A client diagnosed with Barrett's esophagus asks how he developed this. Which of the following responses by the nurse is most accurate?
"Your allergies have most likely contributed to this."
"Your history of gastroesophageal reflux disorder is the most likely cause."
"Being a vegetarian has caused an imbalance in stomach acid."
"This is a genetic condition that you were born with."
The Correct Answer is B
Choice A reason: This is incorrect because allergies are not a risk factor for developing Barrett's esophagus. Allergies are hypersensitive reactions of the immune system to certain substances, such as pollen, dust, or food. They can cause symptoms such as sneezing, itching, or hives, but they do not affect the esophagus or stomach acid.
Choice B reason: This is the correct answer because gastroesophageal reflux disorder (GERD) is the most common risk factor for developing Barrett's esophagus. GERD is a condition where the lower esophageal sphincter (LES) does not close properly and allows stomach acid to flow back into the esophagus. This can cause inflammation, irritation, and damage to the esophageal lining. Over time, this can lead to changes in the cells of the esophagus, which is called Barrett's esophagus.
Choice C reason: This is incorrect because being a vegetarian is not a risk factor for developing Barrett's esophagus. Being a vegetarian means avoiding meat and animal products in the diet. This can have health benefits such as lower cholesterol and blood pressure levels, but it does not affect the esophagus or stomach acid.
Choice D reason: This is incorrect because Barrett's esophagus is not a genetic condition that one is born with. Barrett's esophagus is an acquired condition that results from chronic exposure to stomach acid in the esophagus. It is not inherited from one's parents or passed on to one's children.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This is incorrect because slow cautious behaviors are more consistent with a stroke involving the right hemisphere. The right hemisphere controls spatial awareness, creativity, and intuition. A stroke affecting this hemisphere can cause impulsivity, poor judgment, and denial of deficits.
Choice B reason: This is incorrect because loss of depth perception is more consistent with a stroke involving
the right hemisphere. The right hemisphere controls visual-spatial perception, which includes depth perception, distance estimation, and object recognition. A stroke affecting this hemisphere can cause difficulty in navigating space, judging distances, and identifying objects.
Choice C reason: This is incorrect because the overestimation of abilities is more consistent with a stroke involving
the right hemisphere. The right hemisphere controls emotional regulation, self-awareness, and insight. A stroke affecting this hemisphere can cause euphoria, lack of insight, and unrealistic expectations.
Choice D reason: This is the correct answer because hemianopsia is consistent with a stroke involving
the left hemisphere. The left hemisphere controls language, logic, and analysis. A stroke affecting this hemisphere can cause hemianopsia, which is the loss of vision in half of the visual field. This can affect reading, writing, and communication skills.
Correct Answer is D
Explanation
Choice A reason: This is incorrect because increasing her voice when speaking to the client may not prevent complications, but rather annoy or offend the client. The nurse should not assume that a client with a visual impairment has a hearing impairment as well unless it is confirmed by assessment or history. The nurse should speak in a normal tone and volume and identify herself by name and role.
Choice B reason: This is incorrect because lowering the bed rails before lowering the bed may increase the risk of complications, such as falls or injuries. The nurse should keep the bed rails up until the client is ready to get out of bed and lower them only when necessary. The nurse should also lock the wheels of the bed and adjust it to a comfortable height for the client.
Choice C reason: This is incorrect because using hand gestures to point to where the client will walk may not prevent complications, but rather confuse or frustrate the client. The nurse should not use visual cues or gestures that are meaningless to a client with a visual impairment. The nurse should use verbal directions and descriptions instead, such as "The restroom is on your left, about 10 steps away."
Choice D reason: This is correct because standing slightly in front and to one side of the client can prevent complications, such as collisions or falls. The nurse should guide the client by offering her arm or shoulder for support and walking slightly ahead of him or her. The nurse should also warn the client about any obstacles or changes in terrain, such as stairs, doors, or rugs.
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