Nokea
A 56-year-old man is admitted to the emergency room with an acute attack of diverticulitis. The patient has a temperature of 102°F, and has an elevated white count. Which assessment would alert the nurse to impending septic shock?
- A. Chest pain
- B. Seizure
- C. Tachycardia
- D. Massive diarrhea
Correct Answer: C
Rationale: The patient with diverticulitis who has fever and an elevated white count has an infection that could lead to septic shock, which will present as tachycardia and hypotension.
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The nurse explains that the chief enzyme of gastric juice, is activated by hydrochloric acid to begin digestion of protein.
- A. pepsin
Correct Answer: pepsin
Rationale: Pepsin is activated by the hydrochloric acid to break down protein for digestion.
The home health nurse evaluates a patient being treated for a peptic ulcer with an antacid and famotidine (histamine receptor blocker). Which statement made by the patient indicates a need for further instruction?
- A. I know famotidine will not interfere with my Coumadin.'
- B. I take the antacid at least 2 hours after any of my other drugs.'
- C. Boy! That antacid keeps my stomach happy!'
- D. I take both those meds at the same time every morning.'
Correct Answer: D
Rationale: Antacids should not be taken with other drugs, because the absorption of the other drugs may be affected.
Which is the purpose of antibiotic therapy in treating peptic ulcers?
- A. It eradicates H. pylori.
- B. It inhibits gastric acid secretion.
- C. It protects the gastric mucosa.
- D. It neutralizes or reduces the acidity of stomach contents.
Correct Answer: A
Rationale: Antibiotic therapy eradicates H. pylori.
Which are indicators of colorectal cancer?
- A. Constant diarrhea
- B. Abdominal pain
- C. Cachexia
- D. Cramps
- E. Rectal bleeding
- F. Anemia
Correct Answer: B,C,D,E,F
Rationale: The indicators for colorectal cancer are changing bowel habits between diarrhea and constipation, abdominal pain, cachexia, cramps, rectal bleeding, and anemia.
To assist a family with a bowel-training program to reduce fecal incontinence, the nurse would suggest the use of which item at an optimal time to stimulate defecation?
- A. warm bath
- B. a tap water enema
- C. glycerin suppository
- D. large glass of warm lemonade
Correct Answer: C
Rationale: The use of a glycerin suppository for fecal stimulation is a helpful aid in a bowel-training program. The suppository is administered at what the family and patient have determined is the optimal time for a bowel movement.