Digestive & Gastrointestinal System Disorders | NCLEX Quiz 74
All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.
- 1.Which goal of the client’s care should take priority during the first days of hospitalization for an exacerbation of ulcerative colitis?
- A.
Promoting self-care and independence
- B.
Managing diarrhea
- C.
Maintaining adequate nutrition
- D.
Promoting rest and comfort
- 2.A client’s ulcerative colitis symptoms have been present for longer than 1 week. The nurse recognizes that the client should be assessed carefully for signs of which of the following complications?
- A.
Heart failure
- B.
DVT
- C.
Hypokalemia
- D.
Hypocalcemia
- 3.A client who has ulcerative colitis has persistent diarrhea. He is thin and has lost 12 pounds since the exacerbation of his ulcerative colitis. The nurse should anticipate that the physician will order which of the following treatment approaches to help the client meet his nutritional needs?
- A.
Initiate continuous enteral feedings
- B.
Encourage a high protein. high-calorie diet
- C.
Implement total parenteral nutrition
- D.
Provide six small meals a day.
- 4.Digoxin preparations and absorbents should not be given simultaneously. As a nurse. you are aware that if these agents are given simultaneously. which of the following will occur?
- A.
Increased absorption of digoxin
- B.
Decreased absorption of digoxin
- C.
Increased absorption of the absorbent
- D.
Decreased absorption of the absorbent
- 5.When used with hyperacidic disorders of the stomach. antacids are given to elevate the gastric pH to:
- A.
2
- B.
4
- C.
6
- D.
>8.0
- 6.One of your patients is receiving digitalis orally and is also to receive an antacid at the same time. Your most appropriate action. based on the pharmacokinetics of antacids. is to:
- A.
Delay the digitalis for 1 to 2 hours until the antacid is absorbed
- B.
Give the antacid at least 2 to 4 hours before administering the digitalis
- C.
Administer both medications as ordered and document in nurse’s notes
- D.
Contact the physician regarding the drug interaction and request a change in the time of dosing of the drugs.
- 7.The nurse would teach patients that antacids are effective in treatment of hyperacidity because they:
- A.
Neutralize gastric acid
- B.
Decrease stomach motility
- C.
Decrease gastric pH
- D.
Decrease duodenal pH
- 8.The nurse would monitor for which of the following adverse reactions to aluminum-containing antacids such as aluminum hydroxide (Amphojel)?
- A.
Diarrhea
- B.
Constipation
- C.
GI upset
- D.
Fluid retention
- 9.The nurse would question an order for which type of antacid in patients with chronic renal failure?
- A.
Aluminum-containing antacids
- B.
Calcium-containing antacids
- C.
Magnesium-containing antacids
- D.
All of the above.
- 10.The nurse would monitor a patient using sodium bicarbonate to treat gastric hyperacidity for signs and symptoms of:
- A.
Metabolic alkalosis
- B.
Metabolic acidosis
- C.
Hyperkalemia
- D.
Hypercalcemia
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