NURS 6521N Week 7 Quiz - Question and Answers - Set 5

NURS 6521N Week 7 Quiz - Question and Answers - Set 5QUESTION 1 1. A 60-year-old man has scheduled a follow-up appointment with his primary care provider stating that the omeprazole (Prilosec) which he was recently prescribed is ineffective. The patient states, “I take it as soon as I feel heartburn coming on, but it doesn't seem to help at all.” How should the nurse best respond to this patient's statement? A. “A better strategy is to take a dose of Prilosec 15 to 30 minutes before meals or drinks that cause you to get heartburn.” B. “It could be that Prilosec isn't the right drug for you, so it would be best to talk this over with your care provider.” C. “Prilosec won't really decrease the sensation of heartburn, but it is still minimizing the damage to your throat and stomach that can be caused by the problem.” D. “Prilosec will help your heartburn but it's not designed to provide immediate relief of specific episodes of heartburn.” 1 points QUESTION 2 1. An adult patient who has been diagnosed with a rectal tumor is scheduled to begin treatment with cisplatin. The nurse has conducted patient teaching about the possibility of nausea and vomiting. In order to reduce the patient's risk of severe nausea, the nurse should A. encourage the patient to request antiemetics if the nausea becomes unbearable. B. place the patient on a low-residue diet. C. ensure that the patient is NPO from midnight prior to receiving the drug. D. administer a combination of antiemetics prior to the administration of the drug. 1 points QUESTION 3 1. A patient who is postoperative day one following a metatarsal amputation is experiencing nausea and vomiting. Consequently, the nurse has administered an intravenous dose of metoclopramide. This drug will relieve the patient's nausea by A. stimulating the motility of the patient's upper GI tract. B. raising the pH of the patient's gastric contents. C. blocking the effect of histamine at H2 receptors. D. eradicating H. Pylori bacteria from the patient's stomach. 1 points QUESTION 4 1. Prior to administering a dose of 5-FU to a patient with pancreatic cancer, the nurse is conducting the necessary drug research. The nurse is aware that 5-FU is a cell cycle–specific chemotherapeutic agent. Which of the following statements best describes cell cycle–specific drugs? A. They follow a specific sequence of cytotoxic events in order to achieve cell death. B. They achieve a synergistic effect when administered in combination with cell cycle–nonspecific drugs. C. They affect cancerous cells and normal body cells in a similar manner. D. They affect cancerous cells during a particular phase of cellular reproduction. 1 points QUESTION 5 1. A clinic nurse is planning care for a 68-year-old man who has been on omeprazole (Prilosec) therapy for heartburn for some time. Regarding the patient's safety, which of the following would be a priority nursing action? A. Teach the patient to take omeprazole 1 hour before meals. B. Monitor the patient for the development of diarrhea. C. Coordinate bone density testing for the patient. D. Emphasize that the drug should not be crushed or chewed. 1 points QUESTION 6 1. Mesalamine (Asacol) is prescribed for a 22-year-old woman with Crohn disease. The nurse will discuss with the patient the possibility for which of the following adverse effects related to the new drug therapy? A. Hair loss B. Metallic taste C. Fatigue D. Increased appetite 1 points QUESTION 7 1. A 48-year-old woman who works as an office manager is prescribed metoclopramide (Reglan) for diabetic gastroparesis. The nurse will be sure to assess the patient for A. depression. B. anemia. C. hypotension.