Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
Which factor associated with aging increases the risk of gastric irritation from nonsteroidal anti-inflammatory drugs (NSAIDS) in older adults?.
A. Decreased splanchnic blood flow.
Decreased splanchnic blood flow can affect drug absorption and metabolism, but it does not directly increase the risk of gastric irritation from NSAIDs.
B. Prolonged secretion of gastric acid.
Prolonged secretion of gastric acid can contribute to conditions like gastroesophageal reflux disease (GERD), but it is not the primary factor increasing the risk of gastric irritation from NSAIDs in older adults.
C. Delayed gastric emptying.
Delayed gastric emptying is the correct answer. It allows drugs to stay in contact with the stomach lining for a longer time, which can increase the risk of gastric irritation from NSAIDs.
D. Loss of cells from the gastric plexus.
Loss of cells from the gastric plexus can affect gastric function, but it is not directly linked to an increased risk of gastric irritation from NSAIDs.
This question is an excerpt from Nurse Dive's nursing test bank - ATI PN Custom Pharmacology Proctored Exam. Take the full exam now
Full Explanation
Choice A rationale:
Decreased splanchnic blood flow can affect drug absorption and metabolism, but it does not directly increase the risk of gastric irritation from NSAIDs.
Choice B rationale:
Prolonged secretion of gastric acid can contribute to conditions like gastroesophageal reflux disease (GERD), but it is not the primary factor increasing the risk of gastric irritation from NSAIDs in older adults.
Choice C rationale:
Delayed gastric emptying is the correct answer. It allows drugs to stay in contact with the stomach lining for a longer time, which can increase the risk of gastric irritation from NSAIDs.
Choice D rationale:
Loss of cells from the gastric plexus can affect gastric function, but it is not directly linked to an increased risk of gastric irritation from NSAIDs.
Similar Questions
Which potential reaction causes the most concern when administering medication to a patient with decreased albumin and globulin levels?.
A. There may be an increase in the amount of lipid-soluble drugs in the system.
An increase in the amount of lipid-soluble drugs in the system can occur with decreased albumin and globulin levels, but it does not cause the most concern.
B. There may be increased free protein-bound drugs available, increasing the potential for adverse drug reactions.
Increased free protein-bound drugs available can lead to an increased potential for adverse drug reactions. This is because these drugs are usually more active and can lead to toxicity.
C. Water-soluble drugs will be absorbed more completely.
Water-soluble drugs being absorbed more completely is not typically a concern with decreased albumin and globulin levels.
D. Metabolism of protein-bound drugs will be decreased, increasing the potential for adverse reactions.
While metabolism of protein-bound drugs may be decreased, leading to an increased potential for adverse reactions, this is not the primary concern with decreased albumin and globulin levels.
Full Explanation
Choice A rationale:
An increase in the amount of lipid-soluble drugs in the system can occur with decreased albumin and globulin levels, but it does not cause the most concern.
Choice B rationale:
Increased free protein-bound drugs available can lead to an increased potential for adverse drug reactions. This is because these drugs are usually more active and can lead to toxicity.
Choice C rationale:
Water-soluble drugs being absorbed more completely is not typically a concern with decreased albumin and globulin levels.
Choice D rationale:
While metabolism of protein-bound drugs may be decreased, leading to an increased potential for adverse reactions, this is not the primary concern with decreased albumin and globulin levels.
A nurse is preparing to administer amoxicillin 300 mg PO. The amount available is amoxicillin oral solution 250 mg/5 mL. How many mL should the nurse administer?
(Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Full Explanation
Step 1 is to determine the amount of amoxicillin in each mL of the solution. This is done by dividing the total amount of amoxicillin in the solution (250 mg) by the total volume of the solution (5 mL). So, 250 mg ÷ 5 mL = 50 mg/mL. Step 2 is to determine how many mL of the solution is needed to administer 300 mg of amoxicillin.
This is done by dividing the desired dose (300 mg) by the amount of amoxicillin per mL (50 mg/mL). So, 300 mg ÷ 50 mg/mL = 6 mL.
So, the nurse should administer 6 mL of the amoxicillin oral solution. .
Which step of the nursing process is used when the nurse identifies the therapeutic intent of a prescribed medication?.
A. Evaluation.
Evaluation is the final step in the nursing process where the nurse determines if the goals set in the planning stage have been met. This does not involve identifying the therapeutic intent of a medication.
B. Assessment.
Assessment is the first step in the nursing process where the nurse gathers information about the patient’s physical, psychological, sociocultural, and spiritual status. While this may involve understanding the patient’s medication regimen, it does not specifically involve identifying the therapeutic intent of a medication.
C. Planning.
Planning involves setting goals and developing a plan to meet those goals. While this may involve considering the therapeutic intent of a medication, it is not the step where this identification occurs.
D. Implementation.
Implementation is the step of the nursing process where the nurse executes the plan of care. This includes identifying the therapeutic intent of a prescribed medication.
Full Explanation
Choice A rationale:
Evaluation is the final step in the nursing process where the nurse determines if the goals set in the planning stage have been met. This does not involve identifying the therapeutic intent of a medication.
Choice B rationale:
Assessment is the first step in the nursing process where the nurse gathers information about the patient’s physical, psychological, sociocultural, and spiritual status. While this may involve understanding the patient’s medication regimen, it does not specifically involve identifying the therapeutic intent of a medication.
Choice C rationale:
Planning involves setting goals and developing a plan to meet those goals. While this may involve considering the therapeutic intent of a medication, it is not the step where this identification occurs.
Choice D rationale:
Implementation is the step of the nursing process where the nurse executes the plan of care. This includes identifying the therapeutic intent of a prescribed medication.