Deck 7: Pharmacology of Alterations in the Gastrointestinal System

Question 1

What effects does first pass have on dosing of medications?
1) A larger dose of oral medication than of intravenous medication.
2) A smaller dose of oral medication than of rectal medication.
3) A smaller dose of oral medication than of intravenous medication.
4) The same oral and intravenous dosage of a medication.

Answer 1

1

Question 2

How does blood travel from the intestine to the liver? 1 Through an artery
2 Through a vein
3 Through osmosis
4 Through active transport

Answer 2

2

Question 3

In some clients, ingestion bypasses the mouth and delivers nutrients directly into the stomach or small intestine. Which of the following situations would this be true of?
1) A client with a Salem Sump feeding tube.
2) A client ordered Total parenteral nutrition (TPN) via central venous catheter.
3) A client ordered Partial parenteral nutrition (PPN) via intravenous catheter.
4) A client with an ileostomy.

Answer 3

1

Question 4

A client is scheduled to have a segment of the terminal ileum removed secondary to cancer. The nurse anticipates this client is risk for:
1) Atelectasis.
2) Decubitus ulcers.
3) Pernicious anemia.
4) Sepsis.

Question 5

What is considered the most important accessory organ of digestion?
1) Gallbladder.
2) Pancreas
3) Liver.
4) Duodenum.

Question 6

What strong acid in the stomach helps to break down food, activates pepsinogen, and kills ingested microbes?
1) Lactic acid
2) Acetoacetic acid
3) Carbonic acid
4) Hydrochloric acid

Question 7

A client is scheduled to undergo gastric bypass surgery. Which structures does the nurse include in a discussion about accessory organs of digestion? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Salivary glands
2) Liver
3) Stomach
4) Gallbladder
5) Pancreas

Question 8

A client has a newly placed percutaneous endoscopic gastrostomy tube. What would be the expected ph of its contents?
1) 5.0-7.30.
2) 3.5-5.0.
3) 1.5-3.
4) 7.35-7.45.
5)

Question 9

The nurse is teaching a client about the importance of enzymes to digestion. The nurse explains that digestive enzymes are secreted by the: Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Salivary glands.
2) Stomach.
3) Large intestine.
4) Small intestine.
5) Liver.

Question 10

The nurse is caring for a newborn who has been NPO since birth. Due to the lack of normal flora in the GI tract, what supplementation does the nurse anticipate the infant will need? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Vitamin A.
2) Vitamin B-complex.
3) Vitamin C.
4) Vitamin K.
5) Electrolytes.

Question 11

A client with cirrhosis of the liver asks the nurse why the liver is so important to bodily function. How can the nurse respond most accurately? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) "The liver helps the body synthesize bile."
2) "The liver helps the body synthesize plasma proteins."
3) "The liver helps the body retain ammonia."
4) "The liver synthesizes glucose for use by the body."
5) "The liver synthesizes clotting factors."

Question 12

A nurse is planning to administer acetaminophen (Tylenol) per rectum to a client. The nurse expects:
1) Onset of action to be slower than that of the oral route.
2) Onset of action to be faster than that of the oral route.
3) Onset of action to be faster than that of the intravenous route.
4) The onset of constipation.

Question 13

A client has been taking oral antibiotic therapy for 3 days when she develops diarrhea. What is the most likely cause of the diarrhea?
1) Disruption of normal flora.
2) Idiopathic causes.
3) Hospital-acquired infection.
4) Fluid volume excess.

Question 14

The nurse is planning care for a client with hepatitis. What effect will hepatitis have on drug metabolism?
1) Will not be affected.
2) Will never occur.
3) Might be delayed.
4) Might be accelerated.

Question 15

The nurse is caring for a client with liver damage. Which process by the liver might be impaired?
1) Production of bile
2) Storage of bile
3) Secretion of insulin
4) Secretion of somatostatin

Question 16

When administering medications, what organ is responsible for metabolism? t
1) Gallbladder.
2) Liver.
3) Small intestine.
4) Pancreas.

Question 17

A client is complaining of esophageal reflux. In order for stomach contents to reflux backward, the nurse knows they must go through:
1) The pyloric sphincter.
2) The cardiac sphincter.
3) The urethral sphincter.
4) Oddi's sphincter.

Question 18

Which of the following structures does not secrete digestive enzymes?
1) Esophagus
2) Small intestine
3) Salivary glands
4) Stomach

Question 19

The nurse is preparing to administer a sublingual nitroglycerin tablet. What does the nurse understand of first pass effect?
1) The first-pass effect will decrease the drug's effectiveness by one-third.
2) Drugs given sublingually are subject to the first-pass effect.
3) The first-pass effect will neutralize this drug's effect.
4) Drugs given sublingually bypass the first-pass effect.

Question 20

The small intestine is alkaline in nature. Which organ is responsible for raising the pH of the small intestine?
1) Pancreas
2) Large intestine
3) Gallbladder
4) Liver

Question 21

The nurse is teaching a health promotion class for prevention of peptic ulcer disease, and is discussing causes of the disease. Which of the following statements by one of the clients indicates the need for further study?
1) Smoking cigarettes 2 Having a parent diagnosed with a peptic ulcer
3) Excessive stress at home 4 Having type A blood

Question 22

A client with a diagnosis of peptic ulcer disease is prescribed omeprazole (Prilosec) and asks the nurse where in the body this medication will work. What is the correct response of the nurse?
1) "On the gastric mucus layer."
2) "On the mucosa of the trachea."
3) "On the surface of parietal cells."
4) "On the H2 receptors."

Question 23

Which of the following is a potential risk for clients who overuse antacids?
1) Metabolic alkalosis
2) Metabolic acidosis
3) Respiratory alkalosis
4) Respiratory acidosis

Question 24

The nurse is reviewing medication orders for a client and anticipates that which medications may cause adverse effects due to their extended half-life caused by enterohepatic recirculation? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Digoxin
2) Morphine
3) Demerol
4) Fentanyl
5) Estrogen

Question 25

The nurse is preparing to administer 10 a.m. medications to clients on a medical-surgical unit. Which medications will bypass the first-pass effect of the liver? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Topical nitroglycerin
2) Sublingual nitroglycerin
3) Rectal diazepam
4) Buccal nitroglycerin
5) IV diazepam

Question 26

A client with severe anxiety asks the nurse if anxiety can affect the stomach and digestion. What is the nurse's most accurate response?
1) "Everyone with anxiety develops irritable bowel disease."
2) "Mental health conditions do not affect digestive processes."
3) "Mental health conditions can affect digestive processes."
4) "I will ask your doctor to speak with you about this."

Question 27

A client with peptic ulcer disease is undergoing pharmacologic therapy. After reviewing the medication administration record, what medication does the nurse suggest changing a prn pain order of ibuprofen to?
1) Acetaminophen.
2) Aspirin.
3) Ketorolac.
4) Naprosyn.

Question 28

The nurse is reviewing the medication administration record for a client who is receiving an initial regimen for the eradication of H. pylori. The nurse anticipates the inclusion of which medications for this client? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Omeprazole
2) Metronidazole
3) Bismuth subsalicylate
4) Amoxicillin
5) Clarithromycin

Question 29

A client who was taking large doses of ibuprofen (Motrin) for over a year developed a peptic ulcer. The client asks the nurse why this occurred. What is the best response of the nurse?
1) "Motrin works against your own body's ulcer defenses."
2) "It sounds like your stress might have caused your ulcer."
3) "Taking Motrin cannot cause a peptic ulcer."
4) "The natural defenses of your large intestine were overwhelmed."

Question 30

A client is prescribed omeprazole, bismuth subsalicylate, and metronidazole for the treatment of H. pylori. Which outcome will be accomplished by the use of this treatment?
1) Reduce the quantity of acid in the stomach.
2) Eliminate the population of H. pylori
3) Allow H. pylori to adhere to the gastric mucosa
4) Immediately relieve symptoms of gastric ulceration

Question 31

A nurse is performing discharge teaching for a client being discharged with a diagnosis of gastroesophageal reflux disease. The nurse should teach the client to eliminate what foods from the diet?
1) Mashed potatoes
2) Tomato sauce
3) Bananas
4) Toast

Question 32

Which drug class will the health care provider most likely order for a client with GERD? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.
1) Proton pump inhibitors
2) H2-receptor antagonists
3) Antacids
4) Diuretics
5) Antianginals

Question 33

A client is receiving teaching on the pharmacotherapy ordered to treat H-pylori. What statement indicates effective teaching?
1) "I will stop taking this medication when my symptoms subside."
2) "I will be sure to take all of the medication exactly as prescribed."
3) "I will stop taking this medication if I get an upset stomach."
4) "I will take this medication when I experience pain or heartburn."

Question 34

Which of the following client's condition may result in malnutrition due to a lack of digestive enzymes?
1) Pancreatic disorder.
2) Pernicious anemia.
3) The jaw wired closed.
4) A percutaneous endoscopic gastrostomy (PEG) tube.

Question 35

The nurse is caring for a group of clients on a psychiatric-mental health. Which of the following clients may exhibit symptoms affecting both appetite and digestive processes? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) The client with depression.
2) The client with schizophrenia.
3) The client with bipolar disorder.
4) The client with generalized anxiety disorder.
5) The client experiencing posttraumatic stress disorder.

Question 36

Which of the following medications would be required to treat a client with Barrett esophagus?
1) Proton pump inhibitor
2) Antacid
3) Magnesium citrate
4) H2-receptor antagonist

Question 37

A client asks how the nutrients from food enter the blood. How can the nurse best explain this process?
1) "When food hits the stomach, hydrochloric acid liquefies it and transports it into your blood."
2) "Chemical digestion breaks down food molecules into simpler substances."
3) "Only nutrients from liquid sources make it into the blood. That is why it is important to drink fluids with meals."
4) "The teeth and saliva break food into their smallest portions and transport nutrients to the blood."

Question 38

What local reflexes regulate the GI tract?
1) Parasympathetic nervous system.
2) Sympathetic nervous system.
3) Enteric nervous system.
4) Central nervous system.

Question 39

A client is diagnosed with a gastric ulcer secondary to NSAID overuse. Which health care provider order would the nurse question?
1) Clarithromycin
2) Omeprazole
3) Famotidine
4) Ranitidine

Question 40

The nurse is teaching the family of a client recently diagnosed with PUD. The nurse knows the family understands the teaching when they state that the risk factors for the development of PUD include: Note: Credit will be given only if all correct choices and no incorrect choices are selected
Standard Text: Select all that apply.
1) Infection with the bacterium Helicobacter pylori.
2) Daily use of aspirin.
3) Blood type AB.
4) Consumption of caffeine-free soda.
5) Smoking.

Question 41

Several clients are being seen in the emergency department for nausea and vomiting. Which of the following clients would the nurse to expect the diagnosis of, "risk for dehydration", to be a priority? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) A 1-week-old neonate
2) A 2-year-old toddler
3) A 36-year-old female
4) A 22-year-old male
5) An 80-year-old female

Question 42

The nurse is caring for a client with irritable bowel syndrome (IBS). Which drugs would most likely be used to treat this disorder?
1) Antispasmodics
2) Saline cathartics
3) Sulfasalazine
4) Immunosuppressive agents

Question 43

MCSA Nursing students have just completed their module on causes of and pharmacological therapy used to treat gastric diseases. Their nursing instructor asks them to identify a serious condition that is caused by an abnormal secretion of the hormone gastrin. Which response by the student indicates understanding of the content?
1 Milk-alkali syndrome
2 Barrett's esophagus
3 Zollinger-Ellison syndrome (ZES)
4 Helicobacter pylori.

Question 44

Which type of laxative, as its mechanism of action, pulls water into the fecal mass to create a more watery stool?
1) Bulk-forming laxatives
2) Saline cathartics
3) Surfactant laxatives
4) Stimulant laxatives

Question 45

Which of the following statements indicate an understanding of the different mechanisms of action of laxatives?
1) "Bulk-forming laxatives are also called osmotic laxatives."
2) "Surfactant laxatives cause water and fat to be absorbed into the stools."
3) "Mineral oil can interfere with the absorption of water-soluble vitamins."
4) "Stimulant laxatives must be taken with plenty of water."

Question 46

A nurse is ordered to administer lansoprazole to a client on a mechanical soft diet. How should the nurse administer this medication?
1) Sprinkle granules into applesauce, then administer.
2) Crush the tablet and stir it into pudding, then administer.
3) Ask the client to chew the medication.
4) First ask the client to drink an entire glass of water, then give the medication.

Question 47

A client in a long-term care facility is ordered to receive ranitidine (Zantac). When should the nurse administer this medication?
1) At bedtime with water
2) After the evening meal
3) Before eating in the morning
4) One hour before meals

Question 48

A client is prescribed ranitidine (Zantac). The nurse checks the client's BUN and serum creatinine levels prior to administering the drug for the first time. What is the rationale for checking these labs?
1) Serum BUN and creatinine should be checked on all clients.
2) That the drug is primarily biometabolized by the liver.
3) To identify a hidden drug allergy.
4) That the drug is primarily excreted by the kidneys.

Question 49

Which statement is true regarding the use of pancreatic enzyme replacement in the pharmacotherapy of pancreatitis?
1) Its use is contraindicated when the client has cystic fibrosis.
2) Its use is indicated when lack of pancreatic enzyme secretion causes malabsorption disorders.
3) Its use is contraindicated when the client has pain in the abdomen.
4) Its use is indicated when the client has acute pancreatitis.

Question 50

A student nurse is about to administer a bulk forming laxative to her client. Which statements does she share with her client about the use of these drugs? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) They work immediately after one dose.
2) They are contraindicated when the client has undiagnosed abdominal pain, suspected intestinal obstruction, or fecal impaction.
3) They must be taken with plenty of water, or they can cause an esophageal obstruction.
4) The prototype of bulk-forming laxatives is milk of magnesia.
5) Bulk-forming laxative powder should never be taken dry.

Question 51

A client brings her mother to the office and states, "I'm worried about Mom; she takes aluminum hydroxide up to three times a day for this pain in her abdomen." Which statement about aluminum hydroxide is true?
1) Aluminum hydroxide can cause acute appendicitis and should be stopped immediately.
2) A transient abdominal discomfort occurs with the use of aluminum hydroxide and there is no need for concern.
3) It is safe to take aluminum hydroxide up to three times daily, due to its safety profile.
4) Antacids are for occasional use only; further investigation is warranted.

Question 52

Which client would be treated with pancreatic enzyme replacement?
1) A pregnant client
2) A client with hyperuricemia
3) A client who is constipated
4) A client with elevated lipase and amylase

Question 53

A client has been diagnosed with inflammatory bowel disease (IBD). The nurse anticipates that the health care provider may prescribe a drug in which category to treat this disorder?
1) Symptom-targeted therapy, antidepressants.
2) 5-aminosalicylic acid (5-ASA) agents, oral corticosteroids.
3) Antispasmodics, serotonin agents.
4) 5-aminosalicylic acid (5-ASA) agents, antianxiety agents

Question 54

A client is being treated with pancreatic enzyme replacement therapy. What would the nurse recognize as a contraindication to this therapy?
1) Allergy to pork
2) Cystic fibrosis
3) Steatorrhea (bulky, foul-smelling, fatty stools)
4) Chronic pancreatitis

Question 55

A client is being treated for inflammatory bowel disease (IBD). Which medications would the nurse expect the health care provider to order? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Loperamide (Imodium)
2) Doxepin (Sinequan)
3) Sulfasalazine (Salazopurin)
4) Prednisone
5) Paroxetine (Paxil)

Question 56

Question
1) "My client should be encouraged to use a stimulant laxative whenever he feels the need to have a bowel movement."
2) Type: MCSA
The student nurse is providing bowel care to her client. What statements about laxatives does she review with her instructor that indicates an understanding of these drugs?
2) "My client should consume plenty of water, since he is taking a bulk-forming laxative."
3) "My client should not strain when having a bowel movement, so the health care provider likely will prescribe a bulk-forming laxative."
4) "My client should expect to have a delayed reaction to a saline cathartic."

Question 57

MCSA The nurse educator on a GI unit is explaining the pharmacology of peptic ulcer disease to a group of student nurses. When describing the action of a proton pump inhibitor, what does the educator tell the students are the enzymes responsible transporting hydrochloric acid to the surface of the stomach?
1 CA+, Mg+
2 Protease
3 Lipase
4 H+, K+ -ATPase

Question 58

A client has been ordered a bulk laxative for complaints of passing hard, pellet-like stools for several weeks. He asks the nurse what would cause the condition. Which of the following causes of constipation does the nurse share with the client? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Pathogens.
2) Toxins.
3) Decreased dietary fibre
4) Inadequate fluid intake.
5) Sedentary lifestyle.

Question 59

A client is prescribed omeprazole (Prilosec). Which classification odes this drug belong to?
1) Nicotinic receptor blocker.
2) Proton pump inhibitor.
3) Muscarinic receptor blocker.
4) Histamine-2 receptor agonist.

Question 60

The nurse is performing a head-to-toe assessment on a client taking aluminum hydroxide (AlternaGel). Why must the nurse closely assess for bowel changes?
1) Hyperactive bowel sounds indicate imminent vomiting; suction should be made available.
2) Hypoactive bowel sounds indicate duodenal ulcerations.
3) Hematochezia is a sign that the medication is working.
4) A distended abdomen could indicate constipation, a side effect of this medication.

Question 61

The home health nurse is discussing nutrition with a client who asks, "What do you think of the new grapefruit-only diets that have become popular?" Which response by the nurse is the most appropriate?
1) "Weight loss through intake of grapefruit is not possible."
2) "Grapefruit is one of the healthiest food sources available."
3) "Comply with this type of diet for 6 months to avoid citrus overdose."
4) "Most fad diets have no scientific basis."

Question 62

MCMA A nurse educator is developing a pamphlet to provide clients information on healthy bowel care. What strategies should the nurse include that will promote optimum bowel functioning?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Drink 8 glasses of water daily
2) Limited intake of simple carbohydrates
3) Exercise daily
4) Eat a fibre rich diet
5) Follow a low fat diet

Question 63

The nurse anticipates that a client admitted with acute pancreatitis will be treated with which medications? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Meperidine(Demerol)
2) Cimetidine (Tagamet)
3) Acetazolamide (Diamox)
4) Dicyclomine
5) Pancrelipase

Question 64

The nurse receives an order to administer prochlorperazine (Stemetil) to a client with nausea. Which routes can the nurse administer this medication? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) By mouth
2) Per rectum
3) Intramuscularly (IM)
4) Subcutaneously (SQ)
5) Transdermal patch

Question 65

The nurse is instructing a client who has been prescribed Metamucil. Which statement by the client indicates understanding of the use of a bulk forming laxative?
1) "They work to increase the frequency of bowel movements."
2) "They are indicated for the relief of bowel obstruction."
3) "I should use them when I have diarrhea caused by an infection."
4) "I can use them liberally whenever I don't have regular bowel movements."

Question 66

MCSA A 70 year old client is in hospital following surgery to remove his gallbladder. He complains to the nurse on post op day 2 that he hasn't had a bowel movement since before surgery. The nurse explains possible reasons for his constipation. What statement by the client indicates the need for further teaching?
1) As you age, the motility of the bowel slows.
2) This happens frequently after gall bladder surgery.
3) You are not as active physically as you were pre-hospital.
4) Medications for pain are known to cause constipation.

Question 67

Student nurses are studying for their final exam on the gastrointestinal system. Which of the following do they identify as correct statements regarding pharmacology of weight loss? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Several effective weight loss pills are readily available through telemarketers.
2) Ephedra is a healthy method for weight reduction and does not require a prescription.
3) Fenfluramine, one part of the Fen-Phen combination, causes heart disease.
4) Leptin as a weight-loss medication has not shown to be effective.
5) Stimulants such as Dexedrine are highly addictive and are no longer prescribed.

Question 68

Which lifestyle strategy would the nurse teach the client to promote healthy weight reduction?
1) Avoid eating between meals by consuming only three meals per day.
2) Reduce the intake of calories and increase the amount of physical activity.
3) Consume fruits and vegetables daily and eliminate all intake of meat and fish.
4) Begin a program of weight lifting and high-impact aerobic exercise.

Question 69

The client with morbid obesity asks the nurse why leptin is not used for weight reduction. Which response would be most appropriate for the nurse?
1) "Oral leptin would cause an increase in body mass index."
2) "Obese individuals develop a resistance to the effects of leptin."
3) "Leptin supplement is only effective in individuals with normal body weight."
4) "The amount of leptin required would potentiate nephrotoxicity."

Question 70

The parent of an adolescent female tells the nurse, "I am concerned about my daughter's weight gain, but she doesn't look obese." Which response by the nurse is the most appropriate?
1) "If your daughter is 10% more than the ideal weight, she is morbidly obese."
2) "Teenage girls should be monitored for excessive caloric intake."
3) "The ideal body weight fluctuates, depending upon gender, height, and general build."
4) "Your daughter's body mass index (BMI) should be calculated each month to determine obesity."

Question 71

The school nurse has prepared a learning activity for a high school health promotion course. To assess the class understanding, the nurse instructs the students to select the correct statements that apply to the brain's role in regulating appetite. Which statements should the students choose as correct? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) The degree of satiety is directly recognized by a region of the brainstem known as the satiety centre.
2) Hunger occurs when the cerebellum recognizes the level of glucose or hormone in the blood.
3) Receptors for leptin are located in the thalamus.
4) Neuropeptide Y (NPY) in the hypothalamus is associated with increase in appetite.
5) Leptin receptors of clients who are obese are thought to develop a resistance to the satiety effects.

Question 72

The client who has self-initiated a low-carbohydrate diet asks the nurse, "Why do carbohydrates cause obesity?" Which statement by the nurse is most appropriate?
1) "Carbohydrates cause a release of insulin from the pancreas, which coverts carbohydrates to fat."
2) "Carbohydrates reduce the number of fat cells in certain body areas, such as hips and abdomen."
3) "Carbohydrates trigger a release of fat and protein from the liver and cause weight gain."
4) "Carbohydrates alone do not cause obesity."

Question 73

The nurse is teaching at a health promotion fair held in one of the local community centres when one of the participants asks, "What are the most important factors leading to obesity?" Which statement is the nurse's best response?
1) "Types of food and beverages consumed."
2) "Chronic conditions such as diabetes."
3) "Physical activity and caloric intake."
4) "Water and fluid retention."

Question 74

The nurse determines that the client understands an important principle of weight reduction when the client makes which statement?
1) "Obesity is closely linked with health risks, such as diabetes and hypertension."
2) "The most common cause of obesity is genetically linked hyperthyroidism."
3) "Everyone in my family is overweight; there is nothing I can do about my obesity."
4) "Lifestyle changes are not effective in weight loss if an individual's history includes obesity."

Question 75

A client has been on a weight-reduction program for 2 months. what is the recommended safe weight loss for this time period?
1) 60 pounds.
2) 16 pounds.
3) 6 pounds.
4) 30 pounds.

Question 76

Which hormone that increases appetite and food consumption is secreted by the hypothalamus?
1) Peptide-stimulating hormone (PSH)
2) Antidiuretic hormone (ADH)
3) Insulin-like growth factors (ILGFs)
4) Neuropeptide Y (NPY)

Question 77

A client has been prescribed a medication to reduce symptoms associated with motion sickness. Which of the following antiemetic, available in a transdermal patch is the most likely drug ordered for this client?
1) Stemetil.
2) Scopolamine.
3) Maxeran.
4) Anzemet

Question 78

The nurse is educating a client about ways to lose weight successfully and safely. Which recommendations does the nurse include in the teaching session? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Increase the amount carbohydrates in the diet.
2) Reduce calories in the diet.
3) Increase physical activity.
4) Increase the amount of protein in the diet.
5) Increase the amount of fats in the diet.

Question 79

When implementing nursing care for a client suffering from chronic constipation, what should the nurse instruct the client and family about laxative use?
1) A side effect of stool softeners is abdominal cramping.
2) Dependence on laxatives can cause constipation.
3) Stool softeners are appropriately used to treat constipation.
4) Laxatives are never harmful because they are available over the counter and should be used anytime the client feels the need to have a bowel movement.

Question 80

The nurse is assessing the body mass index (BMI) of a 43-year-old sedentary male, using a BMI calculation graph. The client is 5'7" and weighs 204 pounds. The nurse determine that the client's BMI indicates:
1) Healthy weight.
2) Morbid obesity.
3) Obesity.
4) Overweight.