Review For GNUR 294 Final Questions And Answers All Correct 2024

Review For GNUR 294 Final Questions And Answers All Correct 2024 The nurse is caring for an adult male diagnosed with a peptic ulcer. The nurse states that the most likely etiology is: A. Acidic foods B. Stress C. Helicobacter pylori. D. Smoking - ANS-Helicobacter pylori. A client diagnosed with GERD asks the nurse what his treatment will be. The nurse correctly states: A. "You likely will be instructed to change your lifestyle to see if that helps relieve your symptoms." B. "We will start you on an over-the-counter agent because you have easy access to them and a small chance of overdosing on them." C. "We need to attack this early, and will start with combination therapy." D. "GERD will require a surgical treatment for symptom relief." - ANS-"You likely will be instructed to change your lifestyle to see if that helps relieve your symptoms." A client diagnosed with Barrett esophagus might require the most efficient pharmacologic therapy of GERD. This would include the use of which class of drug? A. Proton pump inhibitor B. Antacid C. Magnesium citrate D. H2-receptor antagonist - ANS-Proton pump inhibitor A client with GERD must be cautioned against the overuse of antacids to avoid which syndrome? A. Respiratory alkalosis B. Metabolic acidosis C. Metabolic alkalosis D. Respiratory acidosis - ANS-Metabolic alkalosis The nurse is performing a head-to-toe assessment on a client taking aluminum hydroxide. Why must the nurse closely assess for bowel changes? A. Hyperactive bowel sounds indicate imminent vomiting; suction should be made available. B. Hypoactive bowel sounds indicate duodenal ulcerations. C. Hematochezia is a sign that the medication is working. D. A distended abdomen could indicate constipation, a side effect of this medication. - ANS-A distended abdomen could indicate constipation, a side effect of this medication. The client who is prescribed valproic acid (Depakote) for seizure control would like to have a baby. How should the nurse respond A. "Since your epilepsy may flare up during pregnancy, your doctor will likely have you take aantiepileptic medication." B. "Thankfully, most modern antiepileptic medications will not interfere with your getting pregnant." C. "Your current antiepileptic medication should not be used when you are pregnant." D. "You should consider adopting a baby instead since there are so many problems associated with epilepsy and pregnancy." - ANS-"Your current antiepileptic medication should not be used when you are pregnant." The client tells the nurse that she has been prescribed phenytoin (Dilantin) for 2 years and is still having too many side effects. She wants to stop taking it. What is the best response by the nurse? A. "This is the best medication for you; we can add another medication to decrease the side effects associated with phenytoin (Dilantin)." B. "Please do not stop the medication abruptly, as you will have withdrawal seizures." C. "You have probably been on the medication long enough; I'll let your doctor know you are stopping it." D. "Side effects are a problem, but they are not as bad as the seizures you were having." - ANS-"Please do not stop the medication abruptly, as you will have withdrawal seizures." A client has been diagnosed with Alzheimer disease. What is the most accurate medication education the nurse can give to the client's spouse? A. "Symptoms should begin to improve in a few days." B. "The medication has side effects that require periodic breaks from treatment." C. "There is no cure. The medication might help with symptoms for a period of time." D. "Symptoms will improve as long as the medication is taken daily at the same time." - ANS-"There is no cure. The medication might help with symptoms for a period of time." Prior to administering donepezil (Aricept) to a client with Alzheimer disease, the nurse reviews the client's medical history for which disease processes? Select all that apply. A. Respiratory disorders B. Liver dysfunction C. Kidney failure D. Atrial fibrillation E. Arthritis - ANS-Respiratory disorders Liver dysfunction Kidney failure Atrial fibrillation The health care provider has ordered intravenous (IV) diazepam (Valium) for the client in status epilepticus. It is most important for the nurse to assess for which result? A. Tachycardia B. Level of consciousness C. Hypotension D. Respiratory depression - ANS- Continues...