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 C

Explanation

A. Antibiotics are not indicated in the treatment of an asthma exacerbation unless there is a confirmed bacterial infection, which is not suggested here.

B. Increasing the frequency of albuterol nebulizations may be appropriate, but more aggressive interventions are required, as the patient has not improved with initial treatment.
C. Intravenous magnesium sulfate is often used in severe asthma exacerbations to help relax the muscles around the airways, making it a more appropriate next step for this patient.
D. Subcutaneous epinephrine can be used for anaphylaxis but is not the first-line treatment for asthma exacerbations.

A. Drink fruit juices instead of whole fruits to avoid fiber. B. Eliminate all carbohydrates from the diet. C. Increase intake of high-per foods such as vegetables and whole grains. D. Consume high-protein, high-fat meals to maintain satiety.

Correct Answer is C

Explanation

A. Drinking fruit juices instead of whole fruits may increase blood sugar levels due to the lack of fiber in juices. Whole fruits are better for blood glucose control.
B. Eliminating all carbohydrates is not advisable, as carbohydrates are necessary for energy. A balanced diet with controlled carbohydrates is recommended.
C. Increasing the intake of high-fiber foods like vegetables and whole grains helps regulate blood glucose levels by slowing digestion and improving insulin sensitivity.
D. Consuming high-protein, high-fat meals could negatively affect blood sugar levels and cardiovascular health, which is a concern for diabetics.

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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

Correct Answer is C

Explanation

A 55-year-old patient with newly diagnosed Type II Diabetes Mellitus is being educated on lifestyle modifications to manage their condition. Which of the following dietary recommendations would be most effective in controlling their blood glucose levels?

Correct Answer is C

Explanation

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