Matching questions
1-28 of 28
Click a definition to match it with a term
Which information about an 80-yr-old male patient at the senior center is of most
concern to the nurse?
a. Decreased appetite
b. Occasional indigestion
c. Unintended weight loss
d. Difficulty chewing food
Give this one a try later!
, ANS: C
Unintentional weight loss is not a normal finding and may indicate a
problem such as cancer or depression. Poor appetite, difficulty in chewing,
and indigestion are common in older patients. These will need to be
addressed but are not of as much concern as the weight loss.
A patient's peripheral parenteral nutrition (PN) bag is nearly empty, and a new PN bag
has not arrived yet from the pharmacy. Which action would the nurse take?
a. Monitor the patient's capillary blood glucose every 6 hours.
b. Infuse 5% dextrose in water until a new PN bag is delivered.
c. Decrease the PN infusion rate to 10 mL/hr until a new bag arrives.
d. Flush the peripheral line with saline until a new PN bag is available.
Give this one a try later!
ANS: B
To prevent hypoglycemia, the nurse should infuse a 5% dextrose solution
until the next peripheral PN bag can be started. Decreasing the rate of the
ordered PN infusion is beyond the nurse's scope of practice. Flushing the
line and then waiting for the next bag may lead to hypoglycemia.
Monitoring the capillary blood glucose every 6 hours would not identify
hypoglycemia while awaiting the new PN bag.
A young adult patient is hospitalized with massive abdominal trauma from a motor
vehicle crash. The patient asks about the purpose of receiving famotidine (Pepcid).
Which information would the nurse explain about the action of the medication?
a. "It decreases nausea and vomiting."
b. "It inhibits development of stress ulcers."
c. "It lowers the risk for H. pylori infection."
d. "It prevents aspiration of gastric contents."
Give this one a try later!
, ANS: B
Famotidine is administered to prevent the development of physiologic
stress ulcers, which are associated with a major physiologic insult such as
massive trauma. Famotidine does not decrease nausea or vomiting, prevent
aspiration, or prevent H. pylori infection.
How would the nurse explain esomeprazole (Nexium) to a patient who has recurring
heartburn?
a. "It reduces gastroesophageal reflux by increasing the rate of gastric emptying."
b. "It neutralizes stomach acid and provides relief of symptoms in a few minutes."
c. "It coats and protects the lining of the stomach and esophagus from gastric acid."
d. "It treats gastroesophageal reflux disease by decreasing stomach acid production."
Give this one a try later!
ANS: D
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 information will the nurse include when teaching a patient with peptic ulcer
disease about the effect of famotidine (Pepcid)?
a. "Famotidine absorbs the excess gastric acid."
b. "Famotidine decreases gastric acid secretion."
c. "Famotidine constricts the blood vessels near the ulcer."
d. "Famotidine covers the ulcer with a protective material."
Give this one a try later!
1-28 of 28
Click a definition to match it with a term
Which information about an 80-yr-old male patient at the senior center is of most
concern to the nurse?
a. Decreased appetite
b. Occasional indigestion
c. Unintended weight loss
d. Difficulty chewing food
Give this one a try later!
, ANS: C
Unintentional weight loss is not a normal finding and may indicate a
problem such as cancer or depression. Poor appetite, difficulty in chewing,
and indigestion are common in older patients. These will need to be
addressed but are not of as much concern as the weight loss.
A patient's peripheral parenteral nutrition (PN) bag is nearly empty, and a new PN bag
has not arrived yet from the pharmacy. Which action would the nurse take?
a. Monitor the patient's capillary blood glucose every 6 hours.
b. Infuse 5% dextrose in water until a new PN bag is delivered.
c. Decrease the PN infusion rate to 10 mL/hr until a new bag arrives.
d. Flush the peripheral line with saline until a new PN bag is available.
Give this one a try later!
ANS: B
To prevent hypoglycemia, the nurse should infuse a 5% dextrose solution
until the next peripheral PN bag can be started. Decreasing the rate of the
ordered PN infusion is beyond the nurse's scope of practice. Flushing the
line and then waiting for the next bag may lead to hypoglycemia.
Monitoring the capillary blood glucose every 6 hours would not identify
hypoglycemia while awaiting the new PN bag.
A young adult patient is hospitalized with massive abdominal trauma from a motor
vehicle crash. The patient asks about the purpose of receiving famotidine (Pepcid).
Which information would the nurse explain about the action of the medication?
a. "It decreases nausea and vomiting."
b. "It inhibits development of stress ulcers."
c. "It lowers the risk for H. pylori infection."
d. "It prevents aspiration of gastric contents."
Give this one a try later!
, ANS: B
Famotidine is administered to prevent the development of physiologic
stress ulcers, which are associated with a major physiologic insult such as
massive trauma. Famotidine does not decrease nausea or vomiting, prevent
aspiration, or prevent H. pylori infection.
How would the nurse explain esomeprazole (Nexium) to a patient who has recurring
heartburn?
a. "It reduces gastroesophageal reflux by increasing the rate of gastric emptying."
b. "It neutralizes stomach acid and provides relief of symptoms in a few minutes."
c. "It coats and protects the lining of the stomach and esophagus from gastric acid."
d. "It treats gastroesophageal reflux disease by decreasing stomach acid production."
Give this one a try later!
ANS: D
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 information will the nurse include when teaching a patient with peptic ulcer
disease about the effect of famotidine (Pepcid)?
a. "Famotidine absorbs the excess gastric acid."
b. "Famotidine decreases gastric acid secretion."
c. "Famotidine constricts the blood vessels near the ulcer."
d. "Famotidine covers the ulcer with a protective material."
Give this one a try later!
