A home health nurse is assigned to follow-up on a patient recently diagnosed with gastroesophageal reflux disease (GERD). Which primary symptom should the nurse take into consideration when updating the nursing interventions on this patient's care plan?
Heartburn
Nausea
Anorexia
Vomiting
The Correct Answer is A
A. Heartburn: This is the hallmark symptom of GERD, caused by the reflux of gastric contents into the esophagus.
B. Nausea: While nausea may occur, it is not the primary symptom of GERD.
C. Anorexia: Loss of appetite is not a characteristic symptom of GERD.
D. Vomiting: Although vomiting can occur, it is not a primary symptom of GERD.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","E"]
Explanation
A. Excessive fluid intake: Excessive fluid intake does not typically cause constipation; rather, insufficient fluid intake is more commonly associated with constipation.
B. Diet low in cheese and yogurt: A diet low in cheese and yogurt is not a cause of constipation. However, a diet low in fiber can contribute to constipation.
C. Diet low in fiber and/or residue: A diet low in fiber and residue is one of the leading causes of constipation, as fiber helps in the formation and movement of stool.
D. Iron supplements: Iron supplements are known to cause constipation as they can slow down bowel movement and harden stool.
E. Use of morphine: Opioid medications like morphine slow down bowel motility and are a common cause of constipation.
Correct Answer is B
Explanation
A. Decrease the potential for thrombus formation: Metoclopramide is not used to prevent thrombus formation; this is typically managed with anticoagulants or other interventions.
B. Prevent postoperative nausea and vomiting: Metoclopramide is a prokinetic agent that helps in increasing gastric motility and is commonly used to prevent or treat nausea and vomiting after surgery.
C. Prolong the effects of anesthesia: Metoclopramide does not affect the duration of anesthesia. It is primarily used for nausea and vomiting.
D. Decrease postoperative pain: Metoclopramide does not have analgesic properties and is not used for pain management postoperatively.
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