Nokea
The patient with a peptic ulcer has been placed on regular doses of bismuth salicylate to combat Helicobacter pylori. What color will this drug turn the stool?
- A. Gray-black
- B. Dark green
- C. Red-orange
- D. Yellow
Correct Answer: A
Rationale: Bismuth products turn the stool gray-black.
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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.
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.
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.
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 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.