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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale
Consuming large meals can exacerbate GERD symptoms. Smaller, more frequent meals are recommended to reduce the volume of food in the stomach at any one time, thereby reducing the pressure on the lower esophageal sphincter.
Choice B rationale
Identifying and avoiding foods that cause discomfort is a key strategy in managing GERD. Foods that commonly trigger GERD symptoms include fatty foods, spicy foods, acidic foods, and caffeine.
Choice C rationale

Using pillows to elevate the head and upper body during sleep can help prevent nighttime GERD symptoms. Gravity helps keep stomach acid in the stomach, reducing the chance of it flowing back into the esophagus.
Choice D rationale
Lying down after a meal can exacerbate GERD symptoms. It is recommended to wait at least three hours after eating before lying down.

A. It helps eliminate the barium. B. The medication has been prescribed by your provider. C. The medication will turn your stool white. D. It is the protocol at this facility.

Correct Answer is A

Explanation

Choice A rationale
A laxative is necessary after a barium swallow procedure because barium can cause constipation or impacted stool if it isn’t completely cleared from the body. The laxative helps to ensure that all of the barium leaves the body.
Choice B rationale
While it’s true that the medication has been prescribed by the provider, this doesn’t explain why it’s necessary after a barium swallow procedure.
Choice C rationale
The medication will not turn the stool white. However, the barium used in the procedure can cause the stool to be lighter in color until it’s completely passed from the body.
Choice D rationale
The use of a laxative after a barium swallow is not just a protocol at the facility, but a medical necessity to prevent constipation or impacted stool caused by the barium

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A nurse is collecting data on a patient that has GERD. Which of the following is an expected finding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient has been educated on preventative measures for gastroesophageal reflux disease. Which statement by the patient suggests that the teaching has been successful?

Correct Answer is B

Explanation

A patient who is scheduled for a barium swallow asks a nurse why a laxative is necessary after the procedure. Which of the following responses should the nurse make?

Correct Answer is A

Explanation

The nurse in the GI Suite is preparing a patient for an Esophagogastroduodenoscopy (EGD). Which statement below indicates the patient may need some additional teaching?

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