A patient has been diagnosed with reflux esophagitis (GERD). What instruction by the nurse professional is most appropriate?
Exercise soon after eating to increase gastric emptying
Try these proton-pump inhibitors for 2 weeks
You need to schedule an upper Gl endoscopy soon
Over-the-counter antiemetics work well for this condition
The Correct Answer is B
A. Exercise soon after eating to increase gastric emptying: Physical activity immediately after meals may actually worsen reflux symptoms by increasing intra-abdominal pressure and promoting acid reflux.
B. Try these proton-pump inhibitors for 2 weeks: Proton-pump inhibitors (PPIs) are a first-line treatment for GERD. They reduce gastric acid production, promoting symptom relief and esophageal healing.
C. You need to schedule an upper GI endoscopy soon: Endoscopy is not immediately necessary unless there are alarm symptoms like dysphagia, weight loss, or bleeding. Initial management focuses on medication and lifestyle changes.
D. Over-the-counter antiemetics work well for this condition: Antiemetics are not effective in treating the underlying cause of GERD, which is acid reflux, not nausea or vomiting. They would not effectively treat the heartburn or esophageal inflammation associated with GERD.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Bruton's disorder: Also known as X-linked agammaglobulinemia, this is a primary immunodeficiency that results in absent or reduced B cells and recurrent bacterial infections. It does not involve distinct facial features or limb defects as described in the question.
B. SCID: Severe Combined Immunodeficiency involves profound defects in both B and T lymphocyte function, leading to severe infections early in life. It is not associated with the described craniofacial abnormalities or limb deformities.
C. Potter syndrome: This condition is caused by severe oligohydramnios, often due to bilateral renal agenesis, and leads to characteristic physical features including widely spaced eyes with epicanthic folds, low-set ears, a broad or beaked nose, a receding chin, and limb deformities.
D. Down Syndrome: While individuals with Down Syndrome often have characteristic facial features such as upslanting palpebral fissures, flat nasal bridges, and low-set ears, they typically do not have beak-like noses, receding chins, or limb defects in the way described.
Correct Answer is C
Explanation
A. Changing an IV: This procedure involves standard precautions to avoid bloodborne infections, not primarily fecal-oral infections like hepatitis A. It is more relevant to viruses such as hepatitis B and C.
B. Disposing of food trays: While hygiene in food service is important, the nurse’s direct role in disposing of trays does not significantly contribute to HAV prevention. HAV is transmitted primarily through the fecal-oral route rather than leftover food on trays.
C. Emptying bed pans: Hepatitis A is spread via the fecal-oral route. Handling feces, especially without strict hand hygiene and appropriate protective equipment, poses a high risk for transmission. Therefore, careful attention is needed during this activity to prevent spread.
D. Taking an oral temperature: This involves mucosal contact but carries minimal risk of spreading hepatitis A, especially when using disposable covers and practicing standard precautions. It is not a primary concern for fecal-oral transmission.
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