A client with a peptic ulcer is diagnosed with a Helicobacter pylori i

1.The nurse is performing an admission assessment on a client who has been admitted to the hospital with a diagnosis of suspected gastric ulcer. The nurse is asking the client questions about pain. Which client statement supports the diagnosis of gastric ulcer?None 选项： A:"The pain doesn't usually come right after I eat." B:"The pain gets so bad that it wakes me up at night." C:"The pain that I get is located on the right side of my chest." D:"My pain comes shortly after I eat, maybe a half hour or so later."

2.The nurse is completing medication reconciliation with a client just before discharge to home . The client asks, "Why are you going over this list? They did that when I was admitted!" Which statement by the nurse is the best response?None 选项： A:"Medication reconciliation is required before you can go home ." B:"Your insurance company requires a list of medications that you will be taking ." C:"We are checking to see what medications can be discontinued before you go home ." D:"We do this to make sure you will be receiving the correct medications once you are at home ."

3.A client with a diagnosis of stomach ulcer from gastric hyperacidity asks the nurse why the acid has not caused an ulcer in the small intestine as well. The nurse responds that the pH of intestinal contents is raised by bicarbonate, which is present in which area of the body?None 选项： A:Bile B:Parietal cells C:Liver enzymes D:Pancreatic juice

4.A primary health care provider (PHCP) prescribes warfarin sodium for a client . The home care nurse visits the client at home and teaches the client about the medication and its administration . Which statement by the client indicates a need for further teaching?None 选项： A:"The urine normally changes to orange ." B:"This medicine will still be working 4 to 5 days after it is discontinued ." C:"This medication will require frequent blood work to monitor its effects ." D:"I cannot take aspirin or any aspirin-containing medications while I'm on this medication ."

5.Azithromycin is prescribed for a client . The nurse provides instructions to the client about the medication and emphasizes that it is best to take the medication with which item?None 选项： A:Milk B:Antacid C:The evening meal D:Water on an empty stomach

6.The nurse provides home care instructions to a pregnant client with a history of cardiac disease . Which statement made by the client indicates a need for further teaching?None 选项： A:"It is best that I rest on my left side to promote blood return to the heart ." B:"I need to avoid excessive weight gain to prevent increased demands on my heart ." C:"I need to try to avoid stressful situations because stress increases the workload on the heart ." D:"During the pregnancy, I need to avoid contact with other individuals as much as possible to prevent infection ."

7.The nurse is providing home care instructions to the parents of a child with a seizure disorder . Which statement indicates to the nurse that the teaching regarding seizure disorders has been effective?None 选项： A:"We're glad we only have to give our child the medication for 30 days ." B:"We will make appointments for follow-up blood work and care as directed ." C:"We're glad there are no side effects from taking the antiseizure medications ." D:"After our child has been seizure free for 1 month, we can discontinue the medication ."

8.A female patient who is 56 years old is expected to undergo coronary stenting and the resident needs to know if the patient has any past history of peptic ulcer and whether she has fully recovered. The best way to question is选项： A:"Have you suffered from abdominal pain before?"; B:"Have you suffered from gastric ulcer before?"; C:"Have you done a gastroscopy before?"; D:"Have you suffered from gastrointestinal hemorrhage before?"; E:"Have you suffered from duodenal ulcer before?"

9.A female patient who is 56 years old is expected to undergo coronary stenting and the resident needs to know if the patient has any past history of peptic ulcer and whether she has fully recovered. The best way to question is 选项： A、"Have you suffered from abdominal pain before?" B、"Have you suffered from gastric ulcer before?" C、"Have you done a gastroscopy before?" D、"Have you suffered from gastrointestinal hemorrhage before?" E、"Have you suffered from duodenal ulcer before?"

10.Medications are prescribed for a (specify) purpose, such as to control HIV.

11.A Native American client is hospitalized for depression and attempted suicide. Family members have requested that they be allowed to bring in a medicine healer to perform a ritual on the client. Which of the following is the best action by the nurse? 选项： A:

Explain that the client's depression is being treated with medications

B:

Explain that the client's depression will not be relieved by a ritual

C:

Plan a meeting with the health care provider (HCP), family, nurse, and medicine healer to make arrangements for the ceremony

D:

Tell the family that such practices are not allowed in the hospital

12.The client with a small bowel obstruction asks the nurse to explain the purpose of the nasogastric tube attached to continuous gastric suction. The nurse determines that teaching has been effective if the client makes which statement?None 选项： A:"It will help to provide me with nourishment." B:"It will help to relieve the congestion from excess mucus." C:"It is used to remove gastric contents for laboratory testing." D:"It will help to remove gas and fluids from my stomach and intestine."

13.Which of the following is NOT related with medications: ( )

14.Too much ( ) is not recommended. 选项： A、medication B、indication C、dedication D、medications

15.A 79-year-old woman presents with an ulcer over the medial aspect of her lower right leg. Although she has had this for a few years, recently it has become increasingly painful. The edges of the ulcer have become raised and thickened.Which one of the options is the most likely diagnosis? 选项： A: Marjolin's Ulcer B: Venous ulcer C:. Traumatic Ulcer D: Arterial ulcer E: Diabetic Ulcer

16.The nurse determines that the spouse of an alcoholic client is benefiting from attending an Al-Anon group if the nurse hears the spouse make which statement?None 选项： A:"I no longer feel that I deserve the beatings my partner inflicts on me ." B:"My attendance at the meetings has helped me to see that I provoke my partner's violence ." C:"I enjoy attending the meetings because they get me out of the house and away from my partner ." D:"I can tolerate my partner's destructive behaviors now that I know they are common among alcoholics ."

17.【单选题】Which of the following is NOT related with medications: ()

18.Which of the following conditions should the nurse suspect as the cause of back pain? Select all that apply. 选项： A: Abdominal aortic aneurysm B: Appendicitis C: Intervertebral disc herniation D: Kidney stone E: Peptic ulcer perforat

19.Medications are prescribed for a ______purpose, such as to control HIV. 选项： A、specify B、specific C、special D、specially

20.1 (　　) several medications for the ill patient. 选项： A:pathology B:diagonsed C:prescribed D:pediatrics

21.A client diagnosed with viral hepatitis is complaining of "no appetite" and "losing my taste for food." What instruction would the nurse give the client to provide adequate nutrition?None 选项： A:Select foods high in fat. B:Increase intake of fluids, including juices. C:Eat a good supper, when anorexia is less severe. D:Eat less often, preferably only three large meals daily.

22.PubMed数据库中，主题途径检索内窥镜检查用于消化性溃疡出血方面的文献，请选择合适的检索表达式。A."Endoscopy, Gastrointestinal"[Mesh] AND "Peptic Ulcer Hemorrhage/diagnostic imaging"[Mesh]B."Endoscopy, Gastrointestinal/methods"[Mesh] AND "Peptic Ulcer Hemorrhage/diagnostic imaging"[Mesh]C."Endoscopy, Gastrointestinal/organization and administration"[Mesh] AND "Peptic Ulcer Hemorrhage/diagnosis"[Mesh]D."Endoscopy, Gastrointestinal/adverse effcets"[Mesh] AND "Peptic Ulcer Hemorrhage/etiology"[Mesh]E."Endoscopy, Gastrointestinal/methods"[Mesh] AND "Peptic Ulcer Hemorrhage/diagnosis"[Mesh]

23.The nurse is providing instructions to a client regarding the use of a walker . Which statement by the client would indicate the need for further instruction?None 选项： A:"I need to inspect the rubber tips daily ." B:"I need to wear shoes when ambulating ." C:"I need to pick up the walker and move it forward, and then walk into the walker, one step at a time ." D:"The walker height needs to allow for about 45 degrees of flexion at my elbow so that the height of the walker will be safe ."

24.A newly admitted client describes symptoms of dizziness and feeling faint on standing. The client has a history of type 2 diabetes, coronary artery disease, and bipolar disorder. Which medications may be contributing to the client's symptoms? Select all that apply. 选项： A:

Atorvastatin

Metformin

Metoprolol

Olanzapine

Omeprazole