1|Page
NUR-265 Exam 1 Newest 2026||Verified Exam|| Actual
Exam 200 Questions And Correct Detailed Answers
(verified Answers) ||Already Graded A+||Newest
Version!!
A patient who takes a nonsteroidal antiinflammatory drug
(NSAID) daily for the management
of severe rheumatoid arthritis has recently developed
melena. What would the nurse anticipate
teaching the patient?
a. Substitution of acetaminophen (Tylenol) for the NSAID
b. Use of enteric-coated NSAIDs to reduce gastric irritation
c. Reasons for using corticosteroids to treat the
rheumatoid arthritis
d. Misoprostol (Cytotec) to protect the gastrointestinal (GI)
mucosa - ANSWER-d. Misoprostol (Cytotec) to protect the
gastrointestinal (GI) mucosa
Rationale: Misoprostol, a prostaglandin analog, reduces
acid secretion and the incidence of upper GI
bleeding associated with NSAID use. Enteric coating of
NSAIDs does not reduce the risk for
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GI bleeding. Corticosteroids increase the risk for ulcer
development and will not be
substituted for NSAIDs for this patient. Acetaminophen will
not be effective in treating
rheumatoid arthritis.
The health care provider prescribes antacids and
sucralfate (Carafate) for treatment of a
patient's peptic ulcer. Which medication schedule would
the nurse teach the patient?
a. Sucralfate at bedtime and antacids before each meal
b. Sucralfate and antacids together 0 minutes before
meals
c. Antacids 30 minutes before each dose of sucralfate is
taken
d. Antacids after meals and sucralfate 30 minutes before
meals - ANSWER-d. Antacids after meals and sucralfate
30 minutes before meals
Rationale: Sucralfate is most effective when the pH is low
and should not be given with or soon after
antacids. Antacids are most effective when taken after
eating. Administration of sucralfate 30
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minutes before eating and antacids just after eating will
ensure that both drugs can be most
effective. The other regimens will decrease the
effectiveness of the medications.
Which information about dietary management would the
nurse include when teaching a
patient with peptic ulcer disease (PUD)?
a. "You will need to remain on a bland diet."
b. "Avoid foods that cause pain after you eat them."
c. "High-protein foods are least likely to cause pain."
d. "You should avoid eating raw fruits and vegetables." -
ANSWER-b. "Avoid foods that cause pain after you eat
them."
Rationale: The best information is that each person should
choose foods that are not associated with
postprandial discomfort. Raw fruits and vegetables may
irritate the gastric mucosa but
chewing well seems to decrease this problem and some
patients tolerate these healthy foods
well. High-protein foods help neutralize acid, but they also
stimulate hydrochloric (HCl) acid
, 4|Page
secretion and may increase discomfort for some patients.
Bland diets may be recommended
during an acute exacerbation of PUD, but there is little
evidence to support their ongoing use.
A patient is diagnosed with stomach cancer after an
unintended 20-lb weight loss. Which
action would the nurse include in the plan of care?
a. Refer the patient for hospice services.
b. Infuse IV fluids through a central line.
c. Teach the patient about antiemetic therapy.
d. Offer supplemental feedings between meals. -
ANSWER-d. Offer supplemental feedings between meals.
Rationale: The patient data indicate a poor nutritional state
and improvement in nutrition will be helpful
in improving the response to therapies such as surgery,
chemotherapy, or radiation. Nausea
and vomiting are not common clinical manifestations of
stomach cancer. There is no
indication that the patient requires hospice or IV fluid
infusions.
NUR-265 Exam 1 Newest 2026||Verified Exam|| Actual
Exam 200 Questions And Correct Detailed Answers
(verified Answers) ||Already Graded A+||Newest
Version!!
A patient who takes a nonsteroidal antiinflammatory drug
(NSAID) daily for the management
of severe rheumatoid arthritis has recently developed
melena. What would the nurse anticipate
teaching the patient?
a. Substitution of acetaminophen (Tylenol) for the NSAID
b. Use of enteric-coated NSAIDs to reduce gastric irritation
c. Reasons for using corticosteroids to treat the
rheumatoid arthritis
d. Misoprostol (Cytotec) to protect the gastrointestinal (GI)
mucosa - ANSWER-d. Misoprostol (Cytotec) to protect the
gastrointestinal (GI) mucosa
Rationale: Misoprostol, a prostaglandin analog, reduces
acid secretion and the incidence of upper GI
bleeding associated with NSAID use. Enteric coating of
NSAIDs does not reduce the risk for
,2|Page
GI bleeding. Corticosteroids increase the risk for ulcer
development and will not be
substituted for NSAIDs for this patient. Acetaminophen will
not be effective in treating
rheumatoid arthritis.
The health care provider prescribes antacids and
sucralfate (Carafate) for treatment of a
patient's peptic ulcer. Which medication schedule would
the nurse teach the patient?
a. Sucralfate at bedtime and antacids before each meal
b. Sucralfate and antacids together 0 minutes before
meals
c. Antacids 30 minutes before each dose of sucralfate is
taken
d. Antacids after meals and sucralfate 30 minutes before
meals - ANSWER-d. Antacids after meals and sucralfate
30 minutes before meals
Rationale: Sucralfate is most effective when the pH is low
and should not be given with or soon after
antacids. Antacids are most effective when taken after
eating. Administration of sucralfate 30
,3|Page
minutes before eating and antacids just after eating will
ensure that both drugs can be most
effective. The other regimens will decrease the
effectiveness of the medications.
Which information about dietary management would the
nurse include when teaching a
patient with peptic ulcer disease (PUD)?
a. "You will need to remain on a bland diet."
b. "Avoid foods that cause pain after you eat them."
c. "High-protein foods are least likely to cause pain."
d. "You should avoid eating raw fruits and vegetables." -
ANSWER-b. "Avoid foods that cause pain after you eat
them."
Rationale: The best information is that each person should
choose foods that are not associated with
postprandial discomfort. Raw fruits and vegetables may
irritate the gastric mucosa but
chewing well seems to decrease this problem and some
patients tolerate these healthy foods
well. High-protein foods help neutralize acid, but they also
stimulate hydrochloric (HCl) acid
, 4|Page
secretion and may increase discomfort for some patients.
Bland diets may be recommended
during an acute exacerbation of PUD, but there is little
evidence to support their ongoing use.
A patient is diagnosed with stomach cancer after an
unintended 20-lb weight loss. Which
action would the nurse include in the plan of care?
a. Refer the patient for hospice services.
b. Infuse IV fluids through a central line.
c. Teach the patient about antiemetic therapy.
d. Offer supplemental feedings between meals. -
ANSWER-d. Offer supplemental feedings between meals.
Rationale: The patient data indicate a poor nutritional state
and improvement in nutrition will be helpful
in improving the response to therapies such as surgery,
chemotherapy, or radiation. Nausea
and vomiting are not common clinical manifestations of
stomach cancer. There is no
indication that the patient requires hospice or IV fluid
infusions.
