Medsurg PrepU

Which medication classification represents a proton (gastric acid) pump inhibitor? A. Omeprazole B. Sucralfate C. Famotidine D. Metronidazole

A. Omeprazole

Which of the following is an enzyme secreted by the gastric mucosa? A. Pepsin B. Trypsin C. Ptyalin D. Bile

A. Pepsin

The nurse is administering lispro insulin. Based on the onset of action, how long before breakfast should the nurse administer the injection? A. 10 to 15 minutes B. 30 to 40 minutes C. 1 to 2 hours D. 3 hours

A. 10 to 15 minutes

A nurse is caring for a diabetic patient with a diagnosis of nephropathy. What would the nurse expect the urinalysis report to indicate? A. Albumin B. Bacteria C. Red blood cells D. White blood cells

A. Albumin

The nurse is educating the client with diabetes on setting up a sick plan to manage blood glucose control during times of minor illness such as influenza. Which is the most important teaching item to include? A. Increase frequency of glucose self-monitoring. B. Decrease food intake until nausea passes. C. Do not take insulin if not eating. D. Take half the usual dose of insulin until symptoms resolve.

A. Increase frequency of glucose self-monitoring.

Which is a true statement regarding gastric cancer? A. Most clients are asymptomatic during the early stage of the disease. B. Women have a higher incidence of gastric cancer. C. The prognosis for gastric cancer is good. D. Most cases are discovered before metastasis.

A. Most clients are asymptomatic during the early stage of the disease.

A nurse is teaching a diabetic support group about the causes of type 1 diabetes. The teaching is determined to be effective when the group is able to attribute which factor as a cause of type 1 diabetes? A. Presence of autoantibodies against islet cells B. Obesity C. Rare ketosis D. Altered glucose metabolism

A. Presence of autoantibodies against islet cells

A nurse is monitoring a client with peptic ulcer disease. Which assessment findings would most likely indicate perforation of the ulcer? Select all that apply. A. Tachycardia B. Hypotension C. Mild epigastric pain D. A rigid, board-like abdomen E. Diarrhea

A. Tachycardia B. Hypotension D. A rigid, board-like abdomen

A nurse is providing care for a client recovering from gastric bypass surgery. During assessment, the client exhibits pallor, perspiration, palpitations, headache, and feelings of warmth, dizziness, and drowsiness. The client reports eating 90 minutes ago. What will the nurse suspect? A. Vasomotor symptoms associated with dumping syndrome B. Dehiscence of the surgical wound C. Peritonitis D. A normal reaction to surgery

A. Vasomotor symptoms associated with dumping syndrome

A client is scheduled for an ultrasound of the abdomen. Which statement indicates that teaching provided to the client to prepare for the test was effective? A. "I will take an over-the-counter enema before the test." B. "I will not eat or drink for 8 to 12 hours before the test." C. "I will ingest a clear liquid diet for 3 days before the test." D. "I will take medications to reduce gastric acid before the test."

B. "I will not eat or drink for 8 to 12 hours before the test."

The nurse is preparing the client for an assessment of the abdomen. What should the nurse complete prior to this assessment? A. Prepare for a prostate examination. B. Ask the client to empty the bladder. C. Assist the client to a Fowler's position. D. Dim the lights for privacy.

B. Ask the client to empty the bladder.

The nurse is caring for a client who has developed dumping syndrome while recovering from a gastrectomy. What recommendation should the nurse make to the client? A. Drink a minimum of 12 ounces of fluid with each meal. B. Eat several small meals daily spaced at equal intervals. C. Choose foods that are high in simple carbohydrates. D. Sit upright when eating and for 30 minutes afterward.

B. Eat several small meals daily spaced at equal intervals.

A client is to have an upper GI procedure with barium ingestion and abdominal ultrasonography. While scheduling these diagnostic tests, the nurse must consider which factor? A. Both tests need to be done before breakfast. B. The ultrasonography should be scheduled before the GI procedure. C. The upper GI should be scheduled before the ultrasonography. D. The client may eat a light meal before either test.

B. The ultrasonography should be scheduled before the GI procedure.

A client with type 1 diabetes presents with a decreased level of consciousness and a fingerstick glucose level of 39 mg/dl. His family reports that he has been skipping meals in an effort to lose weight. Which nursing intervention is most appropriate? A. Inserting a feeding tube and providing tube feedings B. Administering a 500-ml bolus of normal saline solution C. Administering 1 ampule of 50% dextrose solution, per physician's order D. Observing the client for 1 hour, then rechecking the fingerstick glucose level

C. Administering 1 ampule of 50% dextrose solution, per physician's order