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Nursing 326 questions with correct answers

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  • 2024/2025
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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 h...

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  • October 24, 2024
  • 94
  • 2024/2025
  • Exam (elaborations)
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  • 2024/2025
  • 2024/2025
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GraceAmelia
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FIRST PUBLISH OCTOBER 2024




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



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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.




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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




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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).


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