A nurse is caring for a client in the primary care office who states, "I think I have been experiencing symptoms of reflux." Which of the following manifestations should the nurse anticipate for a client who has GERD?

Dyspnea

Dysesthesia

Dyspepsia

Dysarthria

Answer and Explanation

The Correct Answer is C

A.   Dyspnea (difficulty breathing) is not typically associated with GERD. GERD is primarily characterized by symptoms related to the digestive system.
B.   Dysesthesia refers to abnormal sensations, such as tingling or burning, and is not typically related to GERD symptoms.
C.   Dyspepsia, or indigestion, is a common manifestation of GERD. It includes symptoms like heartburn, regurgitation, and discomfort in the upper abdomen.
D.   Dysarthria, which refers to difficulty speaking, is not a common symptom of GERD and is more related to neurological conditions.

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Correct Answer is A

Explanation

A. Intravenous corticosteroids are the next appropriate step to reduce inflammation in the airways and improve symptoms of asthma exacerbation.
B. Providing supplemental oxygen and reassessing in 30 minutes might be necessary, but corticosteroids are the priority in this case to address the underlying inflammation.
C. A second dose of albuterol may be considered, but corticosteroids should be administered as soon as possible to treat the inflammation in the airways.
D. An oral antihistamine is not indicated for asthma exacerbations, as it does not target the underlying inflammation in the airways.

A. Encouraging the patient to take deep breaths and cough B. Administering oxygen to maintain adequate oxygenation C. Positioning the patient flat in bed to decrease discomfort D. Providing the patient with a warm compress to relieve chest pain E. Positive Tinel's sign

Correct Answer is B

Explanation

A. Encouraging the patient to take deep breaths and cough would not address the underlying cause of the symptoms, which may indicate a more serious condition.
B. Administering oxygen to maintain adequate oxygenation is the most appropriate initial action, as the patient’s symptoms suggest a potentially life-threatening condition like a cardiac tamponade or pulmonary embolism.
C. Positioning the patient flat in bed is not recommended, as it may exacerbate breathing difficulties and
the patient’s distress.
D. A warm compress is unlikely to be beneficial in this acute situation and could delay appropriate intervention.

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A nurse is caring for a client in the primary care office who states, "I think I have been experiencing symptoms of reflux." Which of the following manifestations should the nurse anticipate for a client who has GERD?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A 40-year-old patient is admitted with sharp, pleuritic chest pain and dyspnea. The nurse observes jugular venous distension and muffled heart sounds on examination. What is the most appropriate initial nursing action for this patient?

Correct Answer is B

Explanation

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