A nurse is collecting data on a patient that has GERD. Which of the following is an expected finding?

Painful swallowing.

Absence of saliva.

Sweet taste in the mouth.

A metallic taste in the mouth.

Answer and Explanation

The Correct Answer is A

Choice A rationale
Painful swallowing, also known as dysphagia, is a common symptom of Gastroesophageal Reflux Disease (GERD)345. GERD is a chronic condition where stomach acid frequently flows back into the tube connecting your mouth and stomach.
Choice B rationale
Absence of saliva is not typically associated with GERD. In fact, increased salivation may occur as the body’s response to neutralize stomach acid.
Choice C rationale
A sweet taste in the mouth is not a common symptom of GERD. The regurgitation of stomach acid into the throat or mouth can leave a sour or bitter taste.
Choice D rationale
A metallic taste in the mouth is not a typical symptom of GERD. As mentioned, the regurgitation of stomach acid can cause a sour or bitter taste.

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Correct Answer is C

Explanation

Choice A rationale
High-fat meals can exacerbate symptoms of gallbladder disease or pancreatitis, but they are not typically associated with peptic ulcer disease.
Choice B rationale
Relief of pain after a bowel movement is more indicative of conditions such as irritable bowel syndrome or inflammatory bowel disease, not peptic ulcer disease.
Choice C rationale
Peptic ulcer disease is characterized by a gnawing or burning pain that can be relieved by eating. This is because food neutralizes the stomach acid temporarily. However, the pain often returns after the food has been digested.
Choice D rationale

Pain radiating to the lower back can be a symptom of conditions such as pancreatitis or gallstones, but it is not typically associated with peptic ulcer disease.

A. I need to increase my fluid intake. B. My stools will be normal in color. C. I know the barium swallow test examined my esophagus, stomach, duodenum, and jejunum. D. I may need to take laxatives to prevent constipation from the barium.

Correct Answer is B

Explanation

Choice A rationale
Increasing fluid intake after a barium swallow test is recommended. This helps to flush the barium out of the system and can help to prevent constipation.
Choice B rationale
Stools will not be normal in color after a barium swallow test. It is normal for bowel movements to appear lighter in color, or even white, after a barium study.
Choice C rationale
The barium swallow test does examine the esophagus, stomach, duodenum, and jejunum. The barium coats the lining of these organs, making them easier to see on an X-ray.
Choice D rationale
Patients may need to take laxatives to prevent constipation from the barium. Barium can slow down the digestive system, so taking a laxative can help to keep things moving.

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A nurse is collecting data on a patient that has GERD. Which of the following is an expected finding?

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Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client in the health clinic who is reporting epigastric pain. Which of the following statements made by the client should the nurse identify as being consistent with peptic ulcer disease?

Correct Answer is C

Explanation

A patient has received a barium swallow test to rule out esophageal strictures and gastric ulcer. The nurse is educating the patient on what is expected post barium swallow. What statement indicates that the patient did not understand all of the teaching by the nurse?

Correct Answer is B

Explanation

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