A patient with peptic ulcer disease secondary to chronic nonsteroidal anti-inflammatory drug (NSAID) use is prescribed misoprostol (Cytotec). The nurse would be most accurate in informing the patient that the drug:
A) Reduces the stomach's volume of hydrochloric acid
B) Increases the speed of gastric emptying
C) Protects the stomach's lining
D) Increases lower esophageal sphincter pressure
Ans: C
Feedback: Misoprostol is a synthetic prostaglandin that, like prostaglandin, protects the gastric mucosa. NSAIDs decrease prostaglandin production and predispose the patient to peptic ulceration. Misoprostol doesn't reduce gastric acidity (option A), improve emptying of the stomach (option B), or increase lower esophageal sphincter pressure (option D).
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The expected behavioral development of the child that is between the ages of 6 and 12 is the following (select all that apply):
A. Learning to share B. Forming friendships with same-sex friends C. Beginning to show acceptance of moral issues by questions and discussions D. Socializing E. Being self-centered F. Learning independence
The nurse often gives another drug with levodopa (L-dopa) to decrease the amount of levodopa needed to reach a therapeutic level in the brain, thereby reducing adverse effects? What is the name of this drug?
A) Bromocriptine B) Carbidopa C) Amantadine D) Trihexyphenidyl
Which statement made by the client who will be undergoing a tracheotomy with placement of a fenestrated tracheostomy tube indicates correct knowledge of the features of this device?
A. "I'm glad I will still be able to talk with this tube in place." B. "It is great that this tube does not have to be cleaned or suctioned." C. "I will miss going out to dinner and visiting in the homes of my friends." D. "Since I won't be able to swallow, will another tube be needed for eating?"
The nurse assesses the traction boot for a proper fit. Which does the nurse observe with a properly fitting traction boot used with Buck's traction? The client's:
1. Heel rests firmly on boot's inner heel padding 2. Leg slips out of the boot after applying weight 3. Pain level increases from 4 to 7 on a scale of 10 4. Traction boot fits snugly without pressure points