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.
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Related Questions
Correct Answer is B
Explanation
A. 1.25ml: The dosage of 20mg/5ml means 1ml contains 4mg. To get 25mg, you need more than 1.25ml.
B. 6.25ml: Since 20 mg is in 5ml, to administer 25mg, you can use the following calculation:
25mg*= 6.25ml
C. 6.3mg: This is incorrect because the dosage needed is 25mg, not 6.3mg.
D. 6mg: The prescribed dose is 25mg, not 6mg.
Correct Answer is D
Explanation
A. Poor appetite and therefore poor protein intake: While poor appetite can occur in hepatitis, it is not directly related to pruritus.
B. Altered urinary output of bile: Hepatitis affects liver function, but pruritus is not caused by changes in urinary output of bile.
C. Decreased fat intake: Decreased fat intake does not directly lead to pruritus in hepatitis.
D. Accumulation of bile salts under the skin: In hepatitis, liver dysfunction impairs the excretion of bile salts, leading to their accumulation in the skin, which causes pruritus (itching).
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