The nurse is explaining the alteration in normal function to a patient recently diagnosed with gastroesophageal reflux disease (GERD). Which etiology contributing to GERD does the nurse include in the teaching session?

Incompetent lower esophageal sphincter.

Decreased pressure within the stomach.

Transient constriction of the lower esophageal sphincter

Prolonged constriction of the upper esophageal sphincter.

Answer and Explanation

The Correct Answer is A

The lower esophageal sphincter (LES) is a muscular ring located between the esophagus and stomach. Its function is to prevent the backflow of stomach acid and contents into the esophagus. In GERD, the LES becomes weak or relaxed, allowing stomach acid to flow back up into the esophagus, leading to symptoms such as heartburn, regurgitation, and chest pain.

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Correct Answer is C

Explanation

The patient bending over the sink while brushing teeth requires intervention by the nurse. After hip arthroplasty using the posterior approach, the patient should avoid bending at the hip greater than 90 degrees to prevent dislocation of the prosthesis. The nurse should instruct the patient to bend at the knees instead of the hips while brushing teeth or doing any other activity that requires bending. The other actions mentioned in the options are appropriate for a patient after hip arthroplasty.

A. The 24-hour oral intake is 600 ml greater than the total output. B. The patient's temperature is 100.3" F 137.9" C). C. The patient reports abdominal pain at level 6 (0 to 10 scale) when ambulating D. The patient's calf is swollen, warm, and painful.

Correct Answer is D

Explanation

These symptoms suggest the possibility of deep vein thrombosis (DVT), which is a potentially serious complication following surgery. DVT occurs when a blood clot forms in a deep vein, commonly in the lower extremities. The symptoms of a swollen, warm, and painful calf can indicate the presence of a DVT.

DVT is a medical emergency that requires immediate attention and intervention to prevent further complications such as a pulmonary embolism (where the blood clot travels to the lungs). Prompt evaluation and treatment, such as anticoagulant therapy, are necessary to prevent complications

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The nurse is explaining the alteration in normal function to a patient recently diagnosed with gastroesophageal reflux disease (GERD). Which etiology contributing to GERD does the nurse include in the teaching session?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is being discharged 4 days after hip arthroplasty using the posterior approach. Which patient action requires intervention by the nurse?

Correct Answer is C

Explanation

The nurse assesses a patient who had a total abdominal hysterectomy 2 days ago. Which information about the patient is most important to communicate to the health care provider?

Correct Answer is D

Explanation

In order to prevent dumping syndrome after Gastric Bypass surgery, the nurse will instruct the client to....

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