Which information will the nurse include when teaching a patient with newly diagnosed GERD?

Peppermint tea might be helpful in reducing your symptoms.

You should avoid eating between meals to avoid acid secretion.

You will need to keep the head of your bed elevated on blocks.

Vigorous physical activities may increase the incidence of reﬂux.

Answer and Explanation

The Correct Answer is C

When teaching a patient with newly diagnosed GERD, the nurse will include that they will need to keep the head of their bed elevated on blocks. This helps prevent stomach acid from ﬂowing back into the esophagus while sleeping.

Peppermint tea might not be helpful in reducing GERD symptoms as it can relax the lower esophageal sphincter and worsen reﬂux.

Eating between meals is not recommended as it can increase acid secretion. Vigorous physical activities may increase the incidence of reﬂux.

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Correct Answer is A

Explanation

The patient's bounding, rapid pulse and systolic hypertension may indicate cardiovascular complications associated with Graves' disease, such as tachycardia, atrial fibrillation, or congestive heart failure, which can cause chest pain. It is important for the nurse to assess for any symptoms of cardiovascular distress and report any abnormal findings to the healthcare provider for prompt intervention. Questions about appetite and constipation may be relevant to the patient's overall health status, but they are not the most important concern in this situation.

A. Metabolic alkalosis B. Respiratory acidosis C. Metabolic acidosis D. Respiratory alkalosis

Correct Answer is B

Explanation

The pH value is less than the normal range of 7.35-7.45, indicating acidosis. The PaCO2 value is elevated above the normal range of 35-45 mmHg, indicating respiratory acidosis. The PaO2 value is lower than normal, but not significantly low enough to indicate hypoxemia. The HCO3- level is within the normal range, but not significantly high enough to indicate metabolic compensation for respiratory acidosis.

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Which information will the nurse include when teaching a patient with newly diagnosed GERD?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During the nursing assessment of a patient with Graves' disease. The nurse notes a bounding, rapid pulse and systolic hypertension. Based on these assessment data, which question is important for the nurse to ask the patient?

Correct Answer is A

Explanation

A nurse is admitting a client who has status asthmaticus. The client's ABG results are Ph:7.31, Pa02:74mm Hg, PaC02: 56 mmHg and HCO-3: 26mEq/L The nurse should interpret these laboratory values as which of the following imbalances?

Correct Answer is B

Explanation

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