A nurse is planning care for a client who reports heartburn. Which of the following tests should the nurse anticipate in the client's plan of care?

Upper GI endoscopy

Flexible sigmoidoscopy

Colonoscopy

Lower GI series

Answer and Explanation

The Correct Answer is A

Choice A reason: An upper GI endoscopy is typically performed to evaluate symptoms of persistent heartburn, as it allows direct visualization of the esophagus, stomach, and duodenum, which are commonly affected by conditions that cause heartburn.

Choice B reason: Flexible sigmoidoscopy is used to examine the lower part of the colon, which is not typically
associated with symptoms of heartburn.

Choice C reason: A colonoscopy is used to view the entire colon and is not the first choice for investigating heartburn,
as this symptom is not directly related to the colon.

Choice D reason: A lower GI series, or barium enema, is an X-ray examination of the large intestine, which includes the colon and rectum. It is not typically used to diagnose conditions that cause heartburn.

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Correct Answer is C

Explanation

Choice A reason: Metabolic Acidosis typically results from conditions that increase acid production or decrease acid excretion, not from vomiting.

Choice B reason: Respiratory Acidosis is caused by hypoventilation leading to an accumulation of carbon dioxide, which is not directly related to vomiting.

Choice C reason: Metabolic Alkalosis can occur due to the loss of stomach acids through prolonged vomiting, leading to an excess of bicarbonate in the body fluids.

Choice D reason: Respiratory Alkalosis is usually caused by hyperventilation, not by vomiting.

A. Alternate the client's liquids and solids during meals. B. Elevate the client's head of the bed to 45 degrees during meals. C. Instruct the client to tilt their head back while swallowing. D. Turn on the client's television during meals.

Correct Answer is B

Explanation

Choice A reason: Alternating liquids and solids is not a specific intervention for dysphagia management.

Choice B reason: Elevating the head of the bed to 45 degrees or higher during meals can help prevent aspiration in
clients with dysphagia.

Choice C reason: Telling a client with dysphagia to tilt their head back while swallowing can increase the risk of aspiration.

Choice D reason: Turning on the television is not a recommended practice as it can distract the client from focusing
on safe swallowing techniques.

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A nurse is planning care for a client who reports heartburn. Which of the following tests should the nurse anticipate in the client's plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has nausea and is vomiting. The nurse should identify that the client is at risk for which of the following acid-base imbalances?

Correct Answer is C

Explanation

A nurse is caring for a client who has dysphagia. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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After completing the planning step of the nursing process for a client who has an acid-base imbalance, which of the following steps should the nurse take next?

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