The nurse takes into consideration that a proton pump inhibitor drug, such as which drug, will completely eradicate gastric acid production?
- A. omeprazole
- B. misoprostol
- C. sucralfate
- D. olsalazine
Correct Answer: A
Rationale: Omeprazole is a proton pump inhibitor that interferes with the production of gastric acid.
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Which will be the most helpful nursing intervention to increase the comfort of a patient with appendicitis?
- A. Applying of ice bag
- B. Administration of small tap water enema
- C. Warm compress over entire abdomen
- D. Ambulate for short periods in the room
Correct Answer: A
Rationale: Applying of an ice bag will decrease the flow of blood to the area and impede the inflammatory process.
The home health nurse caring for a patient who has dysarthria related to radiation therapy for an oral cancer would recommend that the family provide which device?
- A. a tablet and pencil as a communication aid.
- B. a TV for diversion.
- C. a bell to summon help.
- D. a walkie-talkie.
Correct Answer: A
Rationale: The provision of an alternative method of communicating will lessen the frustration of the patient who has trouble speaking understandably. The call bell would be helpful also, but without a way to communicate, the bell is not as essential as a method of communication.
The nurse clarifies that the end product of food is absorbed and put into the bloodstream by which anatomical feature?
- A. gastric lining of the stomach.
- B. villi of the small intestine.
- C. bile of the liver in the large intestine.
- D. excretion from the cecum.
Correct Answer: B
Rationale: The inner surface of the small intestine contains millions of tiny, fingerlike projections called villi, which contain small blood vessels. They are responsible for absorbing the products of digestion.
In caring for a patient with gastric bleeding who has a nasogastric (NG) tube in place, the nurse expects to see which intervention for the nasogastric tube included in the plan of care?
- A. clamp for 10 minutes every hour.
- B. keep the patent with irrigation.
- C. frequently reposition to the opposite nostril.
- D. change every 72 hours.
Correct Answer: B
Rationale: Irrigating the NG tube as needed will keep the tube patent and ensure effective decompression.
Which recommendation is most appropriate for a patient who has had an esophageal dilation related to achalasia?
- A. Consume only liquid.
- B. Avoid fruit juices.
- C. Drink 10 oz of fluid with each meal.
- D. Lie down for 30 minutes after each meal.
Correct Answer: C
Rationale: The patient should drink fluid with each meal to increase lower esophageal pressure to push food into the stomach.
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