NURS-6521N Week 7 Quiz 3
Question 1
1 out of 1 points
Mr. Tan is a 69-year-old man who prides himself in maintaining an active lifestyle and a healthy diet
that includes adequate fluid intake. However, Mr. Tan states that he has experienced occasional
constipation in recent months. What remedy should be the nurse's first suggestion?
Response Bulk-forming (fiber) laxatives are considered the safest and most physiologic of the
Feedback: laxatives. As such, they are normally preferable to stimulant and hyperosmotic
laxatives for occasional relief of constipation. Bismuth subsalicylate does not relieve
constipation.
Question 2
1 out of 1 points
A nurse is planning care for a 59-year-old woman who is on ranitidine therapy. The nurse is
concerned for the patient's safety. Which of the following would be an appropriate nursing
diagnosis?
Response The appropriate nursing diagnosis related to safety would be Risk for Injury related to
Feedback: drug-induced somnolence, dizziness, confusion, or hallucinations. Diarrhea related to
adverse effects of drug therapy and Acute Pain related to adverse drug effects,
headache are appropriate nursing diagnosis for a patient taking ranitidine, but are
not related to safety. Potential Complication: Electrolyte Imbalance related to
hypophosphatemia, secondary to drug therapy would be appropriate for a patient
taking an aluminum hydroxide with magnesium hydroxide antacid (Maalox, Mylanta).
Question 3
1 out of 1 points
A 42-year-old man is being treated for a peptic ulcer with ranitidine (Zantac) taken PO at bedtime.
Even though few adverse effects are associated with this drug, one common adverse effect that can
be severe is
Response Even though ranitidine generally is well tolerated, headache is a common adverse
Feedback: effect that can be severe. The nurse will encourage the patient to adjust lights or
temperature and avoid noise if headaches occur and to contact his physician if the
, headache becomes intolerable. Irritability, dry mouth, and heart palpitations are not
associated with this drug.
Question 4
1 out of 1 points
A nurse is providing patient education for a patient who has been prescribed diphenoxylate HCl with
atropine sulfate. Which of the following instructions would be important for self-administration of
this drug?
Response The patient should decrease the dosage when the number of stools decreases and
Feedback: should not wait until the physician discontinues the therapy. The drug does not
need to be taken with food or juice.
Question 5
1 out of 1 points
A 33-year-old woman has irritable bowel syndrome (IBS). The physician has prescribed simethicone
(Mylicon) for her discomfort. Which of the following will the nurse monitor most closely during the
patient's drug therapy?
Response The nurse needs to closely monitor the patient for increased abdominal pain,
Feedback: nausea, fever, and vomiting. These symptoms are not indicative of excessive flatus,
for which simethicone is prescribed, but indicate that the patient needs urgent
medical attention for another condition. There is no risk for drug toxicity, anorexia,
or increased urine output.
Question 6
1 out of 1 points
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?
Response Chemotherapeutic drugs that are most effective during a particular phase of the
Feedback: cycle are known as cell cycle– (or cell phase) specific, whereas drugs that act
independently of a specific cell cycle (or cell phase) are cell cycle–nonspecific. Not all
cell cycle–specific drugs achieve a synergistic effect with cell cycle–nonspecific drugs.
These drugs are not named because of the particular sequence of cytotoxic events
that they cause.
Question 7
0 out of 1 points
Question 1
1 out of 1 points
Mr. Tan is a 69-year-old man who prides himself in maintaining an active lifestyle and a healthy diet
that includes adequate fluid intake. However, Mr. Tan states that he has experienced occasional
constipation in recent months. What remedy should be the nurse's first suggestion?
Response Bulk-forming (fiber) laxatives are considered the safest and most physiologic of the
Feedback: laxatives. As such, they are normally preferable to stimulant and hyperosmotic
laxatives for occasional relief of constipation. Bismuth subsalicylate does not relieve
constipation.
Question 2
1 out of 1 points
A nurse is planning care for a 59-year-old woman who is on ranitidine therapy. The nurse is
concerned for the patient's safety. Which of the following would be an appropriate nursing
diagnosis?
Response The appropriate nursing diagnosis related to safety would be Risk for Injury related to
Feedback: drug-induced somnolence, dizziness, confusion, or hallucinations. Diarrhea related to
adverse effects of drug therapy and Acute Pain related to adverse drug effects,
headache are appropriate nursing diagnosis for a patient taking ranitidine, but are
not related to safety. Potential Complication: Electrolyte Imbalance related to
hypophosphatemia, secondary to drug therapy would be appropriate for a patient
taking an aluminum hydroxide with magnesium hydroxide antacid (Maalox, Mylanta).
Question 3
1 out of 1 points
A 42-year-old man is being treated for a peptic ulcer with ranitidine (Zantac) taken PO at bedtime.
Even though few adverse effects are associated with this drug, one common adverse effect that can
be severe is
Response Even though ranitidine generally is well tolerated, headache is a common adverse
Feedback: effect that can be severe. The nurse will encourage the patient to adjust lights or
temperature and avoid noise if headaches occur and to contact his physician if the
, headache becomes intolerable. Irritability, dry mouth, and heart palpitations are not
associated with this drug.
Question 4
1 out of 1 points
A nurse is providing patient education for a patient who has been prescribed diphenoxylate HCl with
atropine sulfate. Which of the following instructions would be important for self-administration of
this drug?
Response The patient should decrease the dosage when the number of stools decreases and
Feedback: should not wait until the physician discontinues the therapy. The drug does not
need to be taken with food or juice.
Question 5
1 out of 1 points
A 33-year-old woman has irritable bowel syndrome (IBS). The physician has prescribed simethicone
(Mylicon) for her discomfort. Which of the following will the nurse monitor most closely during the
patient's drug therapy?
Response The nurse needs to closely monitor the patient for increased abdominal pain,
Feedback: nausea, fever, and vomiting. These symptoms are not indicative of excessive flatus,
for which simethicone is prescribed, but indicate that the patient needs urgent
medical attention for another condition. There is no risk for drug toxicity, anorexia,
or increased urine output.
Question 6
1 out of 1 points
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?
Response Chemotherapeutic drugs that are most effective during a particular phase of the
Feedback: cycle are known as cell cycle– (or cell phase) specific, whereas drugs that act
independently of a specific cell cycle (or cell phase) are cell cycle–nonspecific. Not all
cell cycle–specific drugs achieve a synergistic effect with cell cycle–nonspecific drugs.
These drugs are not named because of the particular sequence of cytotoxic events
that they cause.
Question 7
0 out of 1 points
