NSG 6005 EXAM QUESTIONS AND ANSWERS

When using the “step-up” approach in caring for a patient with GERD, the “step up” from OTC antacid use is: Student Answer: Prokinetic (metoclopramide) for four to eight weeks A PPI (omeprazole) for twelve weeks Histamine 2 receptor antagonist (ranitidine) for four to eight weeks Cytoprotective drug (misoprostol) for two weeks Points Received: 2.5 of 2.5 Comments: Question 2 Question : . Kelly has diarrhea and is wondering if she can take loperamide (Imodium) for the diarrhea. Loperamide: Student Answer: Can be given to patients of all ages, including infants and children, for viral gastroenteritis Slows gastric motility and reduces fluid and electrolyte loss from diarrhea Is the treatment of choice for the diarrhea associated with E. coli 0157 May be used in pregnancy and by lactating women Points Received: 2.5 of 2.5 Comments: Question 3 Question : . Long-acting beta-agonists received a black box warning from the US Food and Drug Administration due to the: Student Answer: Risk of life-threatening dermatological reactions Increased incidence of cardiac events when long-acting beta- agonists are used Increased risk of asthma-related deaths when long-acting beta- agonists are used Risk for life-threatening alterations in electrolytes Points Received: 2.5 of 2.5 Comments: Question 4 Question : . Decongestants such as pseudoephedrine (Sudafed): Student Answer: Are Schedule III drugs in all states Should not be prescribed or recommended for children under four years of age Are effective in treating the congestion children experience with the common cold May cause drowsiness in patients of all ages Points Received: 2.5 of 2.5 Comments: Question 5 Question : . If a patient with H. pylori positive PUD fails first-line therapy, the second-line treatment is: Student Answer: A PPI BID plus metronidazole plus tetracycline plus bismuth subsalicylate for fourteen days Testing H. pylori for resistance to common treatment regimens A PPI plus clarithromycin plus amoxicillin for fourteen days A PPI and levofloxacin for fourteen days