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. 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.
Correct Answer is A
Explanation
A. Standard Precautions: These are appropriate for hepatitis B since the virus is primarily transmitted through blood and body fluids. Hand hygiene and gloves are sufficient unless there is an additional infection requiring other precautions.
B. Respiratory precautions: Not needed as hepatitis B is not airborne or droplet-transmitted.
C. Reverse isolation: This is used for immunocompromised patients, not for patients with hepatitis B.
D. Enteric precautions: These are used for infections spread via the fecal-oral route, such as Clostridioides difficile, not hepatitis B.
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