Question

The nurse is preparing to administer medications and notes that a patient has sucralfate ordered QID. When is the best time to administer this medication?

Answer 1

Correct Answers:

1 hour before meals

Rationale :

🔶 Sucralfate is a medication that acts by forming a protective coating over gastric ulcers to shield them from acid.

🔶 It must be administered on an empty stomach, ideally 1 hour before meals, to allow this coating to form effectively.

🔶 Taking it with or after meals can interfere with its action, as food may disrupt the protective barrier.

🔶 Patients are also advised to avoid antacids within 30 minutes of taking sucralfate to maintain its gastric adherence.

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Answer 2

Correct Answers:

125 ml/hr

Rationale :

✍️To infuse 1 liter (1000 mL) over 8 hours;

▪️ Total volume ÷ Number of hours

⩥Total volume = 1000

⩥ Number of hours = 8

⪫ 1000 ÷ 8

👉= 125

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Answer 3

Correct Answers:

"I will swab the medication inside my baby's mouth and on her tongue."

Rationale :

🔷 Nystatin works locally to treat oral candidiasis (thrush), so it must come into direct contact with the affected mucous membranes.

🔷 Applying it with a swab ensures thorough coverage on the tongue, cheeks, and gums, enhancing effectiveness.

🔷 Giving it before feeding or mixing it with fluids may dilute the drug and reduce its time on mucosal surfaces.

🔷 Caregivers should be instructed not to rinse or wipe the mouth after administration to avoid removal of the medication.

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Answer 4

Correct Answers:

Bleeding

Rationale :

🔴 A liver biopsy involves removing a sample from the liver, a highly vascular organ, increasing the risk of internal bleeding.

🔴 The patient should be monitored closely for signs such as hypotension, abdominal pain, and tachycardia.

🔴 Bleeding can occur at the puncture site or internally, requiring immediate medical intervention.

🔴 Nurses should also position the patient on the right side post-procedure to apply pressure to the biopsy site.

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Answer 5

Correct Answers:

Protein

Rationale :

🟡 In cirrhosis, especially with elevated ammonia levels, protein restriction is key to managing hepatic encephalopathy.

🟡 Proteins are broken down into ammonia, which the damaged liver cannot process efficiently, leading to neurological symptoms.

🟡 Temporary restriction of protein allows ammonia levels to decrease, improving mental status and cognitive function.

🟡Protein should be reintroduced gradually, balancing nutritional needs and liver capacity.

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Answer 6

Correct Answers:

6.25ml

Rationale :

✍️ Dosage calculation is;

The ordered dose is 25 mg,

Available dose is 20 mg in 5 mL,

25 mg × 5 mL) ÷ 20 mg

👉= 6.25 mL

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Answer 7

Correct Answers:

Accumulation of bile salts under the skin

Rationale :

🟣 In hepatitis, the liver's impaired ability to excrete bile leads to buildup of bile salts in the skin.

🟣 This causes pruritus (itching), which is a distressing symptom often affecting the patient’s quality of life.

🟣 Antihistamines are often ineffective, as the mechanism is not allergic but chemical irritation from bile.

🟣 Measures such as cholestyramine, cool baths, and moisturizers may help relieve symptoms.

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Answer 8

Correct Answers:

Pallor, sweating, and tachycardia

Rationale :

🔵 Nausea and vomiting activate the autonomic nervous system, triggering sympathetic responses like tachycardia and pallor.

🔵 The stress response can also cause sweating, especially during prolonged vomiting episodes.

🔵 These symptoms are often transient, but monitoring them helps assess the severity of the episode.

🔵 Managing fluid loss and vagal stimulation is important in patients with frequent vomiting.

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Answer 9

Correct Answers:

Encourage turning, coughing, and deep breathing every 2 hours.

Rationale :

⚪ Bed rest in hepatitis patients increases the risk for atelectasis and hypostatic pneumonia due to immobility.

⚪ Encouraging deep breathing and repositioning improves lung expansion and prevents mucus stasis.

⚪ This is a core intervention in respiratory complication prevention, especially in acutely ill, immobile patients.

⚪ It also promotes circulation and decreases the risk of pressure injuries and thromboembolism.

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Answer 10

Correct Answers:

Low roughage should be followed.

Rationale :

🟤 In inflammatory bowel disease (IBD), especially during flare-ups, a low-fiber (low roughage) diet is recommended.

🟤 High-fiber foods can irritate the bowel lining, worsening symptoms like diarrhea and abdominal pain.

🟤 A low-residue diet helps reduce bowel activity, giving the GI tract time to heal and improve nutrient absorption.

🟤 Once remission is achieved, diet may be gradually adjusted under nutritional guidance.

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ATI LPN Medsurg~Gastrointestinal Exam

No.

1 :
The nurse is preparing to administer medications and notes that a patient has sucralfate ordered QID. When is the best time to administer this medication?

2 :
The nurse is to infuse 1 liter of D10W over 8 hours. What rate will the nurse set the iv pump for??

3 :
A nurse is reinforcing teaching to a parent about the use of nystatin for an infant who has oral candidiasis. Which of the following statements by the parent indicates an understanding of the administration of nystatin?

4 :
For which complication should a nurse be careful to monitor a patient after a liver biopsy?

5 :
What is necessary to restrict when the ammonia level of a patient diagnosed with cirrhosis continues to rise?

6 :
Order: Colace 25 mg PO PRN for constipation. Available: Colace 20mg/5ml. How much will the nurse give??

7 :
What is pruritus related to in the patient diagnosed with hepatitis?

8 :
The nurse is assessing a patient with nausea and vomiting. Which additional autonomic symptoms that often accompany vomiting will the nurse observe?

9 :
What action should a nurse implement to prevent complications in a patient with hepatitis who has been prescribed bed rest?

10 :
Colonoscopy results indicate the diagnosis of irritable bowel disease (IBD) in a patient admitted to the hospital with diarrhea. What information should the nurse include when preparing patient education regarding diet?

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ATI LPN Medsurg~Gastrointestinal Exam

No.

1 : The nurse is preparing to administer medications and notes that a patient has sucralfate ordered QID. When is the best time to administer this medication?

2 : The nurse is to infuse 1 liter of D10W over 8 hours. What rate will the nurse set the iv pump for??

3 : A nurse is reinforcing teaching to a parent about the use of nystatin for an infant who has oral candidiasis. Which of the following statements by the parent indicates an understanding of the administration of nystatin?

4 : For which complication should a nurse be careful to monitor a patient after a liver biopsy?

5 : What is necessary to restrict when the ammonia level of a patient diagnosed with cirrhosis continues to rise?

6 : Order: Colace 25 mg PO PRN for constipation. Available: Colace 20mg/5ml. How much will the nurse give??

7 : What is pruritus related to in the patient diagnosed with hepatitis?

8 : The nurse is assessing a patient with nausea and vomiting. Which additional autonomic symptoms that often accompany vomiting will the nurse observe?

9 : What action should a nurse implement to prevent complications in a patient with hepatitis who has been prescribed bed rest?

10 : Colonoscopy results indicate the diagnosis of irritable bowel disease (IBD) in a patient admitted to the hospital with diarrhea. What information should the nurse include when preparing patient education regarding diet?

1 :
The nurse is preparing to administer medications and notes that a patient has sucralfate ordered QID. When is the best time to administer this medication?

2 :
The nurse is to infuse 1 liter of D10W over 8 hours. What rate will the nurse set the iv pump for??

3 :
A nurse is reinforcing teaching to a parent about the use of nystatin for an infant who has oral candidiasis. Which of the following statements by the parent indicates an understanding of the administration of nystatin?

4 :
For which complication should a nurse be careful to monitor a patient after a liver biopsy?

5 :
What is necessary to restrict when the ammonia level of a patient diagnosed with cirrhosis continues to rise?

6 :
Order: Colace 25 mg PO PRN for constipation. Available: Colace 20mg/5ml. How much will the nurse give??

7 :
What is pruritus related to in the patient diagnosed with hepatitis?

8 :
The nurse is assessing a patient with nausea and vomiting. Which additional autonomic symptoms that often accompany vomiting will the nurse observe?

9 :
What action should a nurse implement to prevent complications in a patient with hepatitis who has been prescribed bed rest?

10 :
Colonoscopy results indicate the diagnosis of irritable bowel disease (IBD) in a patient admitted to the hospital with diarrhea. What information should the nurse include when preparing patient education regarding diet?