A nurse is providing teaching to a client who has long-term symptoms of GERD (gastroesophageal reflux disease). Which of the following statements should the nurse include in the educational materials?
“It is important to follow up with a GI specialist for recommended surveillance for Barrett’s esophagus.”
“You will need to monitor for manifestations of liver issues.”
“Follow up with an endocrinologist as your risk for diabetes increases.”
“It is important to watch for manifestations of pancreatic cancer.”
The Correct Answer is A
Choice A Reason:
This is the correct answer. Long-term GERD can lead to Barrett’s esophagus, a condition where the esophageal lining changes and can increase the risk of developing esophageal cancer. Regular surveillance by a GI specialist is crucial for early detection and management of Barrett’s esophagus.
Choice B Reason:
Monitoring for liver issues is not directly related to GERD. While liver health is important, it is not a primary concern for patients with long-term GERD.
Choice C Reason:
There is no direct link between GERD and an increased risk of diabetes. Therefore, follow-up with an endocrinologist for diabetes risk is not specifically relevant to GERD management.
Choice D Reason:
Pancreatic cancer is not a known complication of GERD. The primary concerns with long-term GERD are esophageal complications, such as Barrett’s esophagus and esophageal cancer.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason:
Nutritional therapy focuses on dietary needs and ensuring patients receive adequate nutrition. While this is important for overall health, it does not directly address the swallowing difficulties experienced by patients with Parkinson’s disease.
Choice B Reason:
This is the correct answer. Speech therapy is essential for patients with Parkinson’s disease who have difficulty swallowing. Speech-language pathologists (SLPs) are trained to assess and treat swallowing disorders (dysphagia). They can provide exercises and strategies to improve swallowing function and reduce the risk of aspiration.
Choice C Reason:
Occupational therapy helps patients with daily living activities and improving motor skills. While occupational therapists can assist with feeding techniques, they do not specialize in treating swallowing disorders.
Choice D Reason:
Respiratory therapy focuses on breathing and lung function. It is not directly related to swallowing difficulties, although respiratory therapists may be involved if there are complications such as aspiration pneumonia.
Correct Answer is B
Explanation
Choice A Reason:
A rigid abdomen is not a typical finding in a client with diarrhea. It may indicate a more serious condition such as peritonitis or an acute abdomen, which requires immediate medical attention.
Choice B Reason:
This is the correct answer. Dehydration is a common complication of prolonged diarrhea due to the significant loss of fluids and electrolytes. Symptoms of dehydration include excessive thirst, dry mouth, dark-colored urine, and dizziness.
Choice C Reason:
Hypothermia is not commonly associated with diarrhea. Diarrhea typically does not affect body temperature to the extent of causing hypothermia.
Choice D Reason:
Decreased bowel sounds are not typically expected with diarrhea. In fact, bowel sounds may be hyperactive due to increased intestinal activity.
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