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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Calling for pain medication before the previous dose wears off is an effective strategy for managing postoperative pain. This approach helps maintain a consistent level of pain control, which can enhance comfort and facilitate recovery.
Choice B rationale
Waiting for the nurse to evaluate the pain before asking for more medication can result in periods of uncontrolled pain, which can hinder recovery. Pain should be managed proactively, not reactively.
Choice C rationale
Calling for pain medication as the pain becomes intolerable is not an effective pain management strategy. Pain should be controlled before it reaches this level.
Choice D rationale
Asking for less medication to avoid addiction is not a recommended approach to pain management. While it’s important to use opioids judiciously, under-treating pain can hinder recovery and lead to unnecessary suffering. PancreatitisPancreatitis Explore
Correct Answer is A
Explanation
Choice A rationale
Elevating the head of the bed is a recommended strategy to minimize the effects of reflux during sleep. This position uses gravity to keep stomach acid from flowing back into the esophagus.
Choice B rationale
Eating a snack 1 hour before going to bed can actually worsen reflux symptoms. It’s generally recommended to avoid eating 2-3 hours before bedtime.
Choice C rationale
Alcohol can relax the lower esophageal sphincter, making it easier for stomach acid to reflux into the esophagus. Therefore, consuming alcohol before bed is not advisable.
Choice D rationale
Sleeping on the stomach with the head flat can exacerbate reflux symptoms. This position does not utilize gravity to keep stomach acid from flowing back into the esophagus.
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