A client was placed on ranitidine (Zantac) 2 days ago, and continues to complain of ulcer pain. What is the best response by the nurse?
1. "We'll switch you to a different medication."
2. "You probably have something else besides an ulcer."
3. "You might not notice relief for several days."
4. "You should be taking the medication with food."
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A patient has GERD and is taking ranitidine (Zantac). She continues to have gastric discomfort and asks whether she can take an antacid. Which of the following is an appropriate response by the nurse?
A) Sure, you may take an antacid with ranitidine.
B) No, the two drugs will work against each other.
C) Yes, but be sure to wait at least 2 hours to take the antacid after you take the ranitidine.
D) I wouldn't advise it. You may experience severe constipation.
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For which occurrences should you teach a patient taking drugs for PUD or GERD to notify the prescriber? (select all that apply)
a. Difficulty swallowing
b. Persistent belching
c. Vomiting bright red blood
d. Brown formed stools
e. Coffee ground appearing emesis
f. Bright yellow urine
g. Dry mouth
h. Fissured tongue
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A patient is diagnosed with gastroenteritis. The nurse should assess which serum laboratory value first?
1. sodium
2. bicarbonate
3. calcium
4. potassium
Question 2
The nurse is implementing a bowel training program for a patient. What should be included in this patient's plan of care?
1. Assess the patient to determine the best time of day to use the commode for defecation.
2. Keep the bedpan near the patient at all times.
3. Instruct the patient not to attempt to use the bathroom unattended.
4. Stay with the patient while defecating.
Question 3
A patient with irritable bowel syndrome asks the nurse, Why did the doctor order something for depression? How should the nurse respond?
1. Didn't the doctor tell you that you are depressed?
2. Depression can be caused by irritable bowel syndrome.
3. Did the doctor not give you an opportunity to ask questions?
4. These medications help with the symptoms associated with your bowel problem.
Question 4
The nurse is providing care to a patient admitted with acute diarrhea. What intervention would assist in this patient's care?
1. Provide a normal diet as tolerated.
2. Hold all medications until the diarrhea stops.
3. Provide clear liquids in small amounts.
4. Encourage normal activities of daily living in the hospital room.
Question 5
The nurse is caring for a patient with a fecal impaction. Which type of enemas will best assist in relieving the fecal impaction?
1. normal saline
2. oil retention
3. tap water
4. soap suds
Question 6
A patient is prescribed a low-residue diet. What foods should the nurse instruct the patient to avoid while on this diet?
1. wine, vinegar, beer, liquor
2. rice, grains, pasta
3. canned vegetables
4. chilled fruit gelatin desserts
Question 7
A patient with Crohn disease is experiencing weight loss. What should be included in this patient's plan of care?
1. a low-calorie, high-milk diet
2. a low-calorie, low-residue diet
3. a high-calorie, low-protein diet
4. a high-calorie, low-fat diet
Question 8
The nurse is preparing to assess a patient with diverticulitis. Which area of the patient's abdomen should the nurse expect to palpate a mass?
1. upper-right quadrant
2. lower-left quadrant
3. area of McBurney point
4. epigastric region
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A client has been diagnosed with inflammatory bowel disease (IBD). The nurse anticipates that the health care provider may prescribe a drug in which category to treat this disorder?
1. Symptom-targeted therapy, antidepressants, and antianxiety drugs
2. 5-aminosalicylic acid (5-ASA) agents, immunosuppressive agents, and biologic therapies
3. Antispasmodics, serotonin agents, and biologic therapies
4. 5-aminosalicylic acid (5-ASA) agents, symptom-targeted therapy, and antianxiety agents
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Which of the following disorders is the most common functional disorder of the GI tract, causing increased motility of the small or large intestine?
A) Constipation
B) Diarrhea
C) Irritable bowel syndrome
D) Ulcerative colitis
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Irritable bowel syndrome (IBS) is a functional disorder, that is, a disorder ____. a. that serves a certain function c. with a known organic cause b. that can be fatal d. of no known organic cause
Fill in the blank(s) with correct word
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A client presents with a mild concussion following a fall. Which nursing diagnosis is least likely to be made for this client?
A) Acute Pain
B) Acute Confusion
C) Nausea
D) Risk for Post-Trauma Syndrome
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While caring for a client with increased intracranial pressure (IICP), a family member asks to assist. Which interventions are appropriate for the nurse to teach the family member regarding this client's care?
Select all that apply.
A) The client should be repositioned as needed.
B) The head of the bed should be elevated to 30 degrees.
C) The client should remain in a supine position.
D) The family should use slow, gentle movements when repositioning the client.
E) Patients with ICP should remain in a stationary position.
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The nurse is caring for a client with increased intracranial pressure, and reduces stimuli by: (Select all that apply.)
Standard Text: Select all that apply.
1. Placing a sign on the client's door that says "No visitors allowed."
2. Providing all care quickly at one time to provide periods of rest.
3. Teaching family to speak softly and minimize touching.
4. Keeping the room dark and quiet.
5. Elevating the head of the bed.
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