patch suggests erythroplasia, which has a high
incidence (greater than 50%) of progression to squamous cell carcinoma. The
other lesions are suggestive of acute processes (e.g., gingivitis, oral candidiasis,
herpes simplex).
Which information will the nurse include when teaching adults to decrease the
risk for cancers of the tongue and buccal mucosa? a. Avoid use of cigarettes
and smokeless tobacco. b. Use sunscreen when outside even on cloudy days. c.
Complete antibiotic courses used to treat throat infections. d. Use antivirals to
treat herpes simplex virus (HSV) infections. Answer - a. Avoid use of cigarettes
and smokeless tobacco. Tobacco use greatly increases the risk for oral cancer.
Acute throat infections do not increase the risk for oral cancer, although
chronic irritation of the oral mucosa does increase risk. Sun exposure does not
increase the risk for cancers of the buccal mucosa. Human papillomavirus
(HPV) infection is associated with an increased risk, but HSV infection is not a
risk factor for oral cancer.
A 46-year-old female with gastroesophageal reflux disease (GERD) is
experiencing increasing discomfort. Which patient statement indicates that
additional teaching about GERD is needed? a. I take antacids between meals
and at bedtime each night. b. I sleep with the head of the bed elevated on 4-
inch blocks. c. I eat small meals during the day and have a bedtime snack. d. I
quit smoking several years ago, but I still chew a lot of gum. Answer - c. I eat
small meals during the day and have a bedtime snack. GERD is exacerbated by
eating late at night, and the nurse should plan to teach the patient to avoid
, eating at bedtime. The other patient actions are appropriate to control
symptoms of GERD.
A 68-year-old male patient with a stroke is unconscious and unresponsive to
stimuli. After learning that the patient has a history of gastroesophageal reflux
disease (GERD), the nurse will plan to do frequent assessments of the patients
a. apical pulse. b. bowel sounds. c. breath sounds. d. abdominal girth. Answer -
c. breath sounds. Because GERD may cause aspiration, the unconscious patient
is at risk for developing aspiration pneumonia. Bowel sounds, abdominal girth,
and apical pulse will not be affected by the patient's stroke or GERD and do not
require more frequent monitoring than the routine.
The nurse explaining esomeprazole (Nexium) to a patient with recurring
heartburn describes the medication. a. reduces gastroesophageal reflux by
increasing the rate of gastric emptying. b. neutralizes stomach acid and
provides relief of symptoms in a few minutes. c. coats and protects the lining of
the stomach and esophagus from gastric acid. d. treats gastroesophageal reflux
disease by decreasing stomach acid production. Answer - d. treats
gastroesophageal reflux disease by decreasing stomach acid production. The
proton pump inhibitors decrease the rate of gastric acid secretion. Promotility
drugs such as metoclopramide (Reglan) increase the rate of gastric emptying.
Cryoprotective medications such as sucralfate (Carafate) protect the stomach.
Antacids neutralize stomach acid and work rapidly.
Which patient choice for a snack 2 hours before bedtime indicates that the
nurses teaching about gastroesophageal reflux disease (GERD) has been
effective? a. Chocolate pudding b. Glass of low-fat milk c. Cherry gelatin with
fruit d. Peanut butter and jelly sandwich Answer - c. Cherry gelatin with fruit.
Gelatin and fruit are low fat and will not decrease lower esophageal sphincter
(LES) pressure. Foods such as chocolate are avoided because they lower LES
pressure. Milk products increase gastric acid secretion. High-fat foods such as
peanut butter decrease both gastric emptying and LES pressure.
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