NR 511 Midterm Questions
Answers
Which medications used to treat nausea and vomiting works by affecting
the chemoreceptor trigger zone, thereby stimulating upper
gastrointestinal motility and increasing lower esophageal sphincter
pressure?
:~~ Anticholinergics, such as scopolamine (Donnatal).
The antibiotic of choice for recurrent acute otitis media (AM)
and/or treatment failure in children is:
:~~ Amoxicillin and potassium clavulanate (Augmentin).
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?
:~~ Nonsteroidal anti-inflammatory drugs (NSAIDs).
A 30-year-old male presents to the clinic with intermittent
diarrhea. He is pretty sure that the antacids taken for
heartburn are the cause since the loose stools always occur
within 30 minutes after taking them. How should the clinician
,respond?
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:~~ Antacids may contain magnesium, which
decreases bowel transit time and may contain poorly
absorbed salts that result
in an osmotic draw iofufluid into the bowel resulting in diarrhea.
When the Weber test is performed with a tuning fork to
assess hearing and there is no lateralization, the clinician
should document this finding as:
:~~ A normal finding.
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?
:~~ There is no such thing as a "normal" pattern of defecation.
Patterns of defecation vary widely and may in part be
affected by dietary habits, fluid intake, bacteria in the
stool, psychological stress, or voluntary postponement
of
defecation. Defecating every third day could be the
routine pattern for Simon. He should be questioned if
this is routine for him.
, A 21-year-old female patient presents to the clinic for pre-operative
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