Drag from Word Choices to complete the sentence.
The nurse knows that, if left untreated, the client's condition could progress to developing
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A","dropdown-group-3":"A"}
Rationale for correct choices:
- Esophageal stricture: Chronic acid exposure can lead to scarring and narrowing of the esophagus, causing dysphagia.
- Barrett's esophagus: Prolonged GERD can cause metaplasia of esophageal cells, increasing the risk of esophageal cancer.
- Reflux esophagitis: Ongoing acid reflux causes inflammation and damage to the esophageal lining.
Rationale for incorrect choices:
- Hiatal hernia: While a hiatal hernia can contribute to GERD, it is a structural condition that precedes reflux rather than a complication resulting from untreated GERD.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Reapplying a sterile nonadhesive dressing is necessary for wound protection and to maintain a clean environment. However, dressing the wound alone does not treat the underlying MRSA infection, which is the priority for preventing systemic infection and sepsis.
B. Forcing oral fluids may support hydration and aid healing but does not address the primary concern of an active bacterial infection. Hydration alone is insufficient to manage MRSA.
C. Limiting visitors to immediate family only can help reduce infection risk in immunocompromised patients, but this is a secondary infection control measure. It does not treat the client’s existing MRSA infection and is not the most urgent action.
D. Administering prescribed antibiotics is the most critical intervention. MRSA is a resistant bacterial infection that can progress rapidly, especially in immobile clients with compromised skin integrity. Timely administration of appropriate antibiotics based on culture and sensitivity is essential to treat the infection, prevent systemic complications, and promote wound healing.
Correct Answer is ["A","C","E"]
Explanation
A. Obtaining postoperative vital signs for a stable client is within the PN’s scope of practice. The client is one day post-knee arthroplasty and likely stable, making this task appropriate for delegation.
B. Initiating PCA pumps requires assessment, titration, and monitoring of pain and patient response, which are RN-level responsibilities due to the risk of respiratory depression and need for critical judgment.
C. Performing a routine surgical dressing change for a stable client is within the PN’s scope of practice. The PN can follow established protocols and report any abnormalities to the RN.
D. Starting a blood transfusion involves assessment, verification, and monitoring for transfusion reactions, which are RN responsibilities. PNs may assist with vital signs during the transfusion but cannot independently start it.
E. Administering insulin per a provider-prescribed sliding scale for a stable client with type 2 DM is within the PN’s scope of practice, as long as the PN follows established protocol and reports any abnormal glucose readings to the RN.
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