Medium -length nasoenteric tubes are used for: a) Feeding Placement of the tube must be verified prior to any feeding. b) Decompression A gastric sump and nasoenteric tube are used for gastrointestinal decompression. c) Aspiration Nasoenteric tubes are used for gastrointestinal aspiration. d) Emptying Gastric sump tubes are used to decompress the stomach and keep it empty.

Medium -length nasoenteric tubes are used for:
a) Feeding
Placement of the tube must be verified prior to any feeding.
b) Decompression
A gastric sump and nasoenteric tube are used for gastrointestinal
decompression.
c) Aspiration
Nasoenteric tubes are used for gastrointestinal aspiration.
d) Emptying
Gastric sump tubes are used to decompress the stomach and keep it
empty.
by

1 Answer

Answer :

a) Feeding
Placement of the tube must be verified prior to any feeding.
by

Related questions

Mercury is typically used in the placement of which of the following tubes? a) Miller-Abbott Most nasoenteric tubes use mercury to carry the tube by gravity to its desired location. b) Gastric sump A gastric sump is used to decompress and empty the stomach. c) Dobbhoff Dobbhoff tubes are used for enteric feeding. d) EnterafloW Enteraflow tubes are used for enteric feeding

Description : Mercury is typically used in the placement of which of the following tubes? a) Miller-Abbott Most nasoenteric tubes use mercury to carry the tube by gravity to its desired location. b) ... Dobbhoff tubes are used for enteric feeding. d) EnterafloW Enteraflow tubes are used for enteric feeding

Last Answer : a) Miller-Abbott Most nasoenteric tubes use mercury to carry the tube by gravity to its desired location.

A 17-year-old patient involved in an automobile accident is paralyzed with multiple peripheral extremity injuries. Nutritional support is instituted with a transnasal feeding catheter. Which of the following statement(s) is/are true concerning the patient’s management? a. Feeding into the stomach results in stimulation of the biliary/pancreatic axis which is probably trophic for small bowel b. Gastric secretions will dilute the feedings increasing the risk of diarrhea c. The major risk in this patient is tracheobronchial aspiration d. Placement of the feeding catheter through the pylorus into the first portion of the duodenum reduces the risk of regurgitation and aspiration

Description : A 17-year-old patient involved in an automobile accident is paralyzed with multiple peripheral extremity injuries. Nutritional support is instituted with a transnasal feeding catheter. Which of the ... pylorus into the first portion of the duodenum reduces the risk of regurgitation and aspiration

Last Answer : Answer: a, c, d The use of transnasal feeding catheters for intragastric feeding or for duodenal intubation are popular adjuncts for providing nutritional support by the enteral route. The ... the fourth portion of the duodenum reduces the risk of regurgitation and aspiration of feeding formulas

Which of the following methods is the best method for determining nasogastric tube placement in the stomach? a) X-ray Radiologic identification of tube placement in the stomach is most reliable. b) Observation of gastric aspirate Gastric fluid may be grassy green, brown, clear, or odorless while an aspirate from the lungs may be off-white or tan. Hence, checking aspirate is not the best method of determining nasogastric tube placement in the stomach.

Description : Which of the following methods is the best method for determining nasogastric tube placement in the stomach? a) X-ray Radiologic identification of tube placement in the stomach is most reliable. ... for air bubbles is not a reliable method for determining nasogastric tube placement in the stomach.

Last Answer : a) X-ray Radiologic identification of tube placement in the stomach is most reliable.

If tube feeding is continuous, the placement of the feeding tube should be checked a) every shift. Each nurse caring for the patient is responsible for verifying that the tube is located in the proper area for continuous feeding. b) every hour. Checking for placement each hour is unnecessary unless the patient is extremely restless or there is basis for rechecking the tube based on other patient activities. c) every 24 hours. Checking for placement every 24 hours does not meet the standard of care due the patient receiving continuous tube feedings. d) when a tube feeding is continuous, it is unnecessary to check placement. Even though the feedings are continuous, the placement must be assessed.

Description : If tube feeding is continuous, the placement of the feeding tube should be checked a) every shift. Each nurse caring for the patient is responsible for verifying that the tube is located ... is unnecessary to check placement. Even though the feedings are continuous, the placement must be assessed.

Last Answer : a) every shift. Each nurse caring for the patient is responsible for verifying that the tube is located in the proper area for continuous feeding.

The client complained of abdominal pain, nausea and vomiting with abdominal distention. The nurse anticipates which of the following priority management after referring to the surgeon? A. Gastric decompression B. Possible surgery C. Endoscopy D. Rectal tube insertion

Description : The client complained of abdominal pain, nausea and vomiting with abdominal distention. The nurse anticipates which of the following priority management after referring to the surgeon? A. Gastric decompression B. Possible surgery C. Endoscopy D. Rectal tube insertion

Last Answer : A. Gastric decompression

For which of the following medications must the nurse contact the pharmacist in consultation when the patient receives all oral medications by feeding tube? a) Enteric-coated tablets Enteric-coated tablets are meant to be digested in the intestinal tract and may be destroyed by stomach acids. A change of form of medication is required by patients with tube feedings.

Description : For which of the following medications must the nurse contact the pharmacist in consultation when the patient receives all oral medications by feeding tube? a) Enteric-coated tablets Enteric-coated ... make an opening in the capsule and squeeze out contents for administration by feeding tube.

Last Answer : a) Enteric-coated tablets Enteric-coated tablets are meant to be digested in the intestinal tract and may be destroyed by stomach acids. A change of form of medication is required by patients with tube feedings.

The most significant nursing problem related to continuous tube feedings is a) potential for aspiration Because the normal swallowing mechanism is bypassed, consideration of the danger of aspiration must be foremost in the mind of the nurse caring for the patient receiving continuous tube feedings. b) interruption of GI integrity Tube feedings preserve GI integrity by intraluminal delivery of nutrients. c) disturbance in the sequence of intestinal and hepatic metabolism Tube feedings preserve the normal sequence of intestinal and hepatic metabolism. d) interruption in fat metabolism and lipoprotein synthesis Tube feedings maintain fat metabolism and lipoprotein synthesis.

Description : The most significant nursing problem related to continuous tube feedings is a) potential for aspiration Because the normal swallowing mechanism is bypassed, consideration of the danger of ... in fat metabolism and lipoprotein synthesis Tube feedings maintain fat metabolism and lipoprotein synthesis.

Last Answer : a) potential for aspiration Because the normal swallowing mechanism is bypassed, consideration of the danger of aspiration must be foremost in the mind of the nurse caring for the patient receiving continuous tube feedings.

When the nurse prepares to give a bolus tube feeding to the patient and determines that the residual gastric content is 150 cc, her best action is to a) reassess the residual gastric content in 1 hour. If the gastric residual exceeds 100 cc 2 hours in a row, the physician should be notified.

Description : When the nurse prepares to give a bolus tube feeding to the patient and determines that the residual gastric content is 150 cc, her best action is to a) reassess the residual gastric content in ... residual exceeds 100 cc, the tube feeding should be withheld at that time, but not indefinitely.

Last Answer : a) reassess the residual gastric content in 1 hour. If the gastric residual exceeds 100 cc 2 hours in a row, the physician should be notified.

Which of the following ranges identifies the amount of pressure within the endotracheal tube cuff that is believed to prevent both injury and aspiration? a) 20-25 mm Hg water pressure. Usually the pressure is maintained at less than 25 cm water pressure to prevent injury and at more than 20 cm water pressure to prevent aspiration. b) 10-15 mm Hg water pressure. A measure of 10–15 mm Hg water pressure would indicate that the cuff is underinflated. c) 30-35 mm Hg water pressure. A measure of 30–35 mm Hg water pressure would indicate that the cuff is overinflated. d) 0-5 mm Hg water pressure A measure of 0-5 mm Hg water pressure would indicate that the cuff is underinflated.

Description : Which of the following ranges identifies the amount of pressure within the endotracheal tube cuff that is believed to prevent both injury and aspiration? a) 20-25 mm Hg water pressure. Usually the ... pressure A measure of 0-5 mm Hg water pressure would indicate that the cuff is underinflated.

Last Answer : a) 20-25 mm Hg water pressure. Usually the pressure is maintained at less than 25 cm water pressure to prevent injury and at more than 20 cm water pressure to prevent aspiration.

When providing care to the patient with bilateral nephrostomy tubes, the nurse never does which of the following? a) Clamps each nephrostomy tube when the patient is moved The nurse must never clamp a nephrostomy tube because it could cause obstruction and resultant pyelonephritis.

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Last Answer : a) Clamps each nephrostomy tube when the patient is moved The nurse must never clamp a nephrostomy tube because it could cause obstruction and resultant pyelonephritis.

In general, chest drainage tubes are not used for the patient undergoing a) Pneumonectomy Usually, no drains are used for the pneumonectomy patient because the accumulation of fluid in the empty hemithorax prevents mediastinal shift. b) Lobectomy With lobectomy, two chest tubes are usually inserted for drainage, the upper for air and the lower for fluid c) Wedge resection With wedge resection, the pleural cavity usually is drained because of the possibility of an air or blood leak d) Segmentectomy With segmentectomy, drains are usually used because of the possibility of an air or blood leak.

Description : In general, chest drainage tubes are not used for the patient undergoing a) Pneumonectomy Usually, no drains are used for the pneumonectomy patient because the accumulation of fluid in the empty ... With segmentectomy, drains are usually used because of the possibility of an air or blood leak.

Last Answer : a) Pneumonectomy Usually, no drains are used for the pneumonectomy patient because the accumulation of fluid in the empty hemithorax prevents mediastinal shift.

Which of the following statements regarding gastric cancer is accurate? a) The incidence of cancer of the stomach continues to decrease in the United States. While the incidence continues to decrease, gastric cancer still accounts for 12,800 deaths annually.

Description : Which of the following statements regarding gastric cancer is accurate? a) The incidence of cancer of the stomach continues to decrease in the United States. While the incidence continues to decrease, ... in smoked foods and low in fruits and vegetables may increase the risk of gastric cancer.

Last Answer : a) The incidence of cancer of the stomach continues to decrease in the United States. While the incidence continues to decrease, gastric cancer still accounts for 12,800 deaths annually.

Of the following bariatric surgical procedures, which is the best procedure for long-term weight loss? a) Roux-en-Y The Roux-en-Y gastric bypass is the recommended procedure for longterm weight loss. In this procedure, a horizontal row of staples creates a stomach pouch with a 1-cm stoma that is anastomosed with a portion of distal jejunum, creating a gastroenterostomy.

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Of the following categories of medications, which is used in combination with bismuth salts to eradicate Helicobacter pylori? a) Antibiotics Antibiotics and bismuth salts are given to eradicate H. pylori. b) Antacids Antacids are given to manage gastric acidity. c) Proton pump inhibitors Proton pump inhibitors are given to decrease acid secretion. d) Histamine-2 receptor antagonists Histamine-2 receptor antagonists are given to decrease the acid secretion in the stomach.

Description : Of the following categories of medications, which is used in combination with bismuth salts to eradicate Helicobacter pylori? a) Antibiotics Antibiotics and bismuth salts are given to eradicate ... antagonists Histamine-2 receptor antagonists are given to decrease the acid secretion in the stomach.

Last Answer : a) Antibiotics Antibiotics and bismuth salts are given to eradicate H. pylori.

The nurse anticipates that the physician will perform joint aspiration and wrapping with compression elastic dressing for which of the following musculoskeletal problems? a) Joint effusion The described treatments are used with joint effusions and hemarthrosis.

Description : The nurse anticipates that the physician will perform joint aspiration and wrapping with compression elastic dressing for which of the following musculoskeletal problems? a) Joint effusion The described ... of tissue due to insufficient blood supply and may be associated with steroid use.

Last Answer : a) Joint effusion The described treatments are used with joint effusions and hemarthrosis.

Before the nurse can develop a relevant care plan, the nurse understands that in post-laryngectomy, the trachea and the esophagus are permanently separated. Therefore, which of the following will the nurse expect? A. No risk of aspiration during swallowing; speech is lost B. Normal speaking, breathing and swallowing are restored C. Unable to communicate with difficulty of swallowing and breathing D. Permanent tracheostomy created; normal speech is lost

Description : Before the nurse can develop a relevant care plan, the nurse understands that in post-laryngectomy, the trachea and the esophagus are permanently separated. Therefore, which of the ... with difficulty of swallowing and breathing D. Permanent tracheostomy created; normal speech is lost

Last Answer : D. Permanent tracheostomy created; normal speech is lost

Oxethazaine is used for anaesthetizing gastric mucosa because: A. It is not absorbed from the gastrointestinal tract B. It remains largely unionized in acidic medium C. It is highly ionized in acidic medium D. It produces no systemic effects even at high doses

Description : Oxethazaine is used for anaesthetizing gastric mucosa because: A. It is not absorbed from the gastrointestinal tract B. It remains largely unionized in acidic medium C. It is highly ionized in acidic medium D. It produces no systemic effects even at high doses

Last Answer : B. It remains largely unionized in acidic medium

The most common symptom of esophageal disease is a) dysphagia. This symptom may vary from an uncomfortable feeling that a bolus of food is caught in the upper esophagus to acute pain on swallowing. b) nausea. Nausea is the most common symptom of gastrointestinal problems in general. c) vomiting. Vomiting is a nonspecific symptom that may have a variety of causes. d) odynophagia. Odynophagia refers specifically to acute pain on swallowing.

Description : The most common symptom of esophageal disease is a) dysphagia. This symptom may vary from an uncomfortable feeling that a bolus of food is caught in the upper esophagus to acute pain on ... have a variety of causes. d) odynophagia. Odynophagia refers specifically to acute pain on swallowing.

Last Answer : a) dysphagia. This symptom may vary from an uncomfortable feeling that a bolus of food is caught in the upper esophagus to acute pain on swallowing.

When the post-cardiac surgical patient demonstrates vasodilation, hypotension, hyporeflexia, slow gastrointestinal motility (hypoactive bowel sounds), lethargy, and respiratory depression, the nurse suspects which of the following electrolyte imbalances? a) Hypermagnesemia Untreated hypomagnesemia may result in coma, apnea, cardiac arrest.

Description : When the post-cardiac surgical patient demonstrates vasodilation, hypotension, hyporeflexia, slow gastrointestinal motility (hypoactive bowel sounds), lethargy, and respiratory depression, the nurse suspects ... and QT intervals, broad flat T waves), disorientation, depression, and hypotension.

Last Answer : a) Hypermagnesemia Untreated hypomagnesemia may result in coma, apnea, cardiac arrest.

The nurse auscultates the apex beat at which of the following anatomical locations? a) Fifth intercostal space, midclavicular line The left ventricle is responsible for the apex beat or the point of maximum impulse, which is normally palpable in the left midclavicular line of the chest wall at the fifth intercostal space. b) Mid-sternum The right ventricle lies anteriorly, just beneath the sternum. c) 2” to the left of the lower end of the sternum Use of inches to identify the location of the apex beat is inappropriate based upon variations in human anatomy. d) 1” to the left of the xiphoid process Auscultation below and to the left of the xiphoid process will detect gastrointestinal sounds, but not the apex beat of the heart.

Description : The nurse auscultates the apex beat at which of the following anatomical locations? a) Fifth intercostal space, midclavicular line The left ventricle is responsible for the apex beat or the point of ... of the xiphoid process will detect gastrointestinal sounds, but not the apex beat of the heart.

Last Answer : a) Fifth intercostal space, midclavicular line The left ventricle is responsible for the apex beat or the point of maximum impulse, which is normally palpable in the left midclavicular line of the chest wall at the fifth intercostal space.

The digestive system, also known as “systema digestorium”, or gastrointestinal system, is composed of the digestive tube organs plus the digestive adnexal glands. The digestive tube is composed of mouth, pharynx, esophagus, stomach, small intestine (duodenum, jejunum, ileum), large intestine (caecum, colon, rectum) and anus. Digestion System - Image Diversity: human digestive system

Description : The digestive system, also known as systema digestorium , or gastrointestinal system, is composed of the digestive tube organs plus the digestive adnexal glands. The digestive tube is composed of mouth ... (caecum, colon, rectum) and anus. Digestion System - Image Diversity: human digestive system

Last Answer : What are peristaltic movements? What is their role in human digestion?

Which of the following medications are used to reverse the effects of heparin? a) Protamine sulfate Protamine sulfate is known as the antagonist to heparin. b) Streptokinase Streptokinase is a thrombolytic agent. c) Clopidigrel (Plavix) Clopidigrel (Plavix) is an antiplatelet medication that is given to reduce the risk of thrombus formation post coronary stent placement. d) Aspirin The antiplatelet effect of aspirin does not reverse the effects of heparin.

Description : Which of the following medications are used to reverse the effects of heparin? a) Protamine sulfate Protamine sulfate is known as the antagonist to heparin. b) Streptokinase Streptokinase is a ... placement. d) Aspirin The antiplatelet effect of aspirin does not reverse the effects of heparin.

Last Answer : a) Protamine sulfate Protamine sulfate is known as the antagonist to heparin.

Three pumps, M, N and O are opened to fill a tank such that M and N can fill the tank alone in 18 min. and 23 min. respectively and O can empty it in 15 min. After 3 minutes the emptying pipe is closed. In how many minutes the tank will be full in this way? A) 20 B) 25 C) 18 D) 12

Description : Three pumps, M, N and O are opened to fill a tank such that M and N can fill the tank alone in 18 min. and 23 min. respectively and O can empty it in 15 min. After 3 minutes the emptying pipe is closed. In how many minutes the tank will be full in this way? A) 20 B) 25 C) 18 D) 12

Last Answer : D Let the tank full in x minutes, then M and N opened for x minutes and O for 3 minutes. (1/18 + 1/23)*x – (1/15)*3 = 1 (23+18/414)X=1+1/5 Solve, x = 12

Select the drug(s) which afford(s) relief in gastroesophageal reflux by increasing lower esophageal sphincter tone and promoting gastric emptying, but without affecting acidity of gastric contents: A. Sodium alginate B. Metoclopramide C. Cisapride D. Both ‘B’ and ‘C

Description : Select the drug(s) which afford(s) relief in gastroesophageal reflux by increasing lower esophageal sphincter tone and promoting gastric emptying, but without affecting acidity of gastric contents: A. Sodium alginate B. Metoclopramide C. Cisapride D. Both ‘B’ and ‘C

Last Answer : D. Both ‘B’ and ‘C’

A patient returning from dinner party meets with road accident and has to be urgently operated upon under general anaesthesia. Which drug can be injected intramuscularly to hasten his gastric emptying: A. Methylpolysiloxane B. Promethazine C. Metoclopramide D. Apomorphine

Description : A patient returning from dinner party meets with road accident and has to be urgently operated upon under general anaesthesia. Which drug can be injected intramuscularly to hasten his gastric emptying: A. Methylpolysiloxane B. Promethazine C. Metoclopramide D. Apomorphine

Last Answer : C. Metoclopramide

Antacid combinations of magnesium and aluminium salts are superior to single component preparations because: A. They have rapid as well as sustained acid neutralizing action B. They are less likely to affect gastric emptying C. They are less likely to alter bowel movement D. All of the above

Description : Antacid combinations of magnesium and aluminium salts are superior to single component preparations because: A. They have rapid as well as sustained acid neutralizing action B. They are less likely to affect gastric emptying C. They are less likely to alter bowel movement D. All of the above

Last Answer : D. All of the above

The opening into the vagina on the perineum is termed the a) introitus. The introitus is the vaginal orifice. b) adnexa. Adnexa is a term used to describe the fallopian tubes and ovaries together. c) cervix. The cervix is the bottom (interior) part of the uterus that is located in the vagina. hymen. d) The hymen is a tissue that may cover the vaginal opening partially or completely before vaginal penetration.

Description : The opening into the vagina on the perineum is termed the a) introitus. The introitus is the vaginal orifice. b) adnexa. Adnexa is a term used to describe the fallopian tubes and ovaries ... The hymen is a tissue that may cover the vaginal opening partially or completely before vaginal penetration.

Last Answer : a) introitus. The introitus is the vaginal orifice.

When is Run Length Encoding used? A. When we want to compress patterns of data B. When we want to decompress patterns of data C. When we want to encode running videos

Description : When is Run Length Encoding used? A. When we want to compress patterns of data B. When we want to decompress patterns of data C. When we want to encode running videos

Last Answer : A. When we want to compress patterns of data

When is Run Length Encoding used? A. When we want to compress patterns of data B. When we want to decompress patterns of data C. When we want to encode running videos

Description : When is Run Length Encoding used? A. When we want to compress patterns of data B. When we want to decompress patterns of data C. When we want to encode running videos

Last Answer : A. When we want to compress patterns of data

A patient with fungal encephalitis receiving amphotericin B complaints of fever, chills, and body aches. The nurse knows that these symptoms a) may be controlled by the administration of diphenhydramine (Benedryl) and acetaminophen (Tylenol) approximately 30 minutes prior to administration of the amphotericin. Administration of amphotericin B may cause fever, chills and body aches. The administration of diphenhydramine (Benedryl) and acetaminophen (Tylenol) approximately 30 minutes prior to the administration of amphotericin B may prevent these side effects.

Description : A patient with fungal encephalitis receiving amphotericin B complaints of fever, chills, and body aches. The nurse knows that these symptoms a) may be controlled by the administration of ... and cerebral spinal fluid (CSF) cultures. Blood and CSF cultures help diagnosis fungal encephalitis.

Last Answer : a) may be controlled by the administration of diphenhydramine (Benedryl) and acetaminophen (Tylenol) approximately 30 minutes prior to administration of the amphotericin. Administration of amphotericin B ... 30 minutes prior to the administration of amphotericin B may prevent these side effects.

The relaxation techniques of progressive muscle relaxation, relaxation with guided imagery, and the Benson Relaxation Response share which of the following elements? a) A mental device (something on which to focus the attention) Similar elements also include a quiet environment, a comfortable position, and a passive attitude. b) Nutritional foundation Relaxation techniques do not encompass specific nutritional guidelines. c) Analgesic preparation Relaxation techniques are used to reduce one’s response to stress and do not require analgesia prior to practicing the techniques. d) Physician’s order A physician’s order is not required to assist an individual to learn techniques to reduce one’s response to stress.

Description : The relaxation techniques of progressive muscle relaxation, relaxation with guided imagery, and the Benson Relaxation Response share which of the following elements? a) A mental device (something on which ... required to assist an individual to learn techniques to reduce one's response to stress.

Last Answer : a) A mental device (something on which to focus the attention) Similar elements also include a quiet environment, a comfortable position, and a passive attitude.

77. Nurse Kristine is to inject Demerol 75 mg to a post-TURP (transurethral resection of the prostate) client who is in pain. When she checked the narcotic cabinet, she found out a vial that is almost empty. She was able to aspirate 60 mg only. Nurse Kristine decided to inject it instead of making the client wait until the next Demerol vial is available. The action of the nurse violates which of the following ethical principles?

Description : 77. Nurse Kristine is to inject Demerol 75 mg to a post-TURP (transurethral resection of the prostate) client who is in pain. When she checked the narcotic cabinet, she found out a ... next Demerol vial is available. The action of the nurse violates which of the following ethical principles?

Last Answer : A. Justice

A 22-year-old man sustains a single stab wound to the left chest and presents to the emergency room with hypotension. Which of the following statement(s) is/are true concerning his diagnosis and management? a. The patient likely is suffering from hypovolemic shock and should respond quickly to fluid resuscitation b. Beck’s triad will likely be an obvious indication of compressive cardiogenic shock due to pericardial tamponade c. Echocardiography is the most sensitive noninvasive approach for diagnosis of pericardial tamponade d. The placement of bilateral chest tubes will likely resolve the problem

Description : A 22-year-old man sustains a single stab wound to the left chest and presents to the emergency room with hypotension. Which of the following statement(s) is/are true concerning his ... diagnosis of pericardial tamponade d. The placement of bilateral chest tubes will likely resolve the problem

Last Answer : Answer: c Shock from cardiac compression occurs when external pressure on the heart impairs ventricular filling. Because ventricular filling is a function of venous return and myocardial compliance, ... sternotomy. Chest tube placement would not be appropriate as the sole treatment in this patient

To prevent footdrop, the patient is positioned in: a) Order to keep the feet at right angles to the leg When the patient is supine in bed, padded splints or protective boots are used. b) A semi-sitting position in bed Semi-fowlers positioning is used to decrease the pressure of abdominal contents on the diaphragm. c) A sitting position with legs hanging off the side of the bed In order to prevent footdrop, the feet must be supported. d) A side-lying position Side-lying positions do not provide support to prevent footdrop.

Description : To prevent footdrop, the patient is positioned in: a) Order to keep the feet at right angles to the leg When the patient is supine in bed, padded splints or protective boots are used. b) ... must be supported. d) A side-lying position Side-lying positions do not provide support to prevent footdrop.

Last Answer : a) Order to keep the feet at right angles to the leg When the patient is supine in bed, padded splints or protective boots are used.

Which of the following body substances causes increased gastric secretion, dilation of capillaries, and constriction of the bronchial smooth muscle? a) Histamine When cells are damaged, histamine is released.

Description : Which of the following body substances causes increased gastric secretion, dilation of capillaries, and constriction of the bronchial smooth muscle? a) Histamine When cells are damaged, ... Prostaglandin Prostaglandins are unsaturated fatty acids that have a wide assortment of biologic activity.

Last Answer : a) Histamine When cells are damaged, histamine is released.

Which of the following medications represents the category proton (gastric acid) pump inhibitors? a) Omeprazole (Prilosec) Omeprazole decreases gastric acid by slowing the hydrogenpotassium-adenosine-triphosphatase pump on the surface of the parietal cells. b) Sucralfate (Carafate) Sucralfate is a cytoprotective drug. c) Famotidine (Pepcid) Famotidine is a histamine-2 receptor antagonist. d) Metronidazole (Flagyl) Metronidazole is an antibiotic, specifically an amebicide.

Description : Which of the following medications represents the category proton (gastric acid) pump inhibitors? a) Omeprazole (Prilosec) Omeprazole decreases gastric acid by slowing the hydrogenpotassium-adenosine ... antagonist. d) Metronidazole (Flagyl) Metronidazole is an antibiotic, specifically an amebicide.

Last Answer : a) Omeprazole (Prilosec) Omeprazole decreases gastric acid by slowing the hydrogenpotassium-adenosine-triphosphatase pump on the surface of the parietal cells.

The nurse recognizes that the patient with a duodenal ulcer will likely experience a) pain 2-3 hours after a meal. The patient with a gastric ulcer often awakens between 1-2 A.M. with pain and ingestion of food brings relief. b) vomiting. Vomiting is uncommon in the patient with duodenal ulcer. c) hemorrhage. Hemorrhage is less likely in the patient with duodenal ulcer than the patient with gastric ulcer. d) weight loss. The patient with a duodenal ulcer may experience weight gain.

Description : The nurse recognizes that the patient with a duodenal ulcer will likely experience a) pain 2-3 hours after a meal. The patient with a gastric ulcer often awakens between 1-2 A.M. with pain ... patient with gastric ulcer. d) weight loss. The patient with a duodenal ulcer may experience weight gain.

Last Answer : a) pain 2-3 hours after a meal. The patient with a gastric ulcer often awakens between 1-2 A.M. with pain and ingestion of food brings relief.

Decrease in absorption of which of the following vitamins in the geriatric patient results in pernicious anemia? a) B12 Vitamin B12 requires the intrinsic factor secreted by the gastric mucosa for absorption. b) C Lack of vitamin C may cause development of signs and symptoms of scurvy. c) D Vitamin D deficiency results in an inability to absorb calcium. d) B6 Vitamin B6 affects neuromuscular function.

Description : Decrease in absorption of which of the following vitamins in the geriatric patient results in pernicious anemia? a) B12 Vitamin B12 requires the intrinsic factor secreted by the gastric mucosa for ... results in an inability to absorb calcium. d) B6 Vitamin B6 affects neuromuscular function.

Last Answer : a) B12 Vitamin B12 requires the intrinsic factor secreted by the gastric mucosa for absorption.

When gastric analysis testing reveals excess secretion of gastric acid, which of the following diagnoses is supported? a) Duodenal ulcer Patients with duodenal ulcers usually secrete an excess amount of hydrochloric acid.

Description : When gastric analysis testing reveals excess secretion of gastric acid, which of the following diagnoses is supported? a) Duodenal ulcer Patients with duodenal ulcers usually secrete an excess ... anemia Patients with pernicious anemia secrete no acid under basal conditions or after stimulation.

Last Answer : a) Duodenal ulcer Patients with duodenal ulcers usually secrete an excess amount of hydrochloric acid.

Which of the following terms describes a gastric secretion that combines with vitamin B-12 so that it can be absorbed? a) Intrinsic factor Lack of intrinsic factor is a common finding in the aged patient. b) Amylase Amylase is an enzyme that aids in the digestion of starch. c) Pepsin Pepsin is a gastric enzyme important in protein digestion. d) Trypsin Trypsin is an enzyme that aids in the digestion of protein.

Description : Which of the following terms describes a gastric secretion that combines with vitamin B-12 so that it can be absorbed? a) Intrinsic factor Lack of intrinsic factor is a common finding in the aged ... in protein digestion. d) Trypsin Trypsin is an enzyme that aids in the digestion of protein.

Last Answer : a) Intrinsic factor Lack of intrinsic factor is a common finding in the aged patient.

Of the following oxygen administration devices, which has the advantage of providing high oxygen concentration? a) Non-rebreather mask The non-rebreather mask provides high oxygen concentration but is usually poor fitting. b) Venturi mask The Venturi mask provides low levels of supplemental oxygen. c) Catheter The catheter is an inexpensive device that provides a variable fraction of inspired oxygen and may cause gastric distention. d) Face tent A face tent provides a fairly accurate fraction of inspired oxygen, but is bulky and uncomfortable. It would not be the device of choice to provide high oxygen concentration.

Description : Of the following oxygen administration devices, which has the advantage of providing high oxygen concentration? a) Non-rebreather mask The non-rebreather mask provides high oxygen concentration but is ... and uncomfortable. It would not be the device of choice to provide high oxygen concentration.

Last Answer : a) Non-rebreather mask The non-rebreather mask provides high oxygen concentration but is usually poor fitting.

The nurse teaches the patient with gastroesophageal reflux disease (GERD) which of the following measures to manage his disease? a) Avoid eating or drinking 2 hours before bedtime. The patient should not recline with a full stomach. b) Minimize intake of caffeine, ****, milk, and foods containing peppermint and spearmint. The patient should be instructed to avoid the listed foods and food components. c) Elevate the foot of the bed on 6- to 8-inch blocks The patient should be instructed to elevate the head of the bed on 6- to 8-inch blocks. d) Eat a low carbohydrate diet The patient is instructed to eat a low-fat diet

Description : The nurse teaches the patient with gastroesophageal reflux disease (GERD) which of the following measures to manage his disease? a) Avoid eating or drinking 2 hours before bedtime. The patient should not ... blocks. d) Eat a low carbohydrate diet The patient is instructed to eat a low-fat diet

Last Answer : a) Avoid eating or drinking 2 hours before bedtime. The patient should not recline with a full stomach.

Which of the following is true of loss of gastrointestinal secretions? A. Gastric losses are best replaced with a balanced salt solution. B. Potassium supplementation is unnecessary in replacement of gastric secretions. C. Bicarbonate wasting is an unusual complication of a high-volume pancreatic fistula. D. Balanced salt solution is a reasonable replacement fluid for a small bowel fistula. E. A patient with persistent vomiting usually requires hyperchloremic replacement fluids.

Description : Which of the following is true of loss of gastrointestinal secretions? A. Gastric losses are best replaced with a balanced salt solution. B. Potassium supplementation is unnecessary in ... bowel fistula. E. A patient with persistent vomiting usually requires hyperchloremic replacement fluids.

Last Answer : Answer: DE DISCUSSION: Gastric secretions are relatively high in chloride and potassium. Other than an isolated pancreatic fistula, gastrointestinal tract losses below the pylorus ... Although potassium concentrations are low, copious losses require potassium supplementation to prevent hypokalemia

Which of the following statements concerning monitoring techniques in the intensive care unit are true? A. Pulmonary artery and pulmonary capillary wedge pressure readings should be made at end inspiration, to minimize ventilatory artifacts. B. Continuous SvO 2 monitoring based on the technique of reflectance spectrophotometry has been shown to be accurate and reliable. C. Direct measurement of gastric intramucosal pH can be provided by gastrointestinal tonometry. D. Hyperlactatemia may be seen in a number of clinical conditions not associated with tissue hypoxia, including liver disease and hypermetabolic states.

Description : Which of the following statements concerning monitoring techniques in the intensive care unit are true? A. Pulmonary artery and pulmonary capillary wedge pressure readings should be made ... clinical conditions not associated with tissue hypoxia, including liver disease and hypermetabolic states.

Last Answer : Answer: BD DISCUSSION: Many different monitoring techniques may be used to assess the adequacy of therapy for shock. The pulmonary artery catheter can provide important hemodynamic and oxygen ... also be seen with liver disease, toxin ingestion, and hypermetabolic states not associated with shock

Atropine overdose may cause which one of the following (a) Gastrointestinal smooth muscle crampine (b) Increased cardiac rate (c) Increased gastric secretion (d) Pupillary constriction (e) Urinary frequency

Description : Atropine overdose may cause which one of the following (a) Gastrointestinal smooth muscle crampine (b) Increased cardiac rate (c) Increased gastric secretion (d) Pupillary constriction (e) Urinary frequency

Last Answer : Ans: B

Streptomycin sulfate is not absorbed orally because it is (a) Degraded by gastrointestinal enzymes (b) Destroyed by gastric acid (c) Highly ionized at a wide range of pH values (d) Insoluble in water

Description : Streptomycin sulfate is not absorbed orally because it is (a) Degraded by gastrointestinal enzymes (b) Destroyed by gastric acid (c) Highly ionized at a wide range of pH values (d) Insoluble in water

Last Answer : Ans: C

Streptomycin sulfate is not absorbed orally because it is: A. Degraded by gastrointestinal enzymes B. Destroyed by gastric acid C. Highly ionized at a wide range of pH values D. Insoluble in water

Description : Streptomycin sulfate is not absorbed orally because it is: A. Degraded by gastrointestinal enzymes B. Destroyed by gastric acid C. Highly ionized at a wide range of pH values D. Insoluble in water

Last Answer : C. Highly ionized at a wide range of pH values

Adrenaline is inactive orally because it is: A. Not absorbed from the gastrointestinal tract B. Destroyed by gastric acid C. Completely metabolized in the intestinal mucosa and liver before reaching systemic circulation D. Taken up by adrenergic nerve endings of the intestinal wall, liver and lungs

Description : Adrenaline is inactive orally because it is: A. Not absorbed from the gastrointestinal tract B. Destroyed by gastric acid C. Completely metabolized in the intestinal mucosa and liver before reaching systemic circulation D. Taken up by adrenergic nerve endings of the intestinal wall, liver and lungs

Last Answer : C. Completely metabolized in the intestinal mucosa and liver before reaching systemic circulation

Adrenaline is inactive orally because it is: A. Not absorbed from the gastrointestinal tract B. Destroyed by gastric acid C. Completely metabolized in the intestinal mucosa and liver before reaching systemic circulation D. Taken up by adrenergic nerve endings of the intestinal wall, liver and lungs

Description : Adrenaline is inactive orally because it is: A. Not absorbed from the gastrointestinal tract B. Destroyed by gastric acid C. Completely metabolized in the intestinal mucosa and liver before reaching systemic circulation D. Taken up by adrenergic nerve endings of the intestinal wall, liver and lungs

Last Answer : C. Completely metabolized in the intestinal mucosa and liver before reaching systemic circulation