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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. While this can be helpful for managing pain and inflammation, it's not a universal recommendation and should be discussed with a healthcare provider.
B. This is important to prevent stomach upset, a common side effect of many anti-inflammatory medications.
C. Regular, low-impact exercise is crucial for maintaining joint function and reducing stiffness in people with rheumatoid arthritis.
D. While weight-bearing activities might need to be modified or avoided during flare-ups, complete avoidance of weight-bearing activity can lead to muscle weakness and further joint problems.

A. Apply topical corticosteroids to decrease inflammation. B. Maintain contact precautions. C. Examine child under a wood lamp for possible spread of lesions. D. Carefully remove dressings to not dislodge damaged skin, crusts, and debris.

Correct Answer is B

Explanation

A. Topical corticosteroids are not typically used for impetigo, as it's a bacterial infection.
B. Impetigo is highly contagious, so contact precautions are essential to prevent the spread of infection. This includes wearing gloves and a gown when providing direct care, and using dedicated equipment for the child.
C. A wood lamp is used to examine the skin for fungal infections, not bacterial infections like impetigo.
D. Impetigo typically doesn't require dressings. If dressings are used, they should be removed gently to avoid further skin damage.

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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?

Nursing Test Bank

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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