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 A
Explanation
A. "No. The color will fade gradually as liver inflammation decreases.": This response provides accurate information and reassurance, addressing the patient's concerns about her appearance while being supportive.
B. "Yes, but cosmetics can disguise the color.": This dismisses the patient’s concerns and is not empathetic or accurate, as jaundice usually resolves when liver function improves.
C. "Yes, but your sclera will return to their previous white color.": While the sclera may clear up, this does not address the entire issue of jaundice affecting skin color.
D. "No. The color will change to freckles.": This is misleading and untrue, potentially worsening the patient's anxiety.
Correct Answer is C
Explanation
A. "Imagery may help control pain.": This is an appropriate pain management strategy.
B. "Sitz baths are ordered to soothe the area.": Sitz baths are commonly recommended for pain relief and hygiene after hemorrhoidectomy.
C. "Fluids are restricted.": Adequate hydration is essential to prevent constipation, which can strain the surgical site.
D. "Bleeding should be reported.": Postoperative bleeding, beyond minor spotting, is a concerning symptom and should be reported promptly.
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