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NR 511 Midterm Questions & 100% Correct Answers- Latest Test | Graded A+ | Passed

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All of the following medications are used for the control of nausea and vomiting. Which medication works by affecting the chemoreceptor trigger zone, thereby stimulating upper gastrointestinal motility and increasing lower esophageal sphincter pressure? 1.Anticholinergics, such as scopolamine ...

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  • September 3, 2024
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NR 511 Midterm Questions & 100% Correct
Answers- Latest Test | Graded A+ | Passed
All of the following medications are used for the control of nausea and vomiting. Which

medication works by affecting the chemoreceptor trigger zone, thereby stimulating upper

gastrointestinal motility and increasing lower esophageal sphincter pressure?




1.Anticholinergics, such as scopolamine (Donnatal).


2.Antidopaminergic agents, such as prochlorperazine (Compazine).


3.Antidopaminergic and cholinergic agents, such as metoclopramide (Reglan).


4.Tetrahydrocannabinols, such as dronabinol (Marinol)


✓ -:- Antidopaminergic and cholinergic agents, such as metoclopramide (Reglan)




rationale: Metoclopramide (Reglan) is used for diabetic gastroparesis and postoperative

nausea and vomiting. It works by affecting the chemoreceptor trigger zone, thereby

stimulating upper gastrointestinal motility and increasing lower esophageal sphincter

pressure




You auscultate Julie's abdomen and hear a peritoneal friction rub. Which condition do you

rule out?




1|Page | Grade A+| 2024/2025

,2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!

1.Peritonitis.


2.A liver or spleen abscess.


3.A liver or spleen metastatic tumor.


4.Irritable bowel syndrome.


✓ -:- IBS




rationale: IBS does not produce a friction rub




You are counseling Lillian, who is lactose intolerant, about foods to avoid. You know she

misunderstands the teaching when she tells you she can have:


1. Yogurt.


2.Foods containing whey.


3.Prehydrolyzed milk.


4.Oranges.


✓ -:- Foods containing whey




rationale: Advise clients who are lactose intolerant to avoid foods containing whey. Whey is

a lactose-rich ingredient found in some foods, so clients who are lactose intolerant need to

read labels on all foods. To control symptoms, dietary lactose should be reduced or


2|Page | Grade A+| 2024/2025

,2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!

restricted by using lactose-reduced and lactose-free dairy products or by eating lactose-rich

foods in small amounts or in combination with low-lactose or lactose-free foods.




Simon, age 72, states that he is worried because he has a bowel movement only every third

day. You respond:


1."You should have two to three stools per day."


2."You should defecate once a day."


3."You should have at least three stools per week."


4."There is no such thing as a 'normal' pattern of defecation."


✓ -:- There is no such thing as a normal pattern of defecation




rationale: 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.




Timothy, age 68, complains of an abrupt change in his defecation pattern. You evaluate

him for:


1.Constipation.


2.Colorectal cancer.

3|Page | Grade A+| 2024/2025

, 2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!

3.Irritable bowel syndrome.


4.Acute appendicitis.


✓ -:- Colorectal cancer




rationale: A middle-aged or older client with an abrupt change in defecation pattern must

be evaluated for colorectal cancer




Ruby has a colostomy and complains that her stools are too loose. What food(s) do you

suggest to help thicken the stools?


1.Cheese.


2.Leafy green vegetables.


3.Raw fruits and vegetables.


4.Dried beans.


✓ -:- Cheese




rationale: Cheese, bread, pasta, rice, pretzels, and yogurt all help to thicken stools.




Tina has a chronic hepatitis C infection. She asks you how to prevent its transmission. You

respond:


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