A patient presents with episodes of vomiting and notices the presence of coffee ground-like material in their vomit.
This manifestation is most likely associated with which of the following conditions?

Hiatal Hernia

Gallbladder disease

Answer and Explanation

The Correct Answer is A

Choice A rationale
Coffee ground vomitus is a symptom that indicates upper gastrointestinal bleeding. One of the conditions that can cause this symptom is a hiatal hernia. A hiatal hernia occurs when part of your stomach pushes upward through your diaphragm, and it can cause acid reflux, which can lead to esophagitis and bleeding. When the blood mixes with stomach acid, it can look like coffee grounds when vomited.
Choice B rationale
Gallbladder disease typically presents with symptoms such as abdominal pain (especially after eating), nausea, vomiting, bloating, and fever. While it can cause discomfort and complications like gallstones and inflammation, it does not typically cause coffee ground vomitus.

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Correct Answer is D

Explanation

Choice A rationale
Lemon pepper fish might not be the best choice for a patient with GERD. Citrus fruits like lemon can trigger GERD symptoms, and spicy foods like pepper can also exacerbate GERD56.
Choice B rationale

Corned beef brisket is a fatty food, and fatty foods are known to worsen GERD symptoms. They can increase the production of stomach acid and delay stomach emptying, which can trigger GERD56.
Choice C rationale
Spaghetti with red sauce might not be a good choice for a patient with GERD. Tomato-based foods like red sauce can trigger GERD symptoms.
Choice D rationale
Baked turkey breast is a good choice for a patient with GERD. It’s a lean meat, and lean meats are low in fat and less likely to cause symptoms of acid reflux than fatty meats.

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 patient presents with episodes of vomiting and notices the presence of coffee ground-like material in their vomit. This manifestation is most likely associated with which of the following conditions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing dietary advice to a patient who has GERD. Which of the following food choices by the patient would indicate an understanding of the advice?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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A patient presents with episodes of vomiting and notices the presence of coffee ground-like material in their vomit.
This manifestation is most likely associated with which of the following conditions?