MCA 1 Exam 3 – Questions With A+ Solutions
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Terms in this set (68)
A patient with a history of peptic ulcer Providing IV fluids and inserting a nasogastric (NG)
disease has presented to the tube
emergency department with severe
abdominal pain and a rigid, boardlike A perforated peptic ulcer requires IV replacement of
abdomen. The health care provider fluid losses and continued gastric aspiration by NG
suspects a perforated ulcer. Which tube. Nothing is given by mouth, and gastric pH
interventions should the nurse testing is not a priority. Calcium gluconate is not a
anticipate? medication directly relevant to the patient's
suspected diagnosis, and parenteral nutrition is not a
Providing IV fluids and inserting a priority in the short term.
nasogastric (NG) tube
Administering oral bicarbonate and
testing the patient's gastric pH level
Performing a fecal occult blood test
and administering IV calcium
gluconate
Starting parenteral nutrition and
placing the patient in a high-Fowler's
position
,After administration of a dose of Relief of nausea and vomiting
metoclopramide, which patient
assessment finding would show the Metoclopramide is classified as a prokinetic and
medication was effective? antiemetic medication. If it is effective, the patient's
nausea and vomiting should resolve.
Decreased blood pressure Metoclopramide does not affect blood pressure,
muscle tremors, or diarrhea.
Absence of muscle tremors
Relief of nausea and vomiting
No further episodes of diarrhea
The nurse determines a patient has Epigastric pain
experienced the beneficial effects of
therapy with famotidine when which Famotidine is an H2-receptor antagonist that inhibits
symptom is relieved? parietal cell output of HCl acid and minimizes
damage to gastric mucosa related to hyperacidity,
Nausea thus relieving epigastric pain. It is not indicated for
nausea, belching, and dysphagia.
Belching
Epigastric pain
Difficulty swallowing
,The nurse is teaching a group of When the cafeteria gave me a pink hamburger, I sent
college students how to prevent food it back and asked for a new bun and clean plate."
poisoning. Which comment shows an
understanding of foodborne illness The student who did not accept the pink hamburger
protection? and asked for a new bun and clean plate understood
that the pink meat may not have reached 160°F and
"Eating raw cookie dough from the could be contaminated with bacteria. Improperly
package is a great snack when you do storing cooked foods, eating raw cookie dough from
not have time to bake." a refrigerated package, and only using one cutting
board without washing it with hot soapy water
"Since we only have one cutting between the chicken and salad vegetables could all
board, we can cut up chicken and lead to food poisoning from contamination.
salad vegetables at the same time."
"To save refrigerator space, leftover
food can be kept on the counter if it is
in sealed containers."
"When the cafeteria gave me a pink
hamburger, I sent it back and asked
for a new bun and clean plate."
The nurse is caring for a patient Dry toast
treated with IV fluid therapy for severe
vomiting. As the patient recovers and Dry toast or crackers may alleviate the feeling of
begins to tolerate oral intake, which nausea and prevent further vomiting. Water is the
food choice would be most initial fluid of choice. Extremely hot or cold liquids
appropriate? and fatty foods are generally not well tolerated.
Iced tea
Dry toast
Hot coffee
Plain yogurt
, The nurse teaches senior citizens at a "Pasteurized juices and milk are safe to drink."
community center how to prevent
food poisoning at social events. Which Drink only pasteurized milk, juice, or cider. Ground
community member statement reflects beef should be cooked thoroughly. Browned meat
accurate understanding? can still harbor live bacteria. Cook ground beef until
a thermometer reads at least 160° F. If a thermometer
"Pasteurized juices and milk are safe to is unavailable, decrease the risk of illness by cooking
drink." the ground beef until there is no pink color in the
middle. Fruits and vegetables should be washed
"Alfalfa sprouts are safe if rinsed thoroughly, especially those that will not be cooked.
before eating." Persons who are immunocompromised or older
should avoid eating alfalfa sprouts until the safety of
"Fresh fruits do not need to be the sprouts can be ensured.
washed before eating."
"Ground beef is safe to eat if cooked
until it is brown."
A patient complaining of nausea Tremors
receives a dose of metoclopramide.
Which potential adverse effect should Extrapyramidal side effects, including tremors and
the nurse tell the patient to report? tardive dyskinesias, may occur with metoclopramide
administration. Constipation, double vision, and
Tremors numbness in fingers and toes are not adverse effects
of metoclopramide.
Constipation
Double vision
Numbness in fingers and toes
Save
Terms in this set (68)
A patient with a history of peptic ulcer Providing IV fluids and inserting a nasogastric (NG)
disease has presented to the tube
emergency department with severe
abdominal pain and a rigid, boardlike A perforated peptic ulcer requires IV replacement of
abdomen. The health care provider fluid losses and continued gastric aspiration by NG
suspects a perforated ulcer. Which tube. Nothing is given by mouth, and gastric pH
interventions should the nurse testing is not a priority. Calcium gluconate is not a
anticipate? medication directly relevant to the patient's
suspected diagnosis, and parenteral nutrition is not a
Providing IV fluids and inserting a priority in the short term.
nasogastric (NG) tube
Administering oral bicarbonate and
testing the patient's gastric pH level
Performing a fecal occult blood test
and administering IV calcium
gluconate
Starting parenteral nutrition and
placing the patient in a high-Fowler's
position
,After administration of a dose of Relief of nausea and vomiting
metoclopramide, which patient
assessment finding would show the Metoclopramide is classified as a prokinetic and
medication was effective? antiemetic medication. If it is effective, the patient's
nausea and vomiting should resolve.
Decreased blood pressure Metoclopramide does not affect blood pressure,
muscle tremors, or diarrhea.
Absence of muscle tremors
Relief of nausea and vomiting
No further episodes of diarrhea
The nurse determines a patient has Epigastric pain
experienced the beneficial effects of
therapy with famotidine when which Famotidine is an H2-receptor antagonist that inhibits
symptom is relieved? parietal cell output of HCl acid and minimizes
damage to gastric mucosa related to hyperacidity,
Nausea thus relieving epigastric pain. It is not indicated for
nausea, belching, and dysphagia.
Belching
Epigastric pain
Difficulty swallowing
,The nurse is teaching a group of When the cafeteria gave me a pink hamburger, I sent
college students how to prevent food it back and asked for a new bun and clean plate."
poisoning. Which comment shows an
understanding of foodborne illness The student who did not accept the pink hamburger
protection? and asked for a new bun and clean plate understood
that the pink meat may not have reached 160°F and
"Eating raw cookie dough from the could be contaminated with bacteria. Improperly
package is a great snack when you do storing cooked foods, eating raw cookie dough from
not have time to bake." a refrigerated package, and only using one cutting
board without washing it with hot soapy water
"Since we only have one cutting between the chicken and salad vegetables could all
board, we can cut up chicken and lead to food poisoning from contamination.
salad vegetables at the same time."
"To save refrigerator space, leftover
food can be kept on the counter if it is
in sealed containers."
"When the cafeteria gave me a pink
hamburger, I sent it back and asked
for a new bun and clean plate."
The nurse is caring for a patient Dry toast
treated with IV fluid therapy for severe
vomiting. As the patient recovers and Dry toast or crackers may alleviate the feeling of
begins to tolerate oral intake, which nausea and prevent further vomiting. Water is the
food choice would be most initial fluid of choice. Extremely hot or cold liquids
appropriate? and fatty foods are generally not well tolerated.
Iced tea
Dry toast
Hot coffee
Plain yogurt
, The nurse teaches senior citizens at a "Pasteurized juices and milk are safe to drink."
community center how to prevent
food poisoning at social events. Which Drink only pasteurized milk, juice, or cider. Ground
community member statement reflects beef should be cooked thoroughly. Browned meat
accurate understanding? can still harbor live bacteria. Cook ground beef until
a thermometer reads at least 160° F. If a thermometer
"Pasteurized juices and milk are safe to is unavailable, decrease the risk of illness by cooking
drink." the ground beef until there is no pink color in the
middle. Fruits and vegetables should be washed
"Alfalfa sprouts are safe if rinsed thoroughly, especially those that will not be cooked.
before eating." Persons who are immunocompromised or older
should avoid eating alfalfa sprouts until the safety of
"Fresh fruits do not need to be the sprouts can be ensured.
washed before eating."
"Ground beef is safe to eat if cooked
until it is brown."
A patient complaining of nausea Tremors
receives a dose of metoclopramide.
Which potential adverse effect should Extrapyramidal side effects, including tremors and
the nurse tell the patient to report? tardive dyskinesias, may occur with metoclopramide
administration. Constipation, double vision, and
Tremors numbness in fingers and toes are not adverse effects
of metoclopramide.
Constipation
Double vision
Numbness in fingers and toes
