Nokea
Flexible sigmoidoscopy should be performed every years.
- A. 5
Correct Answer: 5
Rationale: Flexible sigmoidoscopy should be performed every 5 years. Endoscopy of the lower GI tract allows visualization and, if indicated, access to obtain biopsy specimens of tumors, polyps, or ulcerations of the anus, rectum, and sigmoid colon. The lower GI tract is difficult to visualize radiographically, but sigmoidoscopy allows direct visualization.
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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.
A patient who is being evaluated for episodes of hematemesis and dyspepsia tells the nurse that pain occurs when he eats, but pain does not waken him. The nurse recognizes a diagnostic sign of which condition?
- A. Duodenal ulcer
- B. Gastritis
- C. Achalasia
- D. Peptic ulcer
Correct Answer: D
Rationale: A significant subjective data assessment for a peptic ulcer is the patient report that pain is associated with eating. With duodenal ulcers the patient often complains of pain 1 to 2 hours after eating.
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.
Which will the nurse include when reinforcing the teaching plan for a patient with a hiatal hernia to reduce the frequency of heartburn?
- A. Drinking 10 oz of milk with every meal
- B. Lie down after eating
- C. Panting through mouth when symptoms begin
- D. Eating small meals
Correct Answer: D
Rationale: Taking care not to overeat is the best defense against pyrosis (heartburn) for the person with a hiatal hernia.
The patient has come to the PACU following an ileostomy for the treatment of ulcerative colitis. The patient is conscious and has a nasogastric tube in place and a pouch over the stoma. What should be the nurse's initial action?
- A. Turn patient to right side.
- B. Give patient ice chips to moisten mouth.
- C. Attach NG tube to suction.
- D. Irrigate NG tube.
Correct Answer: C
Rationale: Initially, the NG tube should be attached to suction to decompress the stomach and prevent nausea. Assessing the tube for the need of future irrigation will be part of the postoperative care.