MDC II exam 2 with accurate detailed answers ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A patient is brought into the ED with respiratory depression. The patient has a history of
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
COPD. What acid-base imbalance is most likely? - correct answer✔✔Respiratory Acidosis. The
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
patient likely has a build-up of CO2, causing respiratory acidosis.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
The nurse is evaluating the lab work of a patient who has uncontrolled metabolic acidosis.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Which lab result would result from this condition? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A) pH 7.4 ||\\//|| ||\\//||
B) PaO2 98 mm Hg ||\\//|| ||\\//|| ||\\//|| ||\\//||
C) bicarbonate 38 mEq/ L
||\\//|| ||\\//|| ||\\//|| ||\\//||
D) serum potassium 5.7 mEq/L - correct answer✔✔D) serum potassium 5.7 mEq/L. Serum
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
potassium increases during acidosis to try to buffer the acidic conditions. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
The nurse is reviewing the standing orders for a patient who was admitted for evaluation of
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
chest pain. The patient has a history of chronic obstructive pulmonary disease (COPD) and
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
his laboratory results and assessment reveal that he has mild respiratory acidosis. The nurse
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
would question which order? ||\\//|| ||\\//|| ||\\//||
A.Encourage oral fluids ||\\//|| ||\\//||
B.Keep head of bed elevated ||\\//|| ||\\//|| ||\\//|| ||\\//||
C.Oxygen therapy at 4 L/min as needed ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
D.Bedrest with bathroom privileges only - correct answer✔✔C) Oxygen therapy at 4L/ Min as ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
needed. Oxygen therapy is often ordered for respiratory acidosis. However, COPD patients
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
have a difficult time off-loading carbon dioxide and giving too much oxygen can cause these
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
patients to have a decrease in respiratory drive, leading to respiratory arrest. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A client has acute alcohol intoxication. What acid-base imbalance is the client at risk for? -
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
correct answer✔✔metabolic acidosis. ||\\//|| ||\\//||
,A client comes into the ED with respiratory acidosis. What type of medication would the
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
nurse likely administer? - correct answer✔✔bronchodilators
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A client comes into the ED with a high fever and is hyperventilating. His ABG results are pH
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
7.51, PaCO2 28 mm Hg, and HCO3 24 mEq/L. The nurse should identify that the client has
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
which acid-base imbalance? - correct answer✔✔Respiratory Alkalosis. Because the client is
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
breathing rapidly, he is exhaling excessive amounts of carbon dioxide. This loss of carbon
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
dioxide decreases the hydrogen ion level of the blood, causing the pH to increase and
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
resulting in respiratory alkalosis. ||\\//|| ||\\//|| ||\\//||
A nurse is caring for a client who has metabolic alkalosis. As the client compensates for this
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
ac
id-base imbalance, which of the following mechanisms should the nurse expect the client's
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
body to use? - correct answer✔✔Hypoventilation.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Hypoventilation is the mechanism that helps clients compensate for metabolic alkalosis. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A nurse is inserting an NG tube for a client who is beginning enteral feedings. What action
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
should the nurse take to verify tube placement before administering initial feeding? - correct
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answer✔✔Verify tube placement with radiography ||\\//|| ||\\//|| ||\\//|| ||\\//||
Which patient statement alerts the nurse to perform a thorough GI history and focused
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
assessment?
A."I don't like the taste of spicy foods."
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
B."I got dentures four years ago."
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
C."I experience occasional constipation."
||\\//|| ||\\//|| ||\\//||
D."I take ibuprofen three times daily for arthritis." - correct answer✔✔D. large amounts of
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
aspirin or NSAIDs can cause peptic ulcer disease and GI bleeding.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
, After abdominal surgery, which question should the nurse ask the patient to determine
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
whether peristaltic movement is returning? ||\\//|| ||\\//|| ||\\//|| ||\\//||
A."Have you passed flatus?" ||\\//|| ||\\//|| ||\\//||
B."Are you hungry" ||\\//|| ||\\//||
C."Do you have any nausea?" ||\\//|| ||\\//|| ||\\//|| ||\\//||
D."Is your pain level manageable?" - correct answer✔✔A). Passing gas is evidence of
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
peristaltic movement ||\\//||
When administering a new GI medication to an older patient, the nurse anticipates what?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A.A higher-than-normal dose may be needed.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
B.Close monitoring is needed because toxic levels may develop. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
C.Older adults always require a lower-than-normal dose than younger patients.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Nausea and vomiting may develop rapidly and are common side effects in older adults -
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
correct answer✔✔B.Close monitoring is needed because toxic levels may develop.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A patient in the ED has been experiencing upper abdominal pain after meals for the past
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
several months. She reports pain after napping or sleeping at night. She has been taking OTC
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
antacids with some relief. The nurse understands that which assessment finding places the
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
patient at risk for peptic ulcer disease? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A.GERD 4 years ago ||\\//|| ||\\//|| ||\\//||
B.Weight loss of 35 lbs ||\\//|| ||\\//|| ||\\//|| ||\\//||
C.Use of NSAIDs to control arthritis pain ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
D.Recent discontinuation of prednisone (Deltasone) - correct answer✔✔C. use of NSAIDS to ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
control arthritis pain ||\\//|| ||\\//||
NSAID use and H. Pylori bacteria are the most common causes of ulcers
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A patient is brought into the ED with respiratory depression. The patient has a history of
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
COPD. What acid-base imbalance is most likely? - correct answer✔✔Respiratory Acidosis. The
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
patient likely has a build-up of CO2, causing respiratory acidosis.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
The nurse is evaluating the lab work of a patient who has uncontrolled metabolic acidosis.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Which lab result would result from this condition? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A) pH 7.4 ||\\//|| ||\\//||
B) PaO2 98 mm Hg ||\\//|| ||\\//|| ||\\//|| ||\\//||
C) bicarbonate 38 mEq/ L
||\\//|| ||\\//|| ||\\//|| ||\\//||
D) serum potassium 5.7 mEq/L - correct answer✔✔D) serum potassium 5.7 mEq/L. Serum
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
potassium increases during acidosis to try to buffer the acidic conditions. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
The nurse is reviewing the standing orders for a patient who was admitted for evaluation of
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
chest pain. The patient has a history of chronic obstructive pulmonary disease (COPD) and
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
his laboratory results and assessment reveal that he has mild respiratory acidosis. The nurse
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
would question which order? ||\\//|| ||\\//|| ||\\//||
A.Encourage oral fluids ||\\//|| ||\\//||
B.Keep head of bed elevated ||\\//|| ||\\//|| ||\\//|| ||\\//||
C.Oxygen therapy at 4 L/min as needed ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
D.Bedrest with bathroom privileges only - correct answer✔✔C) Oxygen therapy at 4L/ Min as ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
needed. Oxygen therapy is often ordered for respiratory acidosis. However, COPD patients
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
have a difficult time off-loading carbon dioxide and giving too much oxygen can cause these
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
patients to have a decrease in respiratory drive, leading to respiratory arrest. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A client has acute alcohol intoxication. What acid-base imbalance is the client at risk for? -
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
correct answer✔✔metabolic acidosis. ||\\//|| ||\\//||
,A client comes into the ED with respiratory acidosis. What type of medication would the
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
nurse likely administer? - correct answer✔✔bronchodilators
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A client comes into the ED with a high fever and is hyperventilating. His ABG results are pH
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
7.51, PaCO2 28 mm Hg, and HCO3 24 mEq/L. The nurse should identify that the client has
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
which acid-base imbalance? - correct answer✔✔Respiratory Alkalosis. Because the client is
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
breathing rapidly, he is exhaling excessive amounts of carbon dioxide. This loss of carbon
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
dioxide decreases the hydrogen ion level of the blood, causing the pH to increase and
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
resulting in respiratory alkalosis. ||\\//|| ||\\//|| ||\\//||
A nurse is caring for a client who has metabolic alkalosis. As the client compensates for this
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
ac
id-base imbalance, which of the following mechanisms should the nurse expect the client's
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
body to use? - correct answer✔✔Hypoventilation.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Hypoventilation is the mechanism that helps clients compensate for metabolic alkalosis. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A nurse is inserting an NG tube for a client who is beginning enteral feedings. What action
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
should the nurse take to verify tube placement before administering initial feeding? - correct
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answer✔✔Verify tube placement with radiography ||\\//|| ||\\//|| ||\\//|| ||\\//||
Which patient statement alerts the nurse to perform a thorough GI history and focused
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
assessment?
A."I don't like the taste of spicy foods."
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
B."I got dentures four years ago."
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
C."I experience occasional constipation."
||\\//|| ||\\//|| ||\\//||
D."I take ibuprofen three times daily for arthritis." - correct answer✔✔D. large amounts of
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
aspirin or NSAIDs can cause peptic ulcer disease and GI bleeding.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
, After abdominal surgery, which question should the nurse ask the patient to determine
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
whether peristaltic movement is returning? ||\\//|| ||\\//|| ||\\//|| ||\\//||
A."Have you passed flatus?" ||\\//|| ||\\//|| ||\\//||
B."Are you hungry" ||\\//|| ||\\//||
C."Do you have any nausea?" ||\\//|| ||\\//|| ||\\//|| ||\\//||
D."Is your pain level manageable?" - correct answer✔✔A). Passing gas is evidence of
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
peristaltic movement ||\\//||
When administering a new GI medication to an older patient, the nurse anticipates what?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A.A higher-than-normal dose may be needed.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
B.Close monitoring is needed because toxic levels may develop. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
C.Older adults always require a lower-than-normal dose than younger patients.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Nausea and vomiting may develop rapidly and are common side effects in older adults -
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
correct answer✔✔B.Close monitoring is needed because toxic levels may develop.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A patient in the ED has been experiencing upper abdominal pain after meals for the past
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
several months. She reports pain after napping or sleeping at night. She has been taking OTC
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
antacids with some relief. The nurse understands that which assessment finding places the
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
patient at risk for peptic ulcer disease? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A.GERD 4 years ago ||\\//|| ||\\//|| ||\\//||
B.Weight loss of 35 lbs ||\\//|| ||\\//|| ||\\//|| ||\\//||
C.Use of NSAIDs to control arthritis pain ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
D.Recent discontinuation of prednisone (Deltasone) - correct answer✔✔C. use of NSAIDS to ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
control arthritis pain ||\\//|| ||\\//||
NSAID use and H. Pylori bacteria are the most common causes of ulcers
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
