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 B
Explanation
A. 1 hour after meals: Sucralfate works by forming a protective barrier over ulcers. It is best absorbed when the stomach is empty, so taking it after meals reduces its effectiveness.
B. 1 hour before meals: Sucralfate should be administered 1 hour before meals to allow it to form a protective barrier in the stomach lining without interference from food.
C. With meals: Taking sucralfate with meals can interfere with its ability to coat the stomach effectively.
D. With a bedtime snack: Sucralfate should be taken on an empty stomach for optimal effectiveness, not with food.
Correct Answer is A
Explanation
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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