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

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A rationale: An allergy to sulfa drugs is important as some diabetes medications, like sulfonylureas, contain components related to sulfa drugs, which could cause an allergic reaction in susceptible individuals.

Choice B rationale: Smoking cessation and lifestyle history are important but might not directly impact initial diabetes treatment options.

Choice C rationale: Numbness in the soles of the feet might indicate neuropathy, a common complication of diabetes, but is not directly related to the choice of initial treatment.

Choice D rationale: While obesity is a risk factor for Type 2 diabetes, it's less critical for immediate treatment decisions compared to drug allergies that could impact medication choices.

A. Diabetic ketoacidosis B. Heart failure being treated with furosemide C. Addison disease D. Cushing disease

Correct Answer is C

Explanation

Choice A rationale: Typically associated with potassium depletion rather than elevated levels.

Choice B rationale: Furosemide, a loop diuretic, can cause potassium depletion leading to hypokalemia, but it might also cause transient elevations in potassium levels initially. Choice C rationale: Addison disease can cause hyperkalemia, or high potassium, due to decreased renal excretion of potassium and increased retention of sodium and water.

Choice D rationale: Cushing disease can cause hypokalemia, or low potassium, due to increased renal excretion of potassium and decreased reabsorption of sodium and water.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is taking a history of a newly diagnosed Type 2 diabetic who is beginning treatment. Which subjective information is most important for the nurse to note?

Correct Answer is A

Explanation

A nurse notes that a client's serum potassium level is 5.9 mEq/L. The nurse interprets this as an expected finding in the client with:

Correct Answer is C

Explanation

When planning care for a client with right ureteral renal calculi, which of the following nursing diagnosis has the less priority of care while caring for this patient?

The nurse exploring cranial nerves function and observes the following reaction: The nurse documents that the client has a:

What change indicates recovery in a patient with nephrotic syndrome?

Which complication is suspected in a client whose blood sugar is less than 30 mg/dL?

Nurse Lily is assessing a male client diagnosed with gonorrhea. Which symptom most likely prompted the client to seek medical attention?

While performing the genital assessment of a male client, a nurse observes that the client has curvature of the penis. Which condition does the nurse suspect in the client?

The nurse is caring for a client with Cushing's triad. The nurse expects the client to have: