The nurse is providing care to several patients in an outpatient clinic. Which patient is at highest risk of developing gastroesophageal reflux disorder (GERD)?

A patient who follows a strict vegetarian diet.

A patient who is morbidly obese

A patient who is 6 weeks pregnant.

A patient who drinks a glass of wine monthly.

Answer and Explanation

The Correct Answer is B

Excess body weight, particularly in the abdominal area, can increase intra-abdominal pressure and lead to the weakening of the lower esophageal sphincter (LES). The LES is responsible for preventing stomach acid from flowing back into the esophagus. When it becomes weakened, it can contribute to the development of GERD. Other risk factors for GERD include certain dietary choices, such as consuming fatty and spicy foods, smoking, pregnancy, and alcohol consumption.

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Correct Answer is A

Explanation

The patient's vital signs indicate signs of septic shock, including low blood pressure (70/46 mm Hg), tachycardia (136 beats/min), and tachypnea (32 breaths/min). The patient also has a high temperature of 104°F, indicating a fever. These findings suggest a systemic response to an infection that is leading to inadequate tissue perfusion.The initial treatment for septic shock includes fluid resuscitation to improve blood pressure and tissue perfusion. A fluid bolus of 0.9% Sodium Chloride (normal saline) is commonly used to restore intravascular volume in septic shock. It helps to increase blood pressure, improve organ perfusion, and stabilize the patient's condition.

The other interventions, such as administering Pantoprazole (Protonix) for gastrointestinal protection, giving Acetaminophen (Tylenol) for fever control, or administering rapid-acting insulin per sliding scale for hyperglycemia, are important aspects of care but should be implemented after the initial fluid resuscitation. The priority at this moment is to address the patient's hypotension and inadequate tissue perfusion through the administration of fluid bolus.

A. Neutrophils: 3,000mm (3,000 to 5,800mm) B. WBC: 14,000/mm (5,000-10,000/mm) C. RBCs: 42 million/mm (4,000 to 55 million/mm) D. Lactic acid level: 0.5 mmol/L (normal: 0.5 mmol/L

Correct Answer is B

Explanation

In a child with acute appendicitis, it is common to observe an elevated white blood cell count (WBC) as a response to the infection or inflammation associated with the condition. The neutrophil count may be within the lower end of the normal range or slightly decreased, as it can be affected by the severity and duration of the appendicitis. The red blood cell count (RBC) appears to be within the normal range. The lactic acid level is normal, indicating no significant metabolic acidosis.

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The nurse is providing care to several patients in an outpatient clinic. Which patient is at highest risk of developing gastroesophageal reflux disorder (GERD)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with sepsis has a BP of 70/46 mm Hg, pulse of 136 beats/min, respirations of 32 breaths/min, temperature of 104°F, and blood glucose of 245 mg/dL. Which intervention ordered by the health care provider should the nurse implement first?

Correct Answer is A

Explanation

A nurse is caring for a child who has acute appendicitis. Which of the following results should the nurse anticipate when reviewing the patient's laboratory values?

Correct Answer is B

Explanation

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