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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A rationale
If a client reports chills and back pain during a blood transfusion, and their blood pressure is 80/64 mm Hg, the nurse’s first action should be to stop the infusion of blood. These symptoms could indicate an acute intravascular hemolytic transfusion reaction, and the greatest risk to the client is injury from receiving additional blood.

Choice B rationale
Notifying the laboratory is an important step in managing a transfusion reaction, but it is not the first action that should be taken.
Choice C rationale
Obtaining a urine specimen could be part of the overall assessment of the client’s condition, but it is not the first action that should be taken when a client is experiencing a potential transfusion reaction.
Choice D rationale
Informing the provider is an important step when a client is experiencing a reaction to a blood transfusion, but it is not the first action that should be taken.

A. A room that is within view of the nurses’ station B. A room with another non-surgical patient C. A room with air exhaust directly to the outdoor environment D. A room in the ICU

Correct Answer is C

Explanation

Choice A rationale
While having a room within view of the nurses’ station can be beneficial for monitoring the patient, it does not specifically address the needs of a patient with active tuberculosis.
Choice B rationale
Placing a patient with active tuberculosis in a room with another non-surgical patient could potentially expose the other patient to the disease. Tuberculosis is an airborne disease and can easily spread to others in close proximity.
Choice C rationale
A room with air exhaust directly to the outdoor environment is the most appropriate choice for a patient with active tuberculosis. This type of room, known as a negative pressure room, helps prevent the spread of airborne diseases like tuberculosis. The air in the room is vented outside, reducing the risk of the disease spreading to other areas of the hospital.
Choice D rationale
While the ICU is equipped to handle severe and critical cases, a patient with active tuberculosis does not necessarily need to be in the ICU unless they are critically ill. Moreover, placing them in the ICU could potentially expose other critically ill patients to tuberculosis.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is receiving one unit of packed red blood cells (RBCs) due to intraoperative blood loss. The client reports chills and back pain, and their blood pressure is 80/64 mm Hg. What should be the nurse’s first action?

Correct Answer is A

Explanation

A nurse is admitting a patient who has active tuberculosis to a room in a medical-surgical unit. Which of the following room assignments should the nurse make for the patient?

Correct Answer is C

Explanation

A nurse is caring for four hospitalized patients. Which of the following patients should the nurse identify as being at risk for fluid volume deficit?

A nurse is attending to a client who has just been admitted due to an acute exacerbation of ulcerative colitis. What should be the nurse’s initial course of action?

A nurse is caring for a client diagnosed with systemic scleroderma five years ago. The nurse plans to assess the client to document the disease’s progression. In addition to skin changes, which of the following findings should the nurse expect?

A nurse is providing discharge teaching for a client who has chronic pancreatitis. Which of the following statements should the nurse make?

A nurse is teaching a patient about the nutritional requirements necessary to promote wound healing. Which of the following nutrients should the nurse include in the teaching?

After thyroid surgery, the nurse suspects damage to the parathyroid glands when the patient develops which of the following?

A nurse admits a patient to the emergency department who reports nausea and vomiting that worsens when he lies down. Antacids do not help. The provider suspects acute pancreatitis. Which of the following laboratory test results should the nurse expect to see?