Nursing 326 questions with correct answers

Nursing 326 questions with correct answers The client complaining of "acid" when lying down at night asks the nurse if there is any medication that might help. Which statement is the nurse's best response?1. A. "There are no medications to treat this problem, but losing weight will sometimes help the symptoms." B. "There are several over-the-counter and prescription medications available to treat this. You should discuss this with the HCP." C. "Have you had any x-rays or other tests to determine if you have cancer or some other serious illness?" D. "Acid reflux at night can lead to serious complications. You need to have tests done to determine the cause." - Ans:-B ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/94 The nurse on a medical unit has received the morning report. Which medication should the nurse administer first? A. The proton-pump inhibitor pantoprazole (Protonix) to a client on call to surgery. B. The antacid calcium carbonate (TUMS) to a client complaining of indigestion. C. The antimicrobial bismuth (Pepto-Bismol) to a client diagnosed with an ulcer. D, The H2 blocker famotidine (Pepcid) to a client diagnosed with GERD. - Ans:-A A medication for a client on call to sur- gery is a priority; the client's surgery could be delayed if the medication has not been administered when the call to surgery comes. Which statement is the scientific rationale for administering a proton-pump inhibitor (PPI) to a client diagnosed with gastrointestinal reflux disease (GERD)? A. PPI medications neutralize the gastric secretions. B. PPI medications block H2 receptors on the parietal cells. ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/94 C. PPI medications inhibit the enzyme that generates gastric acid. D. PPI medications form a protective barrier against acid and pepsin. - Ans:-c Proton-pump inhibitors inhibit the enzyme that generates gastric acid. Which statement is an advantage to administering a histamine2 blocker rather than an antacid to a client diagnosed with gastroesophageal reflux disease (GERD)? 1. Antacids are more potent than H2 blockers in relieving the symptoms of GERD. 2. Histamine2 blockers have more side effects than antacids. 3. Histamine2 blockers are less expensive than antacids. 4. Histamine2 blockers require less frequent dosing than antacids. - Ans:-d ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 4/94 H2 blockers require less frequent administration than do antacids, which require frequent administration, seven or more times a day, for therapeutic effects. The fewer times a client is expected to take a medication, the more likely the client is to comply with a medication regimen. Which side effects would the nurse explain to the male client who is prescribed cime- tidine (Tagamet), a histamine2 blocker? A. The medication can cause indigestion and heartburn. B. The medication can cause impotence and gynecomastia. C. The medication can cause insomnia and hypervigilance. D. The medication can cause Zollinger-Ellison syndrome. - Ans:-B Over time, Tagamet can cause males to become impotent, have decreased libido, and have breast development (gynecomastia). ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 5/94 The home health-care nurse is caring for a male client diagnosed with a hiatal hernia and reflux. Which data indicates the medication therapy is effective? A. The client takes the antacid 1 hour before and 3 hours after a meal. B. The client complains of indigestion after eating a large meal. C. The client states that he did not wake up with heartburn during the night. D. The client has lost 3 pounds in the past 2 weeks. - Ans:-C The nurse is preparing to administer the proton-pump inhibitor esomeprazole (Nexium). Which intervention should the nurse implement? Select all that apply. 1. Order an infusion pump for the client. 2. Elevate the client's head of the bed. 3. Check the client's ID band with MAR. 4. Check for allergies to cephalosporin. 5. Ask the client his or her date of birth. - Ans:-2,3,5 ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 6/94 The nurse is discharging a client diagnosed with gastroesophageal reflux disease (GERD). Which information should the nurse include in the teaching? A. There are no complications of GERD as long as the client takes the medications. B. Notify the health-care provider if the medication does not resolve the symptoms. C. Immediately after a meal, lie down for at least 45 minutes. D. If any discomfort is noted, take an NSAID for the pain. - Ans:-B The nurse is discharging a client 2 days postoperative hiatal hernia