A patient with a history of gastroesophageal reflux disease (GERD) consumes 15 TUMS antacid tablets daily. What risk does the nurse understand this patient is facing?

Metabolic alkalosis.

Respiratory acidosis.

Metabolic acidosis.

Respiratory alkalosis.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Consuming excessive amounts of antacids, such as TUMS, can lead to metabolic alkalosis. Antacids contain bicarbonate, which can neutralize stomach acid. However, excessive bicarbonate in the body can disrupt the acid-base balance, leading to metabolic alkalosis.

Choice B rationale

Respiratory acidosis is typically caused by conditions that result in hypoventilation, such as lung diseases or drug overdose, not by excessive antacid consumption.

Choice C rationale

Metabolic acidosis is typically caused by conditions that increase acid in the body or decrease bicarbonate, such as kidney disease or lactic acidosis, not by excessive antacid consumption.

Choice D rationale

Respiratory alkalosis is typically caused by conditions that result in hyperventilation, such as anxiety or fever, not by excessive antacid consumption.

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Correct Answer is C

Explanation

Choice A rationale

A fasting blood glucose level of 135 mg/dL is above the diagnostic threshold for diabetes. However, it is not the exact threshold value.

Choice B rationale

A fasting blood glucose level of 140 mg/dL is significantly above the diagnostic threshold for diabetes.

Choice C rationale

A fasting blood glucose level of 126 mg/dL or higher on two separate tests indicates diabetes.

Choice D rationale

A fasting blood glucose level of 145 mg/dL is significantly above the diagnostic threshold for diabetes.

A. Has not received proper education on this medication. B. Just completed a full course of an aminoglycoside antibiotic. C. Is currently afebrile. D. Had a prior anaphylactic reaction to penicillin.

Correct Answer is D

Explanation

Choice A rationale

While it’s important for clients to understand their medications, not having received proper education on this medication is not a reason to withhold cefazolin.

Choice B rationale

Completing a full course of an aminoglycoside antibiotic does not contraindicate the use of cefazolin.

Choice C rationale

Being afebrile does not contraindicate the use of cefazolin. Antibiotics are used to treat bacterial infections, not just to reduce fever.

Choice D rationale

A prior anaphylactic reaction to penicillin is a contraindication for administering cefazolin. Cefazolin is a cephalosporin, and there is a risk of cross-reactivity and potential allergic reaction in clients who have a history of severe penicillin allergy.

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A patient with a history of gastroesophageal reflux disease (GERD) consumes 15 TUMS antacid tablets daily. What risk does the nurse understand this patient is facing?

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is aware that the diagnostic level of a fasting blood glucose for a client with diabetes is:

Correct Answer is C

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

The nurse receives an order to administer cefazolin to a client diagnosed with a urinary tract infection. The nurse withholds the medication and notifies the health care provider because the client:

Correct Answer is D

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

A patient with a history of gastroesophageal reflux disease (GERD) consumes 15 TUMS antacid tablets daily. What risk does the nurse understand this patient is facing?

The nurse is discharging a client who was just prescribed insulin glargine daily at 2000. Which of the following should be included in the teaching? (SELECT ALL THAT APPLY)

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The nurse is providing care for a client diagnosed with post-thrombotic syndrome who has a venous stasis ulcer. Which instructions should be given prior to discharge? (Select all that apply)

The nurse is caring for a patient with a diagnosis of chronic peripheral arterial disease. Which statement by the patient warrants immediate intervention by the nurse?

The client’s chart indicates the diagnosis of stage III peripheral arterial disease. Which nursing assessment finding correlates with this diagnosis?

The nurse is evaluating the patient’s response to antibiotic therapy. Which data would indicate that the medication has been effective?

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