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 ["A","B","C","G"]

Explanation

A. Administering epinephrine intramuscularly is the first-line treatment for anaphylaxis, as it counteracts the effects of histamine and reduces swelling.
B. Starting intravenous access allows for fluid resuscitation and the administration of medications like epinephrine or corticosteroids.
C. Providing supplemental oxygen is necessary to support the patient's breathing and improve oxygenation during an anaphylactic reaction.
D. Corticosteroids may be used later to reduce inflammation, but they are not first-line treatments for anaphylaxis.
E. Placing the patient in a supine position with legs elevated may be helpful for circulation, but it is not the priority over administering epinephrine.

F. Oral antihistamines are not effective in the acute management of anaphylaxis, which requires immediate action.
G. Ensuring the patient's airway is patent is the top priority, as airway compromise can occur rapidly during anaphylaxis.
H. Encouraging oral fluid intake is not appropriate in this emergency situation, as intravenous fluids are needed.
I. Monitoring the patient's skin for rashes is important but secondary to managing the airway and circulation.

A. Klebsiella pneumoniae B. Streptococcus pneumoniae C. Escherichia coli D. Staphylococcus aureus

Correct Answer is D

Explanation

A. Klebsiella pneumoniae is a Gram-negative bacterium and is typically associated with more severe pneumonia, particularly in patients with underlying lung disease, but it does not form clusters.
B. Streptococcus pneumoniae is a common cause of pneumonia but typically appears as Gram-positive cocci in pairs or chains, not clusters.
C. Escherichia coli is a Gram-negative bacterium that generally causes urinary tract infections and is not a common cause of pneumonia with Gram-positive cocci in clusters.
D. Staphylococcus aureus is a Gram-positive bacterium that forms clusters and is a common cause of pneumonia, particularly in young, otherwise healthy individuals, and can present with fever, chills, and productive cough. This fits the presentation and sputum findings in this patient.

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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 patient is experiencing anaphylaxis after receiving an antibiotic. Which interventions should the nurse prioritize to address this condition? (Select All that Apply.)

Correct Answer is ["A","B","C","G"]

Explanation

A 25-year-old female patient presents with fever, chills, and a productive cough. Sputum culture reveals Gram-positive cocci in clusters. Which of the following bacterial organisms is most likely responsible for this infection?

Correct Answer is D

Explanation

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