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QUIZ 5 - NR 293 Questions With Complete Solutions
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QUIZ 5 - NR 293 Questions With Complete Solutions
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QUIZ 5 - NR 293 Questions With Complete SolutionsA child suspected of drug poisoning is brought to the hospital.
Which of the following is recommended for the absorption of
the ingested drug?
Ipecac syrup
Activated charcoal
Laxatives
Gastric lavage Correct Answer Activated charcoal
Rationale: Activated charcoal is the first choice as a drug
absorption agent that binds to many toxins such as salicylates,
acetaminophen, and antidepressants. The administration of
activated charcoal binds to the toxin
A client came to the walk-in clinic stating he was very
depressed. The client stated he was taking St. John's Wort and
wanted a prescription for depression to take with his herbal
medication. What is the best response by the nurse?
-" you should never mix herbal and prescription medications for
depression"
-"the healthcare provider will prescribe you something to take
for depression along with your herbal med"
- "How long have you taken St. John Wort?"
-"How long have you been depressed?" Correct Answer -" you
should never mix herbal and prescription medications for
depression"
RATIONALE: The best response by the nurse is to tell the client
that he should never mix herbal and prescription medications for
depression. St. John's Wort affects serotonin, so the client could
be at risk for serotonin syndrome.
,A client complains of infrequent bowel movements three times a
week for the past six months and reports straining during bowel
movements. Which of the following is the most appropriate
therapeutic agent for the client?
Psyllium husk
Senna
Aluminum hydroxide
Docusate sodium Correct Answer Psyllium husk
R: Psyllium husk is a bulk-forming laxative that increases fluid
production in the bowel and retains it in the bowel. The increase
in fluid stimulates peristalsis a bowel movement.
A client experiences worsening constipation for three months
and is diagnosed with a bowel obstruction. Which of the
following is contraindicated for the client?
Laxatives
Electrolyte therapy
Antiemetics
Intravenous (IV) fluids Correct Answer Laxatives
R:Clients diagnosed with a bowel obstruction must avoid bowel
emptying techniques such as laxatives and stool softeners.
Laxatives and stool softeners increase the client's risk of
peritonitis as a result of a paralytic ileus
A client has complaints indicative of peptic ulcer disease (PUD).
The primary health care professional (HCP) prescribes the client
a combination of ranitidine and sucralfate. The nurse questions
the HCP's orders with concerns that:
Ranitidine will increase sucralfate toxicity.
Ranitidine will inhibit the action of sucralfate.
,The combination of sucralfate and ranitidine will cause
metabolic alkalosis.
Sucralfate will inhibit the action of ranitidine. Correct Answer
Ranitidine will inhibit the action of sucralfate.
R:The use of histamine H2-receptor antagonists inhibit the
effects of sucralfate by decreasing the bioavailability of the
drug.
A client is concerned about the long-term use of non-steroidal
anti-inflammatory drugs (NSAIDs) as a therapy for pain
management. Which of the following therapeutic agents should
the nurse recommend?
Sucralfate
Misoprostol
Bismuth subsalicylate
Sulfasalazine Correct Answer Misoprostol
RATIONALE: Misoprostol is a synthetic prostaglandin that
increases protective mucous inside the stomach that prevents
and protects against gastric ulcers caused by long-term NSAID
therapy
A client is prescribed antacids for acute acid reflux. Which of
the following must the nurse educate the client on the safety of
the drug?
The medication is safe to take with other medication.
Avoid taking with other medications.
Take the medication 30 minutes before a meal for greater
absorption of the medication.
Take the medication before a meal for greater absorption of the
medication. Correct Answer Avoid taking with other
medications.
, A client is prescribed antacids for dyspepsia. Which of the
following correctly describes the mechanism of action of the
drug?
Decreases gastric acid by inhibiting the proton pump in the
parietal cells of the stomach.
Reduces the amount of gastric acid production by blocking
histamine H2-receptors of parietal cells within the lining of the
stomach.
Neutralizes gastric acid, reduces pepsin levels, and stimulates
prostaglandin production.
Coats the gastrointestinal (GI) lining and protects from erosion
and ulcers. Correct Answer Neutralizes gastric acid, reduces
pepsin levels, and stimulates prostaglandin production.
A client is prescribed bismuth subsalicylate as treatment for
abdominal pain, watery diarrhea, and nausea and vomiting.
Which of the following correctly describes the mechanism of
action of the drug?
Inhibition of smooth muscle contraction in the gastrointestinal
(GI) tract.
Inhibition of prostaglandin and chloride secretion in the
gastrointestinal (GI) tract to reduce gut motility.
Reduces the amount of gastric acid production by blocking
histamine H2-receptors of parietal cells within the lining of the
stomach.
Decreases gastric acid by inhibiting the proton pump in the
parietal cells of the stomach. Correct Answer Inhibition of
prostaglandin and chloride secretion in the gastrointestinal (GI)
tract to reduce gut motility.
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