PRACTICE
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Practice Test Assessment Performance
TEST
ASSESSMENT
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63% Let's review your results from 1/8/2020 at 6:09 pm EST
Correct
PERFOMANCE
Incorrect Correct
A client with giardiasis is taking metronidazole (Flagyl) 2 grams PO.
Which information should the nurse include in the client's
instruction?
Notify the clinic of any changes in the color of urine.
Avoid overexposure to the sun.
Stop the medication after the diarrhea resolves.
Take the medication with food.
Rationale
Flagyl, an amoebicide and antibacterial agent, may cause gastric distress, so the client should be
instructed to take the medication on a full stomach. Urine may be red-brown or dark from Flagyl, but
this side effect is an expectant finding and not necessary to report tot he healthcare provider.
, A female client with rheumatoid arthritis take ibuprofen (Motrin) 600
mg PO 4 times a day. To prevent gastrointestinal bleeding,
misoprostol (Cytotec) 100 mcg PO is prescribed. Which information is
most important for the nurse to include in client teaching?
Use contraception during intercourse.
Ensure the Cytotec is taken on an empty stomach.
Encourage oral fluid intake to prevent constipation.
Take Cytotec 30 minutes prior to Motrin.
Rationale
Cytotec, a synthetic form of a prostaglandin, is classified as pregnancy Category X and can act as an
abortifacient, so the client should be instructed to use contraception during intercourse to prevent
loss of an early pregnancy. A common side effect of Cytotec is diarrhea, so constipation prevention
strategies are usually not needed. Cytotec and Motrin should be taken together to provide protective
properties against gastrointestinal bleeding.
In evaluating the effects of lactulose (Cephulac), which outcome would
indicate that the drug is performing as intended?
An increase in urine output.
Two or three soft stools per day.
Watery, diarrhea stools.
Increased serum bilirubin.
Rationale
The medication lactulose can be administered for either chronic constipation or for portal-systemic
encephalopathy in clients with hepatic disease. Two to three stools a day indicate that lactulose is
performing as intended for chronic constipation. This would also indicate it should be effective for
the clients with encephalopathy because the lactulose's action prevents absorption of ammonia in
the colon as it increases water absorption and softens the stool. The efficacy of the use for ammonia
absorption would have to be verified by a serum ammonia level and observation of clearing of the
client's mental status.
Return to Overview
Practice Test Assessment Performance
TEST
ASSESSMENT
You're coming along!
63% Let's review your results from 1/8/2020 at 6:09 pm EST
Correct
PERFOMANCE
Incorrect Correct
A client with giardiasis is taking metronidazole (Flagyl) 2 grams PO.
Which information should the nurse include in the client's
instruction?
Notify the clinic of any changes in the color of urine.
Avoid overexposure to the sun.
Stop the medication after the diarrhea resolves.
Take the medication with food.
Rationale
Flagyl, an amoebicide and antibacterial agent, may cause gastric distress, so the client should be
instructed to take the medication on a full stomach. Urine may be red-brown or dark from Flagyl, but
this side effect is an expectant finding and not necessary to report tot he healthcare provider.
, A female client with rheumatoid arthritis take ibuprofen (Motrin) 600
mg PO 4 times a day. To prevent gastrointestinal bleeding,
misoprostol (Cytotec) 100 mcg PO is prescribed. Which information is
most important for the nurse to include in client teaching?
Use contraception during intercourse.
Ensure the Cytotec is taken on an empty stomach.
Encourage oral fluid intake to prevent constipation.
Take Cytotec 30 minutes prior to Motrin.
Rationale
Cytotec, a synthetic form of a prostaglandin, is classified as pregnancy Category X and can act as an
abortifacient, so the client should be instructed to use contraception during intercourse to prevent
loss of an early pregnancy. A common side effect of Cytotec is diarrhea, so constipation prevention
strategies are usually not needed. Cytotec and Motrin should be taken together to provide protective
properties against gastrointestinal bleeding.
In evaluating the effects of lactulose (Cephulac), which outcome would
indicate that the drug is performing as intended?
An increase in urine output.
Two or three soft stools per day.
Watery, diarrhea stools.
Increased serum bilirubin.
Rationale
The medication lactulose can be administered for either chronic constipation or for portal-systemic
encephalopathy in clients with hepatic disease. Two to three stools a day indicate that lactulose is
performing as intended for chronic constipation. This would also indicate it should be effective for
the clients with encephalopathy because the lactulose's action prevents absorption of ammonia in
the colon as it increases water absorption and softens the stool. The efficacy of the use for ammonia
absorption would have to be verified by a serum ammonia level and observation of clearing of the
client's mental status.
