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 A

Explanation

Choice A rationale
Coffee ground vomitus is a symptom that indicates upper gastrointestinal bleeding. One of the conditions that can cause this symptom is a hiatal hernia. A hiatal hernia occurs when part of your stomach pushes upward through your diaphragm, and it can cause acid reflux, which can lead to esophagitis and bleeding. When the blood mixes with stomach acid, it can look like coffee grounds when vomited.
Choice B rationale
Gallbladder disease typically presents with symptoms such as abdominal pain (especially after eating), nausea, vomiting, bloating, and fever. While it can cause discomfort and complications like gallstones and inflammation, it does not typically cause coffee ground vomitus.

A. Eat a bedtime snack that contains a milk product. B. Increase protein in the diet. C. Drink at least one glass of water with each meal. D. Eat three moderate-sized meals a day.

Correct Answer is B

Explanation

Choice A rationale
Eating a bedtime snack that contains a milk product is not typically recommended for patients with dumping syndrome. Dairy products can be high in fat and sugar, which can exacerbate symptoms.
Choice B rationale
Increasing protein in the diet is often recommended for patients with dumping syndrome. Protein helps to slow the movement of food through the stomach, which can help to prevent the rapid emptying that leads to symptoms.
Choice C rationale
Drinking at least one glass of water with each meal is not typically recommended for patients with dumping syndrome. Drinking fluids during meals can increase the speed at which food leaves the stomach, potentially worsening symptoms.
Choice D rationale
Eating three moderate-sized meals a day is not typically recommended for patients with dumping syndrome. Instead, patients are often advised to eat several small meals throughout the day to prevent overloading the stomach.

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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 presents with episodes of vomiting and notices the presence of coffee ground-like material in their vomit. This manifestation is most likely associated with which of the following conditions?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a patient who has dumping syndrome following gastric surgery. Which of the following information should the nurse reinforce in the teaching?

Correct Answer is B

Explanation

The nurse is educating a patient about dumping syndrome and food choices. Which of these foods should the patient avoid?

A nurse is reinforcing teaching about pain control with a client who has acute pain following gastric surgery. Which of the following client statements indicates an understanding of pain control?

A nurse is reinforcing teaching about pernicious anemia with a client following a total gastrectomy. Which of the following dietary supplements should the nurse include in the teaching as the treatment for pernicious anemia?

A nurse is collecting data from a client in the health clinic who is reporting epigastric pain. Which of the following statements made by the client should the nurse identify as being consistent with peptic ulcer disease?

A patient has received a barium swallow test to rule out esophageal strictures and gastric ulcer. The nurse is educating the patient on what is expected post barium swallow. What statement indicates that the patient did not understand all of the teaching by the nurse?

The physician orders a patient with a duodenal ulcer to take a UREA breath test. Which lab value will the test measure to determine if H. Pylori is present?

A nurse is preparing to administer aspirin 650 mg orally. Available is aspirin 325 mg tablets. How many tablets should the nurse administer? (Note: This is a med math nd does not require options.)

A nurse is preparing to administer potassium chloride 30 mEq PO daily. The amount available is potassium chloride 20 mEq/15mL. How many mL should the nurse administer?