The nurse has administered an antacid and a proton pump inhibitor for GERD. Which data would indicate to the nurse that the medications are effective?
A decrease in gastric distress.
Amylase levels return to normal
A decrease in vomiting.
An increase in gastric motility
The Correct Answer is A
A. This is a strong indicator of effectiveness. Both antacids and PPIs aim to reduce gastric acidity, which alleviates symptoms such as heartburn, regurgitation, and discomfort. A decrease in gastric distress suggests that the medications are successfully managing the symptoms of GERD.
B. Amylase is an enzyme primarily related to carbohydrate digestion, and its levels are not directly related to GERD or the effectiveness of antacids and PPIs. Normalizing amylase levels would not indicate the effectiveness of treatment for GERD, making this option irrelevant in this context.
C. While a decrease in vomiting may indicate an improvement in GERD symptoms, it is not the primary focus of treatment with antacids and PPIs. GERD primarily involves symptoms like heartburn and acid reflux rather than vomiting. However, if vomiting was due to severe reflux, improvement might indicate effectiveness.
D. Gastric motility refers to the movement of food through the gastrointestinal tract. While normal gastric motility can be beneficial, antacids and PPIs do not primarily aim to increase motility; their focus is on reducing acidity and managing reflux symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. While changes in breathing patterns can indicate airway obstruction, snoring alone is not the most specific indicator of a complication after tonsillectomy. It could indicate swelling or an obstructed airway but does not specifically indicate bleeding.
B. Checking the mucous membranes for moisture is important in general nursing care to assess hydration status. However, it is not the most immediate priority in the post-tonsillectomy setting, where the primary concern is to monitor for bleeding.
C. Assessing pain is important for overall patient comfort and to evaluate the effectiveness of pain management strategies. However, pain alone does not directly indicate a complication like bleeding, which is a critical concern in this scenario.
D. Continuous swallowing can be an early sign of bleeding after tonsillectomy, as patients may swallow frequently to clear blood from the throat. If a patient is swallowing more often than normal, it could indicate that they are swallowing blood, which would require immediate intervention.
Correct Answer is C
Explanation
A. Rhinitis, or nasal inflammation, can occur in various respiratory infections but is not a primary symptom of bacterial pneumonia. While some children with pneumonia may have nasal congestion or a runny nose, it is not a defining characteristic of pneumonia.
B. Hemoptysis, or coughing up blood, is not a common symptom of bacterial pneumonia, especially in children. While it can occur in severe cases or specific types of pneumonia, it is not typically expected during the initial assessment of bacterial pneumonia in pediatric patients.
C. A high fever is a common and expected symptom in children with bacterial pneumonia. The body’s response to the infection often includes elevated temperatures, and fever is one of the key signs that healthcare providers look for when diagnosing pneumonia.
D. Constipation is not a symptom associated with bacterial pneumonia. While general illness can affect bowel habits, constipation is not typically seen in patients with pneumonia. The focus of the assessment would be on respiratory symptoms rather than gastrointestinal issues.
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