NR 511 Midterm Exam Review Questions and Answers

Which medications used to treat nausea and vomiting works by affecting the chemoreceptor trigger zone, thereby stimulating upper gastrointestinal motility and increasing lower esophageal sphincter pressure? Anticholinergics, such as scopolamine (Donnatal). The antibiotic of choice for recurrent acute otitis media (AM) and/or treatment failure in children is: Amoxicillin and potassium clavulanate (Augmentin). A 67-year old female on multiple medications for chronic conditions was just diagnosed with gastroesophageal reflux disease (GERD). In teaching the patient about the disease, what medication should the clinician recommend that the patient refrain from using? Nonsteroidal anti-inflammatory drugs (NSAIDs). A 30-year-old male presents to the clinic with intermittent diarrhea. He is pretty sure that the antacids taken for heartburn are the cause since the loose stools always occur within 30 minutes after taking them. How should the clinician respond? Antacids may contain magnesium, which decreases bowel transit time and may contain poorly absorbed salts that result in an osmotic draw iofufluid into the bowel resulting in diarrhea. When the Weber test is performed with a tuning fork to assess hearing and there is no lateralization, the clinician should document this finding as: A normal finding. A 72-year-old male patient presents to the clinic for his annual physical. He states that he is worried because he only has a bowel movement every three days. How should the clinician respond? There is no such thing as a "normal" pattern of defecation. Patterns of defecation vary widely and may in part be affected by dietary habits, fluid intake, bacteria in the stool, psychological stress, or voluntary postponement of defecation. Defecating every third day could be the routine pattern for Simon. He should be questioned if this is routine for him.