The nurse is gathering information from a patient who has GERD. Which of the following observations is a symptom of GERD?

Absent bowel sounds

Elevated temperature

Decreased ammonia level

Pain relieved by taking antacids

Answer and Explanation

The Correct Answer is D

Choice A rationale
Absent bowel sounds are not a symptom of GERD. They may indicate a serious condition such as intestinal obstruction or ischemia.
Choice B rationale
An elevated temperature is not a symptom of GERD. It may indicate an infection or other medical condition.

Choice C rationale
A decreased ammonia level is not a symptom of GERD. It may be seen in conditions such as liver disease.
Choice D rationale
Pain relieved by taking antacids is a common symptom of GERD. Antacids work by neutralizing stomach acid, thereby relieving the burning sensation of heartburn.

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Correct Answer is B

Explanation

Choice A rationale
Consuming large meals can exacerbate GERD symptoms. Smaller, more frequent meals are recommended to reduce the volume of food in the stomach at any one time, thereby reducing the pressure on the lower esophageal sphincter.
Choice B rationale
Identifying and avoiding foods that cause discomfort is a key strategy in managing GERD. Foods that commonly trigger GERD symptoms include fatty foods, spicy foods, acidic foods, and caffeine.
Choice C rationale

Using pillows to elevate the head and upper body during sleep can help prevent nighttime GERD symptoms. Gravity helps keep stomach acid in the stomach, reducing the chance of it flowing back into the esophagus.
Choice D rationale
Lying down after a meal can exacerbate GERD symptoms. It is recommended to wait at least three hours after eating before lying down.

A. Painful swallowing. B. Absence of saliva. C. Sweet taste in the mouth. D. A metallic taste in the mouth.

Correct Answer is A

Explanation

Choice A rationale
Painful swallowing, also known as dysphagia, is a common symptom of Gastroesophageal Reflux Disease (GERD)345. GERD is a chronic condition where stomach acid frequently flows back into the tube connecting your mouth and stomach.
Choice B rationale
Absence of saliva is not typically associated with GERD. In fact, increased salivation may occur as the body’s response to neutralize stomach acid.
Choice C rationale
A sweet taste in the mouth is not a common symptom of GERD. The regurgitation of stomach acid into the throat or mouth can leave a sour or bitter taste.
Choice D rationale
A metallic taste in the mouth is not a typical symptom of GERD. As mentioned, the regurgitation of stomach acid can cause a sour or bitter taste.

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The nurse is gathering information from a patient who has GERD. Which of the following observations is a symptom of GERD?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient has been educated on preventative measures for gastroesophageal reflux disease. Which statement by the patient suggests that the teaching has been successful?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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