ANSWERS
A 26-year-old male recently returned from a camping trip with symptoms of acute
gastroenteritis. He reports that he only ate vegetables from his garden that he
canned prior to his outing. Which of the following pathogens might be causing his
symptoms? correct answer Clostridium botulinum
A 29-year-old female just returned from Central America with traveler's diarrhea
and presents to the clinic for evaluation. Which of the following is the best
treatment? correct answer supportive care
A 30-year-old male presents to the clinic with intermittent diarrhea. He states the
loose stools always occur within 30 minutes after taking antacids. How should the
clinician respond? correct answer Antacids may contain magnesium, which may
cause diarrhea.
A 38-year-old male patient has recently had an ileostomy for ulcerative colitis.
Which self-care measures should the clinician teach him about to relieve food
blockage? correct answer massage the peristomal area
A 52-year-old female is suspected of having a gastric ulcer and will undergo an
Esophagogastroduodenoscopy (EGD). She is concerned because she heard that
gastric ulcers can be malignant. How should the clinician respond? correct answer
About 95% of gastric ulcers are benign.
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? correct answer nonsteroidal anti-inflammatory drugs
, A 68-year-old man complains of lower abdominal pain, anorexia, extreme fatigue,
an unintentional weight loss of 15 pounds in last 3 weeks, and you find a positive
hemoccult on digital rectal examination. Laboratory tests show iron deficiency
anemia. Which diagnosis should the NP consider? correct answer Colon cancer
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? correct answer There is no such thing as a normal
pattern of defecation.
acute gastroenteritis tx correct answer fluid replacement
zofran prn
imodiumx 1-2 days
tinidazole single dose
BRAT diet
An 82-year-old female has been diagnosed with irritable bowel, chronic
constipation, and diverticulosis following a colonoscopy. Which pharmacological
agent should the clinician recommend? correct answer bulk laxative
anemia correct answer hemoglobin
<13.0 g/dL in postmenopausal women
<12.0 g/dL in men