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A 30-year-old male patient will begin a three-drug regimen to treat peptic ulcer disease. The
regimen will consist of bismuth subsalicylate, tetracycline, and cimetidine [Tagamet]. The nurse
will include which information when teaching this patient about this drug regimen?
Black discoloration of the tongue and stools should be reported immediately.
Central nervous system depression and confusion are likely to occur.
Decreased libido, impotence, and gynecomastia are reversible side effects.
Staining of the teeth may occur and is an indication for discontinuation of these drugs.
Decreased libido, impotence, and gynecomastia are reversible side effects.
A patient newly diagnosed with PUD reports taking low-dose aspirin (ASA) for prevention of
cardiovascular disease. The nurse learns that the patient drinks 2 to 3 cups of coffee each day
and has a glass of wine with dinner 3 or 4 nights per week. The patient eats three meals a day.
The nurse will counsel this patient to:
⁃ change the meal pattern to five or six smaller meals per day.
⁃ discontinue taking aspirin, because it can irritate the stomach.
⁃ stop drinking wine or any other alcoholic beverage.
⁃ switch to a decaffeinated coffee and reduce the number of servings.
change the meal pattern to five or six smaller meals per day.
A patient is admitted with lower abdominal pain and nausea. The nurse performing the initial
assessment notes that the patient's abdomen is distended and firm, and hypoactive bowel
sounds are present. The patient has not had a stool for 3 days. The nurse will contact the
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,provider, who will most likely:
order a bulk-forming laxative.
order extra fluids and fiber.
perform diagnostic tests.
prescribe a cathartic laxative.
perform diagnostic tests.
Tissue damage in pancreatitis is caused by:
Insulin toxicity
Autoimmune destruction of the pancreas
Leakage of pancreatic enzymes
Hydrochloric acid reflux into the pancreatic duct
Leakage of pancreatic enzymes
Hepatic encephalopathy is associated with
hyperbilirubinemia.
hyperuricemia.
toxic effects of alcohol on brain cells.
increased blood ammonia levels.
increased blood ammonia levels.
What clinical finding would suggest an esophageal cause of a client's report of dysphagia?
Nasal regurgitation
Airway obstruction with swallowing
Chest pain/discomfort seconds after eating.
Coughing when swallowing
Coughing when swallowing
A 50-year-old male is experiencing reflux of gastric fluid from the stomach. He is diagnosed with
gastroesophageal reflux. This condition is caused by:
Fibrosis of the lower third of the esophagus
Sympathetic nerve stimulation
Loss of muscle tone at the lower esophageal sphincter
Reverse peristalsis of the stomach
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,Loss of muscle tone at the lower esophageal sphincter
Ulcerative colitis is commonly associated with
bloody and/or purulent diarrhea.
malabsorption of nutrients .
fistula formation between loops of bowel.
inflammation and scarring of the submucosal layer of the bowel.
bloody and/or purulent diarrhea.
A 16-year-old female presents with abdominal pain in the right lower quadrant. Physical
examination reveals rebound tenderness and a low-grade fever. A possible diagnosis would be:
Colon cancer
Pancreatitis
Appendicitis
Hepatitis
Appendicitis
A 28-year-old female presents with severe chest pain and shortness of breath. She is diagnosed
with pulmonary embolism, which most likely originated from the
deep veins of the leg.
superficial veins of the arm.
left ventricle.
systemic arteries.
deep veins of the leg.
A loud pansystolic murmur that radiates to the axilla is most likely a result of
mitral stenosis.
aortic stenosis.
aortic regurgitation.
mitral regurgitation.
mitral regurgitation.
Hypertrophy of the right ventricle is a compensatory response to
aortic stenosis.
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, pulmonary stenosis.
aortic stenosis.
tricuspid stenosis.
pulmonary stenosis.
Atherosclerotic plaques with large lipid cores are prone to
attachment.
binding.
dislodgement.
rupture.
rupture
A staff member asks a nurse to describe foam cells. The nurse's best response is that foam cells
are
lipid-laden mast cells that have a soap-like texture.
injured neutrophil clots.
deposited adipose cells.
macrophages that engulf low-density lipoproteins (LDLs)
macrophages that engulf low-density lipoproteins (LDLs)
Increased preload of the cardiac chambers may lead to which patient symptom?
Decreased respiratory rate
Edema
Decreased heart rate
Excitability
Edema
A 75-year-old obese female presents to her primary care provider reporting edema in the lower
extremities. Physical exam reveals that she has varicose veins. Upon performing the history,
which of the following is a possible cause for the varicose veins?
Trauma to the deep veins
Extreme exercise
Ischemia
Long periods of standing
Long periods of standing
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