A nurse is caring for a patient 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 patient who has GERD?
Dysarthria.
Dysesthesia.
Dyspepsia.
Dyspnea.
The Correct Answer is C
Choice A rationale
Dysarthria, or difficulty articulating speech, is not a symptom of GERD. GERD primarily affects the digestive system, causing symptoms such as heartburn and regurgitation.
Choice B rationale
Dysesthesia, or abnormal sensation, is not a symptom of GERD. GERD does not typically cause sensory disturbances.
Choice C rationale
This is the correct answer. Dyspepsia, or indigestion, is a common symptom of GERD. It can manifest as discomfort or pain in the stomach or chest, a feeling of fullness, or problems with belching or gas.
Choice D rationale
Dyspnea, or shortness of breath, is not a typical symptom of GERD. While severe GERD can sometimes cause respiratory symptoms due to aspiration of stomach contents or irritation of the airways, it is not a common or primary symptom.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Periorbital edema is not typically associated with the progression of systemic scleroderma.
Choice B rationale
Excessive salivation is not typically associated with the progression of systemic scleroderma.
Choice C rationale
Finger contractures can be expected in a client diagnosed with systemic scleroderma. As the disease progresses, it can cause tightening and hardening of the skin, which can lead to contractures.
Choice D rationale
Thinning of the skin is not typically associated with the progression of systemic scleroderma. In fact, the disease often causes the skin to thicken.
Correct Answer is D
Explanation
Choice A rationale
Monitoring for changes in the color of urine to maroon or red is not typically associated with peptic ulcers. This could be a sign of other conditions such as urinary tract infections, kidney stones, or certain medications.
Choice B rationale
Unintentional weight gain is not a common symptom of peptic ulcers. In fact, some people with peptic ulcers may experience weight loss due to discomfort while eating or a decrease in appetite.
Choice C rationale
The appearance of ecchymosis (bruising) on the sides of the abdomen or pelvic areas is not a typical symptom or concern with peptic ulcers. This could be a sign of trauma, certain medications, or other medical conditions.
Choice D rationale
One of the symptoms of a peptic ulcer can be changes in the color of the stool, particularly if it becomes dark or black. This can be a sign of bleeding in the gastrointestinal tract, which can occur with peptic ulcers. Therefore, patients should be advised to monitor for this symptom and seek medical attention if it occurs.
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