A client with known GERD asks the nurse about nighttime symptoms. What should the nurse inform the client?
"Nighttime symptoms of GERD are typically characterized by excessive sweating and chills."
"GERD can often lead to coughing, choking, and difficulty swallowing during the night."
"GERD does not typically cause any symptoms at night; they are more noticeable during the day."
"Nighttime symptoms of GERD are primarily characterized by severe abdominal pain."
The Correct Answer is B
A) Incorrect. Excessive sweating and chills are not typical nighttime symptoms of GERD. These may be indicative of other health issues.
B) Correct. GERD can lead to symptoms such as coughing, choking, and difficulty swallowing, particularly at night. Acid reflux can worsen when lying down, leading to these nighttime symptoms.
C) Incorrect. GERD can indeed cause symptoms at night, especially when lying down. These symptoms may include coughing, choking, and difficulty swallowing.
D) Incorrect. Severe abdominal pain is not a typical nighttime symptom of GERD. This type of pain may be indicative of other conditions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Incorrect. Weakening of the lower esophageal sphincter (LES) does not lead to a significant decrease in stomach acid production.
B) Correct. When the LES weakens, it allows stomach contents, including acid, to flow back into the esophagus, resulting in the characteristic symptoms of GERD.
C) Incorrect. Weakening of the LES is not associated with an overproduction of digestive enzymes in the stomach.
D) Incorrect. The diaphragm muscle is not directly involved in the weakening of the LES in GERD. It is primarily related to the relaxation of the LES.
Correct Answer is C
Explanation
A) Incorrect. An upper gastrointestinal (GI) series involves X-ray imaging of the esophagus, stomach, and small intestine with the use of a contrast material. It does not provide direct visualization or allow for tissue biopsies.
B) Incorrect. Esophageal manometry measures the pressure and coordination of the muscles in the esophagus. It does not provide direct visualization or allow for tissue biopsies.
C) Correct. Upper endoscopy (EGD) involves the insertion of a flexible tube with a camera through the mouth and into the esophagus, stomach, and duodenum. It allows for direct visualization and tissue biopsies to assess for any abnormalities or signs of GERD.
D) Incorrect. 24-hour pH monitoring measures the amount of acid in the esophagus over a 24-hour period. It does not provide direct visualization or allow for tissue biopsies.
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