A nurse is caring for a client in the primary care office who states, "I think I have been experiencing symptoms of reflux." Which of the following manifestations should the nurse anticipate for a client who has GERD?

Dyspnea

Dysesthesia

Dyspepsia

Dysarthria

Answer and Explanation

The Correct Answer is C

A.   Dyspnea (difficulty breathing) is not typically associated with GERD. GERD is primarily characterized by symptoms related to the digestive system.
B.   Dysesthesia refers to abnormal sensations, such as tingling or burning, and is not typically related to GERD symptoms.
C.   Dyspepsia, or indigestion, is a common manifestation of GERD. It includes symptoms like heartburn, regurgitation, and discomfort in the upper abdomen.
D.   Dysarthria, which refers to difficulty speaking, is not a common symptom of GERD and is more related to neurological conditions.

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Correct Answer is B

Explanation

A. Secondary progressive multiple sclerosis involves a steady decline in function with or without relapses, which is different from the relapsing-remitting pattern.
B. Relapsing-remitting multiple sclerosis (RRMS) is the most common type of MS and is characterized by flare-ups of symptoms followed by periods of partial or complete recovery with no symptoms.
C. Primary progressive multiple sclerosis involves a gradual worsening of symptoms without distinct relapses or remissions. This pattern does not match the client's description of periods without symptoms.
D. Clinically isolating syndrome refers to the first episode of neurologic symptoms that lasts for at least24 hours and is indicative of MS, but this is a different stage than relapsing-remitting MS.

A. Increase the oxygen flow rate to 4 L/min to improve oxygenation. B. Switch the patient to a non-rebreather mask for better oxygenation. C. Continue to monitor the patient closely and reassess in 30 minutes. D. Reduce the oxygen flow rate to 1 L/min and notify the healthcare provider.

Correct Answer is D

Explanation

A. Increasing the oxygen flow rate could worsen respiratory depression in patients with COPD, as they rely on low oxygen levels to stimulate breathing.
B. Switching to a non-rebreather mask could further elevate the oxygen levels and may lead to hypoventilation or respiratory distress.
C. Monitoring the patient closely and reassessing in 30 minutes might be appropriate if the patient shows no immediate signs of respiratory distress, but the priority is to address the decreased respiratory rate.
D. Reducing the oxygen flow rate to 1 L/min and notifying the healthcare provider is the most appropriate action, as it may reduce the risk of respiratory depression caused by excessive oxygen.

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A nurse is caring for a client in the primary care office who states, "I think I have been experiencing symptoms of reflux." Which of the following manifestations should the nurse anticipate for a client who has GERD?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has multiple sclerosis. The client reports that, since the onset of the disease, there are times when their symptoms are active and then followed by a period with no symptoms. Which of the following types of multiple sclerosis does this pattern indicate?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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