The nurse has administered an antacid and a proton pump inhibitor for GERD. Which data would indicate to the nurse that the medications are effective?

A decrease in gastric distress.

Amylase levels return to normal

A decrease in vomiting.

An increase in gastric motility

Answer and Explanation

The Correct Answer is A

A.   This is a strong indicator of effectiveness. Both antacids and PPIs aim to reduce gastric acidity, which alleviates symptoms such as heartburn, regurgitation, and discomfort. A decrease in gastric distress suggests that the medications are successfully managing the symptoms of GERD.
B.   Amylase is an enzyme primarily related to carbohydrate digestion, and its levels are not directly related to GERD or the effectiveness of antacids and PPIs. Normalizing amylase levels would not indicate the effectiveness of treatment for GERD, making this option irrelevant in this context.
C.   While a decrease in vomiting may indicate an improvement in GERD symptoms, it is not the primary focus of treatment with antacids and PPIs. GERD primarily involves symptoms like heartburn and acid reflux rather than vomiting. However, if vomiting was due to severe reflux, improvement might indicate effectiveness.
D.   Gastric motility refers to the movement of food through the gastrointestinal tract. While normal gastric motility can be beneficial, antacids and PPIs do not primarily aim to increase motility; their focus is on reducing acidity and managing reflux symptoms.

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Correct Answer is A

Explanation

A. Primary hypertension, also known as essential hypertension, is characterized by high blood pressure that does not have a known secondary cause. It accounts for the majority of hypertension cases and is thought to result from a combination of genetic, environmental, and lifestyle factors.
B. While treatment is important for all forms of hypertension to prevent complications, this statement is somewhat misleading. The term "essential" in primary hypertension refers to the lack of a specific identifiable cause, not that it is necessarily more critical to treat than other forms of hypertension.
C. This definition describes secondary hypertension, not primary hypertension. Secondary hypertension results from an identifiable underlying condition, such as kidney disease or hormonal disorders.
D. Primary hypertension can vary in severity, but it is not exclusively severe or life-threatening. While uncontrolled hypertension can lead to serious complications, primary hypertension itself does not automatically imply a critical state.

A. "The pressure in the anterior cavity of your eye became elevated, shifting the position of your lens. B. "There's an irregular curvature of your cornea, causing your blurred vision' C. The portion of your eye call the macula, which is responsible for the central vision, is damaged" D. "Your lens became cloudy, causing blurred vision. This cloudiness will increase over time

Correct Answer is C

Explanation

A. This statement describes glaucoma, not macular degeneration. Glaucoma is characterized by increased intraocular pressure that can lead to optic nerve damage and vision loss. It does not specifically pertain to damage of the macula or central vision.
B. This statement refers to conditions like astigmatism, where the cornea has an irregular shape, leading to blurred vision. It is not relevant to macular degeneration, which involves damage to the retina rather than the curvature of the cornea.
C. This statement accurately describes macular degeneration. The macula is the part of the retina responsible for sharp central vision, which is crucial for tasks like reading and recognizing faces. In macular degeneration, this area deteriorates, leading to loss of central vision.
D. This statement describes cataracts, where the lens of the eye becomes cloudy, leading to blurred vision. Cataracts and macular degeneration are distinct conditions, with different causes and impacts on vision.

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The nurse has administered an antacid and a proton pump inhibitor for GERD. Which data would indicate to the nurse that the medications are effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A student nurse asks what "primary hypertension" is. What response by the registered nurse is best?

Correct Answer is A

Explanation

A patient diagnosed with macular degeneration asks the nurse to explain his condition. Which statement by the nurse best describes macular degeneration?

Correct Answer is C

Explanation

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