Nursing Elites

1. Which drugs contribute to peptic ulcers?

• A. Antacids
• B. Certain antibiotics
• C. Cholesterol-lowering medications
• D. Nonsteroidal anti-inflammatory drugs

Correct answer: D

Rationale: Nonsteroidal anti-inflammatory drugs (NSAIDs) are known to contribute to the development of peptic ulcers by affecting the protective lining of the stomach and increasing stomach acid production. This can lead to irritation and ulcer formation. Antacids are actually used to relieve symptoms of peptic ulcers by neutralizing stomach acid. Certain antibiotics may be prescribed to treat H. pylori infection, a common cause of peptic ulcers. Cholesterol-lowering medications are not typically associated with causing peptic ulcers.

2. What is established when threats to air resources prevent evacuation by air from forward units?

• A. Area support medical battalions
• B. TOE units
• C. Ambulance exchange points
• D. Field hospitals

Correct answer: C

Rationale: Ambulance exchange points are set up when threats to air resources make it impossible to evacuate by air from forward units. These points serve as locations where patients can be transferred from ambulances to aircraft for further evacuation. Area support medical battalions (Choice A) are not directly related to this scenario, as they provide medical support to larger areas. TOE units (Choice B) refer to tables of organization and equipment, not specific to this situation. Field hospitals (Choice D) are more permanent facilities for treating patients and are not specifically for transferring patients under threats to air resources.

3. People at higher risk for drug-nutrient interactions include:

• A. Infants
• B. People with diabetes
• C. Women of childbearing age
• D. Older men and women

Correct answer: D

Rationale: Older men and women are at a higher risk for drug-nutrient interactions due to factors like polypharmacy, changes in metabolism, and physiological changes associated with aging. Infants are less likely to be exposed to a wide range of medications, reducing their risk. People with diabetes and women of childbearing age may have specific nutrient needs or considerations, but they are not typically at a higher risk for drug-nutrient interactions compared to older adults.

4. A 31-year-old client is seeking contraceptive information. Before responding to the client’s questions about contraceptives, the nurse obtains a health history. What factor in the client’s history indicates to the nurse that oral contraceptives are contraindicated?

• A. More than 30 years of age
• B. Had two multiple pregnancies
• C. Smokes 1 pack of cigarettes a day
• D. Has a history of borderline hypertension

Correct answer: C

Rationale: The correct answer is C. Smoking, especially in clients over 30, increases the risk of thromboembolic events, making oral contraceptives contraindicated. Choice A (More than 30 years of age) is not a direct contraindication for oral contraceptives. Choice B (Had two multiple pregnancies) is not a factor that contraindicates the use of oral contraceptives. Choice D (Has a history of borderline hypertension) is not a specific contraindication for oral contraceptives unless it is severe or uncontrolled hypertension.

5. For a patient on lithium therapy, which dietary recommendation is essential?

• A. Increase caffeine intake
• B. Increase sodium intake
• C. Increase protein intake
• D. Increase fiber intake

Correct answer: B

Rationale: The correct answer is to increase sodium intake. Maintaining consistent sodium levels is crucial for patients on lithium therapy to prevent fluctuations in drug levels. Increasing caffeine intake (Choice A) is not recommended as it can interfere with lithium levels. While protein intake (Choice C) is important, it is not the essential dietary recommendation for patients on lithium therapy. Similarly, increasing fiber intake (Choice D) is not a key recommendation for these patients.

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