A nurse is providing teaching to a client who has long-term symptoms of GERD (gastroesophageal reflux disease). Which of the following statements should the nurse include in the educational materials?

“It is important to follow up with a GI specialist for recommended surveillance for Barrett’s esophagus.”

“You will need to monitor for manifestations of liver issues.”

“Follow up with an endocrinologist as your risk for diabetes increases.”

“It is important to watch for manifestations of pancreatic cancer.”

Answer and Explanation

The Correct Answer is A

Choice A Reason:

This is the correct answer. Long-term GERD can lead to Barrett’s esophagus, a condition where the esophageal lining changes and can increase the risk of developing esophageal cancer. Regular surveillance by a GI specialist is crucial for early detection and management of Barrett’s esophagus.

Choice B Reason:

Monitoring for liver issues is not directly related to GERD. While liver health is important, it is not a primary concern for patients with long-term GERD.

Choice C Reason:

There is no direct link between GERD and an increased risk of diabetes. Therefore, follow-up with an endocrinologist for diabetes risk is not specifically relevant to GERD management.

Choice D Reason:

Pancreatic cancer is not a known complication of GERD. The primary concerns with long-term GERD are esophageal complications, such as Barrett’s esophagus and esophageal cancer.

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Correct Answer is B

Explanation

Choice A Reason:

The large intestine does not secrete enzymes to digest food. This function is primarily carried out by the stomach and small intestine. The large intestine’s main role is to absorb water and electrolytes from the remaining indigestible food matter.

Choice B Reason:

This is the correct answer. The large intestine absorbs water from the remaining indigestible food matter, which helps to form stool. This process is crucial for maintaining the body’s fluid balance and for the proper formation and excretion of feces.

Choice C Reason:

Preventing the reflux of food into the esophagus is a function of the lower esophageal sphincter, not the large intestine. The large intestine’s role is more focused on absorbing water and electrolytes and forming stool.

Choice D Reason:

The large intestine does not produce vitamin D. Vitamin D is primarily synthesized in the skin upon exposure to sunlight and can also be obtained from certain foods and supplements. The large intestine does, however, play a role in the absorption of some vitamins produced by gut bacteria, such as vitamin K.

A. Encourage the client to bear down. B. Stop the enema and document that the client did not tolerate the procedure. C. Lower the height of the solution container. D. Allow the client to expel some fluid before continuing.

Correct Answer is C

Explanation

Choice A Reason:

Encouraging the client to bear down is not an appropriate response to abdominal cramps during an enema. Bearing down can increase discomfort and does not address the underlying cause of the cramps.

Choice B Reason:

Stopping the enema and documenting that the client did not tolerate the procedure is not the best initial action. While it is important to document the client’s response, there are other steps that can be taken to alleviate the discomfort before stopping the procedure entirely.

Choice C Reason:

This is the correct answer. Lowering the height of the solution container will reduce the flow rate of the enema solution, which can help alleviate abdominal cramps. A slower flow rate is less likely to cause cramping and discomfort.

Choice D Reason:

Allowing the client to expel some fluid before continuing can help relieve discomfort, but it is not the most immediate or effective action. Adjusting the flow rate by lowering the height of the solution container is a more direct way to address the issue.

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A nurse is providing teaching to a client who has long-term symptoms of GERD (gastroesophageal reflux disease). Which of the following statements should the nurse include in the educational materials?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a newly licensed nurse about the function of the large intestine. Which of the following information should the nurse include?

Correct Answer is B

Explanation

A nurse is administering a tap water enema to a client who is constipated. During the administration of the enema, the client states he is having abdominal cramps. Which of the following actions should the nurse take to relieve the client’s discomfort?

Correct Answer is C

Explanation

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