A 50-year-old is diagnosed with gastroesophageal reflux disease (GERD). This condition is caused by:

loss of muscle tone at the lower esophageal sphincter (LES)

sympathetic nerve stimulation

fibrosis of the lower third of the esophagus

reverse peristalsis of the stomach

Answer and Explanation

The Correct Answer is A

Choice A reason:
Loss of muscle tone at the lower esophageal sphincter (LES) is the primary cause of GERD. The LES normally prevents stomach contents from refluxing into the esophagus. When its tone is reduced, acidic gastric contents can flow back, leading to symptoms such as heartburn, regurgitation, and potential damage to the esophageal lining. Factors contributing to LES dysfunction include obesity, hiatal hernia, and certain dietary habits.
Choice B reason:
Sympathetic nerve stimulation is not a cause of GERD. The autonomic nervous system plays a role in regulating digestive functions, but GERD is primarily a mechanical issue involving the LES and is not directly related to sympathetic nervous activity.
Choice C reason:
Fibrosis of the lower third of the esophagus is typically associated with conditions such as scleroderma, which can lead to esophageal motility disorders. While fibrosis might contribute to esophageal dysfunction, it is not the primary cause of GERD.
Choice D reason:
Reverse peristalsis of the stomach is not a mechanism for GERD. GERD results from dysfunction of the LES, not from the backward movement of stomach contents due to altered motility.

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Correct Answer is ["A","C"]

Explanation

Choice A reason:
Alcohol abuse is the leading cause of chronic pancreatitis in many cases. Chronic alcohol consumption leads to repeated episodes of pancreatic inflammation, resulting in fibrosis, loss of pancreatic function, and structural damage. Alcohol directly stimulates pancreatic secretions and contributes to the formation of protein plugs that obstruct pancreatic ducts, exacerbating the condition.
Choice B reason:
Bulimia is not a known contributing factor for chronic pancreatitis. While eating disorders can have gastrointestinal manifestations, they do not directly lead to the chronic inflammatory process seen in pancreatitis.
Choice C reason:
A history of gallstones is a recognized contributing factor to chronic pancreatitis. Gallstones can intermittently block the pancreatic duct, leading to inflammation and damage over time. While gallstones are more commonly associated with acute pancreatitis, they also play a role in the chronic form if untreated or recurrent.
Choice D reason:
Bacterial infection is not a primary contributing factor to chronic pancreatitis. While infections can complicate pancreatic conditions, they do not typically initiate the chronic inflammatory process. Chronic pancreatitis is more often caused by mechanical, toxic, or genetic factors rather than infectious agents.

A. Embolus B. Thrombus C. Thromboembolus D. Infarction

Correct Answer is A

Explanation

Choice A reason:
An embolus is the term used to describe a detached blood clot or other material that travels through the bloodstream and can cause a blockage in a blood vessel. Emboli can be composed of blood clots, fat, air, or other substances, and they can lead to serious conditions like strokes or pulmonary embolisms when they obstruct blood flow.

Choice B reason:
A thrombus is a blood clot that forms in a blood vessel and remains at its site of origin. It does not refer to a clot that has detached and is traveling through the bloodstream. The distinction between thrombus and embolus is crucial in understanding and describing vascular conditions.

Choice C reason:
Thromboembolus is a term that combines thrombus and embolus, indicating that a thrombus has become an embolus. While accurate, the more precise and commonly used term for a detached blood clot is simply "embolus."

Choice D reason:
Infarction refers to tissue death due to a lack of blood supply, often caused by an embolus or thrombus blocking a blood vessel. It does not describe the detached blood clot itself but rather the result of its action.

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A 50-year-old is diagnosed with gastroesophageal reflux disease (GERD). This condition is caused by:

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Naxlex Comprehensive Predictor Exams

A 52-year-old female presents with continuous abdominal pain that intensifies after eating. She is diagnosed with chronic pancreatitis. Contributing factors include:

Correct Answer is ["A","C"]

Explanation

What term should the nurse use to document a detached blood clot?

Correct Answer is A

Explanation

Patients with acute pancreatitis are generally made NPO (nothing by mouth) and may require gastric suctioning via NG tube, in order to:

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