A client diagnosed with Barrett's esophagus asks how he developed this. Which of the following responses by the nurse is most accurate?
"Your allergies have most likely contributed to this."
"Your history of gastroesophageal reflux disorder is the most likely cause."
"Being a vegetarian has caused an imbalance in stomach acid."
"This is a genetic condition that you were born with."
The Correct Answer is B
Choice A reason: This is incorrect because allergies are not a risk factor for developing Barrett's esophagus. Allergies are hypersensitive reactions of the immune system to certain substances, such as pollen, dust, or food. They can cause symptoms such as sneezing, itching, or hives, but they do not affect the esophagus or stomach acid.
Choice B reason: This is the correct answer because gastroesophageal reflux disorder (GERD) is the most common risk factor for developing Barrett's esophagus. GERD is a condition where the lower esophageal sphincter (LES) does not close properly and allows stomach acid to flow back into the esophagus. This can cause inflammation, irritation, and damage to the esophageal lining. Over time, this can lead to changes in the cells of the esophagus, which is called Barrett's esophagus.
Choice C reason: This is incorrect because being a vegetarian is not a risk factor for developing Barrett's esophagus. Being a vegetarian means avoiding meat and animal products in the diet. This can have health benefits such as lower cholesterol and blood pressure levels, but it does not affect the esophagus or stomach acid.
Choice D reason: This is incorrect because Barrett's esophagus is not a genetic condition that one is born with. Barrett's esophagus is an acquired condition that results from chronic exposure to stomach acid in the esophagus. It is not inherited from one's parents or passed on to one's children.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason: This is incorrect because full vision loss in one eye does not necessarily mean that the person is legally blind. Legal blindness depends on the visual acuity and visual field of both eyes.
Choice B Reason: This is correct because legal blindness is defined by the World Health Organization (WHO) as having a visual acuity of 20/200 or worse in the better eye with the best possible correction, such as glasses or contact lenses. This means that the person can see at 20 feet what a normal person can see at 200 feet.
Choice C Reason: This is incorrect because inability to see clearly from 200 feet away without corrective lenses may indicate nearsightedness or myopia, but not legal blindness. Nearsightedness can be corrected with lenses or surgery.
Choice D Reason: This is incorrect because bilateral visual impairment of 20/60 or greater does not meet the criteria for legal blindness. Visual impairment is defined by WHO as having a visual acuity of less than 20/60 but better than 20/200 in the better eye with the best possible correction.
Correct Answer is ["A","B","D"]
Explanation
Choice A Reason: This is a correct choice. Standing next to the client when speaking is an action that the nurse should plan to take, as it helps the client hear better and see the nurse's facial expressions and lip movements. The nurse should also speak clearly and slowly, use simple words and sentences, and avoid covering their mouth.
Choice B Reason: This is a correct choice. Guiding the client away from background noise is an action that the nurse should plan to take, as it reduces distractions and interference with hearing. The nurse should also choose a well-lit and quiet place for communication and turn off any unnecessary devices or appliances.
Choice C Reason: This is an incorrect choice. Providing a copy of the instructions printed in Braille is not an action that the nurse should plan to take, as it is not helpful for clients with hearing loss. Braille is a system of raised dots that represents letters and numbers for people who are blind or visually impaired. The nurse should provide a copy of the instructions printed in large font or use pictures or diagrams to supplement verbal information.
Choice D Reason: This is a correct choice. Repeating any phrases that the client misunderstands is an action that the nurse should plan to take, as it ensures comprehension and clarification of important information. The nurse should also ask open-ended questions, encourage feedback, and summarize key points at the end of the conversation.
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