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1. The nurse designs a teaching plan for the client with chronic pancreatitis who receives pancrelipase (Pancreaze). What will the best plan by the nurse include as it relates to the rationale for the client to receive this drug?

a. These enzymes replace what your ineffective pancreas cannot make.

b. These enzymes will help promote healing of your pancreas.

c. These enzymes promote digestion of starches and fats.

d. These enzymes will help digest all of the food you eat.

 

2. The mechanism of action of the antidiarrheal atropine (Lomotil) is to

a. promote stool passage.

b. block dopamine receptors in the brain.

c. increase stool formation.

d. slow peristalsis.

 

3. A patient with constipation has been prescribed a bulk-forming laxative. Which information will the nurse provide about taking this medication?

a. You may take this powder dry if you take it in small amounts.

b. Drink a full glass of water after you take this medication.

c. Let the medication mixture set for a few minutes after mixing before drinking.

d. Lie down for 30 minutes after you take this medication.

 

4. A patient who is obese says, I have been taking orlistat (alli) that I buy over-the-counter at my drugstore. The nurse would review the patient’s medical record for use of which medication? 

a. Aspirin

b. Warfarin (Coumadin)

c. Vitamin C

d. Ibuprofen

 

5. A client comes to the clinic with report of intermittent epigastric pain that is associated with meals. The nurse would review the client’s medical record and assess for the presence of which risk factors for peptic ulcer disease (PUD)? Select all that apply (2)

a. The client reports that his mother and grandfather both had ulcers.

b. The client has type AB blood.

c. The client reports drinking several cups of coffee every morning.

d. The client reports mild to moderate job and family stress.

e. The client tested positive for influenza A.

 

 

 

6. The patient receives enoxaparin (Lovenox) postoperatively. The nurse teaches the patient about this medication and evaluates that learning has occurred when he makes which statement?

a. It inhibits the synthesis of prostaglandins.

b. It increases the time it takes for me to form a clot.

c. It dissolves small clots so I won’t have a stroke.

d. It increases the flexibility of my blood cells.

 

7. The process of fibrinolysis is to

a. stop blood flow.

b. remove a blood clot.

c. promote enzymes.

d. increase blood flow.

 

8. Anticoagulants are used to

a. increase the number of platelets.

b. prevent the formation of blood clots.

c. shorten the prothrombin time.

d. dissolve blood clots.

 

9. The nurse is providing discharge teaching regarding anticoagulant therapy. Which statements by the patient would the nurse evaluate as indicating the need for further instruction? Select all that apply (3)

a. I’ll ask for an electric razor for my birthday next week.

b. I guess my trip to the amusement park is off for now.

c. I won’t be able to cook anymore.

d. I’ll get one of those new electric toothbrushes with the firm bristles.

e. I should make an appointment for a B12 injection monthly.

 

10. A patient is being treated for a thromboembolic disorder. If the goal is to prevent clot formation, the nurse anticipates the patient will be treated with which classification of drug? Select all that apply (2)

a. Hemostatics

b. Thrombolytics

c. Anticoagulants

d. Antiplatelet agents

e. Clotting factor concentrates

SCIENCE
HEALTH SCIENCE
NURSING
NURS 1950

 

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