A client complains of a burning sensation in the esophagus after eating. Which associated condition should the nurse most suspect?
Pancreatic cancer
Acute pancreatitis
Acid reflux
Gastric ulcer
The Correct Answer is C
A. Pancreatic cancer: Typically associated with abdominal pain, weight loss, and jaundice rather than a burning sensation in the esophagus.
B. Acute pancreatitis: Causes severe abdominal pain, nausea, and vomiting, but not usually a burning sensation in the esophagus.
C. Acid reflux: Also known as gastroesophageal reflux disease (GERD), this condition commonly causes a burning sensation in the esophagus after eating.
D. Gastric ulcer: Generally causes pain in the upper abdomen and may be associated with indigestion, but not specifically a burning sensation in the esophagus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Perform abdominal percussion, and then repeat auscultation: While percussion can provide additional information, the absence of bowel sounds should first be confirmed by listening for a longer period before moving to other techniques.
B. Palpate the client's abdomen to stimulate bowel motility: Palpation is not recommended to stimulate bowel sounds; it may alter the assessment.
C. Repeat auscultation in four to six hours: Immediate reassessment after five minutes of auscultation is preferable to prolonged waiting.
D. Listen for five minutes before documenting an absence of bowel sounds: To ensure accurate assessment, the nurse should listen for up to five minutes in each quadrant
Correct Answer is B
Explanation
A. Chest pain: This symptom is important but does not specifically correlate with difficulty sleeping unless upright.
B. Orthopnea: Difficulty breathing while lying flat (orthopnea) is typically associated with heart failure and would require further investigation to understand its impact on the client's sleep.
C. Edema: While edema can be a sign of cardiovascular problems, it does not directly explain the difficulty in sleeping unless in an upright position.
D. Palpitations: Palpitations might affect sleep but are less directly linked to the need to sleep upright compared to orthopnea.
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