A nurse is collecting data on a patient that has GERD. Which of the following is an expected finding?
Painful swallowing.
Absence of saliva.
Sweet taste in the mouth.
A metallic taste in the mouth.
The Correct Answer is A
Choice A rationale
Painful swallowing, also known as dysphagia, is a common symptom of Gastroesophageal Reflux Disease (GERD)345. GERD is a chronic condition where stomach acid frequently flows back into the tube connecting your mouth and stomach.
Choice B rationale
Absence of saliva is not typically associated with GERD. In fact, increased salivation may occur as the body’s response to neutralize stomach acid.
Choice C rationale
A sweet taste in the mouth is not a common symptom of GERD. The regurgitation of stomach acid into the throat or mouth can leave a sour or bitter taste.
Choice D rationale
A metallic taste in the mouth is not a typical symptom of GERD. As mentioned, the regurgitation of stomach acid can cause a sour or bitter taste.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["22.5"]
Explanation
The order is for potassium chloride 30 mEq. The available medication is potassium chloride 20 mEq/15mL. To calculate the amount to administer: Step 1 is: Set up a proportion to solve for the unknown quantity (X), which is the volume in mL to administer. The proportion is (20 mEq
/ 15 mL) = (30 mEq / X mL).
Step 2 is: Cross-multiply to solve for X. X = (30 mEq * 15 mL) ÷ 20 mEq.
Step 3 is: Calculate X. X = 22.5 mL. So, the nurse should administer 22.5 mL of potassium chloride.
Correct Answer is B
Explanation
Choice A rationale
While administering pain medication can provide temporary relief for a client with severe abdominal pain, it does not address the underlying issue of a perforated peptic ulcer. Pain medication should be administered as part of a comprehensive treatment plan, but it should not be the first step in managing a perforated peptic ulcer.
Choice B rationale
Initiating IV fluid resuscitation is a crucial first step in the management of a client presenting with severe abdominal pain and a history of peptic ulcer disease. A perforated peptic ulcer is a medical emergency that can lead to infection and shock, and IV fluid resuscitation can help stabilize the client’s condition while further diagnostic and therapeutic measures are taken.
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