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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","E","F","G"]
Explanation
A. A high-fiber and spicy diet could irritate the stomach lining, worsening acute gastritis.
B. Administering antacids can help neutralize stomach acid and relieve discomfort associated with gastritis.
C. Rigorous exercise is not recommended during an acute gastritis flare-up, as it could exacerbate symptoms.
D. Drinking milk is a common myth that milk can soothe gastritis; however, milk can stimulate acid production, which might worsen symptoms.
E. Pain should be assessed regularly, and analgesics should be administered as prescribed. NSAIDs should be avoided, as they can worsen gastritis.
F. Avoiding caffeine, alcohol, and smoking is crucial, as they can irritate the stomach lining and worsen symptoms of gastritis.
G. Monitoring for signs of gastrointestinal bleeding, such as hematemesis or melena, is important as acute gastritis can lead to bleeding.
Correct Answer is ["C","D"]
Explanation
A. Using sterile water is recommended for flushing the tube before and after feeding, but it is not the most critical step in preventing complications.
B. Lowering the head of the bed to 15 degrees during feeding may increase the risk of aspiration, as a higher elevation is typically recommended.
C. Changing the feeding bag and tubing every 24 hours helps prevent bacterial contamination and reduces the risk of infection.
D. Checking for residual volume before each feeding helps ensure that the stomach is empty, reducing the risk of aspiration.
E. Adding crushed medications to the enteral formula is not recommended, as it can alter the formula's absorption and cause clogging of the tube.
F. Administering the feeding in a continuous cycle over 24 hours is typically done for certain patients, but it is not essential to prevent complications in all cases.
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