A nurse in a long-term care facility is providing care for a client who has gastroesophageal reflux (GERD). Which of the following interventions should the nurse implement?

A. Isolate the client in their room.

Encourage the client to ambulate with a staff member.

Administer a prescribed oral dose of trazodone to the client.

Apply bilateral wrist restraints to the client.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Isolating the client in their room is not necessary for managing GERD. Isolation measures are typically used for contagious diseases, not for GERD, which is a non-infectious condition.

Choice B rationale

Encouraging the client to ambulate with a staff member helps promote gastrointestinal motility and reduce the risk of reflux. Physical activity can aid in digestion and reduce GERD symptoms.

Choice C rationale

Trazodone is an antidepressant and is not typically prescribed for managing GERD. It is not relevant to the care plan for a client with GERD.

Choice D rationale

Applying bilateral wrist restraints is not indicated for GERD management. Restraints are used for patients who pose a risk to themselves or others, not for those with GERD. .

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Correct Answer is C

Explanation

Choice C rationale

A delayed response to verbal commands is a sign of increased intracranial pressure, indicating possible brain function impairment due to the pressure.

Choice A rationale

Ecchymosis around the eyes, known as "raccoon eyes," can indicate a basal skull fracture but does not directly indicate increased intracranial pressure.

Choice B rationale

Ringing in the ears, or tinnitus, is not a specific sign of increased intracranial pressure. It is usually related to auditory or vestibular issues.

Choice D rationale

Inability to remember details of the motor-vehicle crash can indicate a concussion or other brain injury but is not solely indicative of increased intracranial pressure. .

Correct Answer is ["1000"]

Explanation

Step 1: Calculate the total caloric reduction needed per week to lose 0.9 kg (2 lb). 2 lb × 3,500 calories/lb = 7,000 calories.

Step 2: Divide the total weekly caloric reduction by the number of days in a week. 7,000 calories ÷ 7 days = 1,000 calories/day.

Final answer: 1,000.

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A nurse in a long-term care facility is providing care for a client who has gastroesophageal reflux (GERD). Which of the following interventions should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has a subdural hematoma following a motor-vehicle crash.For which of the following findings should the nurse identify that the client is experiencing an increase in intracranial pressure?

Correct Answer is C

Explanation

Correct Answer is ["1000"]

Explanation

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