A client with suspected GERD asks the nurse about a test that measures the amount of acid in the esophagus over a 24-hour period. What test is the nurse referring to?
Upper gastrointestinal (GI) series
Esophageal manometry
Upper endoscopy (esophagogastroduodenoscopy, or EGD)
24-hour pH monitoring
The Correct Answer is D
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 measure acid levels over a 24-hour period.
B) Incorrect. Esophageal manometry measures the pressure and coordination of the muscles in the esophagus. It does not measure acid levels over a specific time frame.
C) Incorrect. Upper endoscopy (EGD) involves the direct visualization of the esophagus, stomach, and duodenum using a flexible tube with a camera. It does not measure acid levels over a 24-hour period.
D) Correct. 24-hour pH monitoring is a diagnostic test that measures the amount of acid in the esophagus over a 24-hour period. It helps assess the frequency and severity of acid reflux.
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Related Questions
Correct Answer is B
Explanation
A) Incorrect. Upper endoscopy (EGD) involves the direct visualization of the esophagus, stomach, and duodenum using a flexible tube with a camera. It does not measure muscle pressure and coordination.
B) Correct. Esophageal manometry is a diagnostic test that measures the pressure and coordination of the muscles in the esophagus. It helps evaluate the function of the esophageal muscles and the lower esophageal sphincter.
C) Incorrect. 24-hour pH monitoring measures the amount of acid in the esophagus over a 24-hour period. It does not assess muscle pressure and coordination.
D) 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 measure muscle pressure and coordination.
Correct Answer is B
Explanation
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.
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