A patient has been diagnosed with reflux esophagitis (GERD). What instruction by the nurse professional is most appropriate?
Exercise soon after eating to increase gastric emptying
Try these proton-pump inhibitors for 2 weeks
You need to schedule an upper Gl endoscopy soon
Over-the-counter antiemetics work well for this condition
The Correct Answer is B
A. Exercise soon after eating to increase gastric emptying: Physical activity immediately after meals may actually worsen reflux symptoms by increasing intra-abdominal pressure and promoting acid reflux.
B. Try these proton-pump inhibitors for 2 weeks: Proton-pump inhibitors (PPIs) are a first-line treatment for GERD. They reduce gastric acid production, promoting symptom relief and esophageal healing.
C. You need to schedule an upper GI endoscopy soon: Endoscopy is not immediately necessary unless there are alarm symptoms like dysphagia, weight loss, or bleeding. Initial management focuses on medication and lifestyle changes.
D. Over-the-counter antiemetics work well for this condition: Antiemetics are not effective in treating the underlying cause of GERD, which is acid reflux, not nausea or vomiting. They would not effectively treat the heartburn or esophageal inflammation associated with GERD.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Azotemia: Azotemia, or elevated blood urea nitrogen (BUN) and creatinine levels, is a common feature of glomerulonephritis due to reduced kidney filtration capacity and accumulation of nitrogenous wastes in the blood.
B. Hematuria with red cell casts: Hematuria with red blood cell casts is a classic hallmark of glomerulonephritis, indicating glomerular bleeding and inflammation. These casts are formed in the nephron and reflect active glomerular injury.
C. Oliguria and hypertension: Both are characteristic findings in glomerulonephritis. Oliguria results from impaired filtration, while hypertension develops due to fluid retention and activation of the renin-angiotensin-aldosterone system.
D. An increased glomerular filtration rate (GFR) of >100: Glomerulonephritis typically leads to a decreased GFR, not an increase. Inflammation and damage to the glomeruli impair the kidneys' ability to filter blood effectively, resulting in reduced GFR and waste accumulation.
Correct Answer is "{\"xRanges\":[118.328125,148.328125],\"yRanges\":[263,293]}"
Explanation
McBurney's point is a specific location on the lower right quadrant of the abdomen that is used in diagnosing acute appendicitis. It is situated one-third of the distance from the right anterior superior iliac spine to the umbilicus.Tenderness at McBurney's point is a key clinical sign of appendicitis, often indicating that the inflammation has progressed beyond the appendix itself and is affecting the peritoneum.
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