The nurse is caring for a client who is due for a laparoscopic fundoplication. On reviewing the medical history, the nurse notes the client complains of dysphagia, substernal burning, and belching.
The endoscopy and barium test reports are yet to be received. Which condition can the nurse expect in the client?
Gastritis
Stomach cancer
Schatzki ring
Hiatal hernia
The Correct Answer is D
Choice A rationale: Dysphagia, substernal burning, and belching are symptoms often associated with hiatal hernia.
Choice B rationale: While substernal burning can be a symptom of stomach-related issues, hiatal hernia is more directly linked to the symptoms described.
Choice C rationale: Schatzki ring might present with dysphagia, but it's less likely given the overall symptoms described.
Choice D rationale: Symptoms of dysphagia and substernal burning can be indicative of a hiatal hernia, especially when considered together.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale: Kayexalate is not primarily used for phosphate reduction.
Choice B rationale: Kayexalate can have sorbitol in its formulation, which might cause diarrhea rather than constipation.
Choice C rationale: Kayexalate works as a cation-exchange resin that promotes potassium excretion in the bowels.
Choice D rationale: Kayexalate does not add potassium; it exchanges sodium for potassium in the bowels.
Correct Answer is D
Explanation
Choice A rationale: An increase in serum lipid levels is associated with nephrotic syndrome, not recovery.
Choice B rationale: A decrease in blood pressure to normal might be beneficial but is not a definitive indicator of recovery from nephrotic syndrome.
Choice C rationale: Gain in body weight can occur due to fluid retention, which is a symptom of nephrotic syndrome, and doesn't indicate recovery.
Choice D rationale: The disappearance of protein from the urine is a sign of recovery in nephrotic syndrome.
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