NURS6521 WK 7/Midterm Exam Questions
And Answers New Updated Solutions
RATED A+ Walden University
• Question 1
1 out of 1 points
A teenage boy has undergone a diagnostic workup following several months of
persistent, bloody diarrhea that appears to lack an infectious etiology. The boy
has also experienced intermittent abdominal pain and has lost almost 15 pounds
this year. Which of the following medications is most likely to treat this boy's
diagnosis? Mesalamine
Respons
e This patient's history and presentation are strongly suggestive of
Feedbac ulcerative colitis, a disease for which mesalamine is an approved
k: treatment.
Lubiprostone is used for the treatment of constipation and
docusate is a stool softener. Bismuth subsalicylate is an
antidiarrheal but is not effective in the management of ulcerative
colitis.
• Question 2
1 out of 1 points
Mr. Tan is a 69-year-old man who prides himself in maintaining an active
lifestyle and a healthy diet that includes adequate fluid intake. However, Mr.
Tan states that he has experienced occasional constipation in recent months.
What remedy should be the nurse's first suggestion? A bulk-forming (fiber)
laxative
Respons
e Bulk-forming (fiber) laxatives are considered the safest and most
Feedbac physiologic of the laxatives. As such, they are normally preferable
k: to stimulant and hyperosmotic laxatives for occasional relief of
constipation. Bismuth subsalicylate does not relieve constipation.
• Question 3
1 out of 1 points
A 57-year-old man is to begin 5-FU therapy for colon cancer. It will be most
important for the nurse to monitor which of the following during the first 72
hours of the initial treatment cycle?
Cardiac events
Respons
e The nurse should closely monitor the patient for cardiac events
Feedbac because cardiotoxicity is an important toxicity associated with 5-FU.
k: Cardiac events typically occur during the first 72 hours of the initial
treatment cycle. The WBC nadir occurs within 10 to 14 days after
the drug is administered, and myelosuppression, nausea, and
vomiting are dose-limited adverse effects of 5-FU therapy.
NURS6521 WK 7/Midterm Exam Questions
And Answers New Updated Solutions
RATED A+ Walden University
, NURS6521 WK 7/Midterm Exam Questions
And Answers New Updated Solutions
RATED A+ Walden University
• Question 4
1 out of 1 points
Mesalamine (Asacol) is prescribed for a 22-year-old woman with Crohn disease.
The nurse will discuss with the patient the possibility for which of the following
adverse effects related to the new drug therapy? Hair loss
Respons
e The nurse will explain that one possible adverse effect of
Feedbac mesalamine (Asacol) therapy is hair loss. The nurse will emphasize
k: that the hair loss is generally mild and transient. Metallic taste,
fatigue, and increased appetite are not adverse effects of
mesalamine.
• Question 5
1 out of 1 points
A nurse is aware that diphenoxylate HCl with atropine sulfate is an effective
adjunct in the treatment of diarrhea. For which of the following patients could
the administration of this drug be potentially harmful? An 80-year-old man who has
diarrhea secondary to Clostridium difficile infection
Respons
e Use of diphenoxylate HCl is contraindicated for diarrhea caused by
Feedbac GI organisms that penetrate the gastric mucosa (such as C. difficile)
k: because the drug slows peristalsis and may aggravate and prolong
the diarrhea. Diarrhea associated with stress, influenza, and tube
feeding can be safely treated with the drug in most cases.
• Question 6
1 out of 1 points
A 48-year-old woman who works as an office manager is prescribed
metoclopramide (Reglan) for diabetic gastroparesis. The nurse will be
sure to assess the patient for depression.
Respons
e Depression, from mild to severe, including suicidal ideation, has
Feedbac occurred in patients with and without a history of depression who
k: take metoclopramide. Use caution in administering metoclopramide
to patients with a history of depression. The nurse should assess
the patient for signs of depression and monitor behavior as long as
the patient is on the therapy. If the patient has been depressed or
is depressed, metoclopramide therapy should be given only if the
benefits of the drug outweigh the potential risks from depression.
Tachycardia, hypotension, and anemia are not associated with
metoclopramide.
• Question 7
1 out of 1 points
NURS6521 WK 7/Midterm Exam Questions
And Answers New Updated Solutions
RATED A+ Walden University
, NURS6521 WK 7/Midterm Exam Questions
And Answers New Updated Solutions
RATED A+ Walden University
Following an endoscopy, a 66-year-old man has been diagnosed with a duodenal
ulcer resulting from Helicobacter pylori infection. Which of the following
medications will likely be used in an attempt to eradicate the patient's H. pylori
infection? (Select all that apply.) Antibiotics
A PPI
NURS6521 WK 7/Midterm Exam Questions
And Answers New Updated Solutions
RATED A+ Walden University
, NURS6521 WK 7/Midterm Exam Questions
And Answers New Updated Solutions
RATED A+ Walden University
Respons e Feedbac k:
NURS6521 WK 7/Midterm Exam Questions
And Answers New Updated Solutions
RATED A+ Walden University
And Answers New Updated Solutions
RATED A+ Walden University
• Question 1
1 out of 1 points
A teenage boy has undergone a diagnostic workup following several months of
persistent, bloody diarrhea that appears to lack an infectious etiology. The boy
has also experienced intermittent abdominal pain and has lost almost 15 pounds
this year. Which of the following medications is most likely to treat this boy's
diagnosis? Mesalamine
Respons
e This patient's history and presentation are strongly suggestive of
Feedbac ulcerative colitis, a disease for which mesalamine is an approved
k: treatment.
Lubiprostone is used for the treatment of constipation and
docusate is a stool softener. Bismuth subsalicylate is an
antidiarrheal but is not effective in the management of ulcerative
colitis.
• Question 2
1 out of 1 points
Mr. Tan is a 69-year-old man who prides himself in maintaining an active
lifestyle and a healthy diet that includes adequate fluid intake. However, Mr.
Tan states that he has experienced occasional constipation in recent months.
What remedy should be the nurse's first suggestion? A bulk-forming (fiber)
laxative
Respons
e Bulk-forming (fiber) laxatives are considered the safest and most
Feedbac physiologic of the laxatives. As such, they are normally preferable
k: to stimulant and hyperosmotic laxatives for occasional relief of
constipation. Bismuth subsalicylate does not relieve constipation.
• Question 3
1 out of 1 points
A 57-year-old man is to begin 5-FU therapy for colon cancer. It will be most
important for the nurse to monitor which of the following during the first 72
hours of the initial treatment cycle?
Cardiac events
Respons
e The nurse should closely monitor the patient for cardiac events
Feedbac because cardiotoxicity is an important toxicity associated with 5-FU.
k: Cardiac events typically occur during the first 72 hours of the initial
treatment cycle. The WBC nadir occurs within 10 to 14 days after
the drug is administered, and myelosuppression, nausea, and
vomiting are dose-limited adverse effects of 5-FU therapy.
NURS6521 WK 7/Midterm Exam Questions
And Answers New Updated Solutions
RATED A+ Walden University
, NURS6521 WK 7/Midterm Exam Questions
And Answers New Updated Solutions
RATED A+ Walden University
• Question 4
1 out of 1 points
Mesalamine (Asacol) is prescribed for a 22-year-old woman with Crohn disease.
The nurse will discuss with the patient the possibility for which of the following
adverse effects related to the new drug therapy? Hair loss
Respons
e The nurse will explain that one possible adverse effect of
Feedbac mesalamine (Asacol) therapy is hair loss. The nurse will emphasize
k: that the hair loss is generally mild and transient. Metallic taste,
fatigue, and increased appetite are not adverse effects of
mesalamine.
• Question 5
1 out of 1 points
A nurse is aware that diphenoxylate HCl with atropine sulfate is an effective
adjunct in the treatment of diarrhea. For which of the following patients could
the administration of this drug be potentially harmful? An 80-year-old man who has
diarrhea secondary to Clostridium difficile infection
Respons
e Use of diphenoxylate HCl is contraindicated for diarrhea caused by
Feedbac GI organisms that penetrate the gastric mucosa (such as C. difficile)
k: because the drug slows peristalsis and may aggravate and prolong
the diarrhea. Diarrhea associated with stress, influenza, and tube
feeding can be safely treated with the drug in most cases.
• Question 6
1 out of 1 points
A 48-year-old woman who works as an office manager is prescribed
metoclopramide (Reglan) for diabetic gastroparesis. The nurse will be
sure to assess the patient for depression.
Respons
e Depression, from mild to severe, including suicidal ideation, has
Feedbac occurred in patients with and without a history of depression who
k: take metoclopramide. Use caution in administering metoclopramide
to patients with a history of depression. The nurse should assess
the patient for signs of depression and monitor behavior as long as
the patient is on the therapy. If the patient has been depressed or
is depressed, metoclopramide therapy should be given only if the
benefits of the drug outweigh the potential risks from depression.
Tachycardia, hypotension, and anemia are not associated with
metoclopramide.
• Question 7
1 out of 1 points
NURS6521 WK 7/Midterm Exam Questions
And Answers New Updated Solutions
RATED A+ Walden University
, NURS6521 WK 7/Midterm Exam Questions
And Answers New Updated Solutions
RATED A+ Walden University
Following an endoscopy, a 66-year-old man has been diagnosed with a duodenal
ulcer resulting from Helicobacter pylori infection. Which of the following
medications will likely be used in an attempt to eradicate the patient's H. pylori
infection? (Select all that apply.) Antibiotics
A PPI
NURS6521 WK 7/Midterm Exam Questions
And Answers New Updated Solutions
RATED A+ Walden University
, NURS6521 WK 7/Midterm Exam Questions
And Answers New Updated Solutions
RATED A+ Walden University
Respons e Feedbac k:
NURS6521 WK 7/Midterm Exam Questions
And Answers New Updated Solutions
RATED A+ Walden University
