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The first sign of deteriorating renal function is_

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NRNP6568 Synthesis in Advanced Nursing Practice Care of Patients in Family Care Settings

Week 5 Knowledge Check 

•             Question 1          The first sign of deteriorating renal function is_____________.                                               

 

                Selected Answer:             

 

Microalbuminuria

 

                Macroalbuminuria

 

                Concentrated urine

 

                Dark urine

 

•             Question 2          Which of the following is an appropriate treatment regimen for H. pylori?                                           

 

                Selected Answer:             

 

lansoprazole 30 mg twice daily for 10 days; amoxicillin 1 gram twice a day for 10 days; clarithromycin 500 mg two times daily for 10 days

 

omeprazole 40 mg daily x 7 day; azithromycin 250 mg daily x 7 days; bismuth subsalicylate 525 mg four times a day x 7 days

 

lansoprazole 30 mg twice daily for 10 days; amoxicillin 1 gram twice a day for 10 days; clarithromycin 500 mg two times daily for 10 days

 

                metronidazole 250 mg four times daily for 14 days; clarithromycin 500 mg three times daily for 14 days

 

•             Question 3          In a patient with chronic cholecystitis,  what lab values would you NOT  expect to see?                                  

 

                Selected Answer:             

 

Normal WBC

 

                Abnormal bilirubin

 

                Abnormal amylase

 

                Abnormal Lipase

 

•             Question 4          A patient presents to clinic with the following symptoms: intermittent and crampy abdominal pain; vomiting; constipation; abdominal distention; hyperactive bowel sounds; fever.

 

 These symptoms are likely due to:                                         

 

                Selected Answer:             

 

Bowel obstruction

 

Ulcerative colitis

 

                Crohn’s disease

 

                Diarrhea

 

•             Question 5          What is a common cause of cirrhosis in the United States?

 

                Selected Answer:             

 

Alcoholic fatty liver disease

 

                Alcoholic steatohepatitis

 

                  Hepatitis

 

                Bile duct blockage

 

                                               

 

•             Question 6          In a person with hepatitis, the most accurate test to determine the amount of inflammation and scarring to the liver is ______________.                                             

 

                Selected Answer:             

 

Ultrasound

 

                Liver function tests

 

                CT of the abdomen

 

biopsy

 

               

 

•             Question 7          The most common symptom of GERD is _______________.                                     

 

                Selected Answer:             

 

Diarrhea

 

                Stomach pain

 

                GI bleeding

 

Heartburn

 

•             Question 8          Elevating the head of the bed; lowering fat intake; stopping smoking; avoiding chocolate, alcohol, carbonated drinks, peppermint, citrus, coffee, onion, and garlic would help a patient with what GI disorder?     

 

                Selected Answer:             

 

GERD

 

Peptic ulcer

 

                Duodenal ulcer

 

                Cholecystitis

 

GERD

 

•             Question 9          At what age does the American Cancer Society (ACS) recommend routine screening for colon cancer  in a low-risk individual?                                 

 

                Selected Answer:             

 

40

 

45

 

                50

 

                55

 

•             Question 10        For the Rome III Criteria for constipation to be fulfilled at least one of the symptoms listed below must be present for at least 3 months with onset 6 months before the diagnosis.  Which symptom is ?                                  

 

                Selected Answer:             

 

sensation of straining

 

fewer than 5 bowel movements per week

 

                no anorectal obstruction

 

                use of manual maneuvers to aid defecation in more than 10% of defecations

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