The nurse is caring for a client newly diagnosed with gastroesophageal reflux disease (GERD). The client complains to the nurse of severe burning in the esophagus. The provider orders magnesium hydroxide. What outcome should the nurse expect if the medication achieves the desired therapeutic effect?

Neutralized gastric acid

Reduced stomach motility

Reduced duodenal pH

An increased barrier to pepsin

Answer and Explanation

The Correct Answer is A

A.   Magnesium hydroxide is an antacid medication that works by neutralizing gastric acid in the stomach. Therefore, if the medication achieves the desired therapeutic effect, the nurse should expect neutralization of gastric acid, which can alleviate the burning sensation in the esophagus associated with GERD.
B.   Magnesium hydroxide does not directly affect stomach motility. Instead, its primary action is to neutralize gastric acid. Therefore, reducing stomach motility is not an expected outcome of magnesium hydroxide administration.
C.   Magnesium hydroxide primarily acts within the stomach to neutralize gastric acid and does not significantly affect the pH of the duodenum. Therefore, reduced duodenal pH is not an expected outcome of magnesium hydroxide administration.
D.   Pepsin is an enzyme involved in the digestion of proteins and can contribute to tissue damage if refluxed into the esophagus. Although reducing gastric acidity can indirectly decrease the activity of pepsin, magnesium hydroxide does not directly increase the barrier to pepsin.

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Correct Answer is D

Explanation

D. Crohn's disease is a chronic condition for which there is currently no cure. Treatment focuses on managing symptoms, reducing inflammation, and preventing complications through medications, lifestyle changes
A. Crohn's disease is a chronic condition that can affect any part of the gastrointestinal tract, and surgical removal of affected portions does not eliminate the underlying disease process.
B. While some individuals with Crohn's disease may require surgery resulting in an ostomy, it is not true that most people with Crohn's will need this intervention. Many individuals with Crohn's can manage their symptoms with medications and lifestyle modifications without the need for surgery.
C. Crohn's disease is a chronic illness with unpredictable flare-ups and periods of remission. Managing symptoms and maintaining a good quality of life often require ongoing medical management and lifestyle adjustments.

A. eats a high fiber diet. B. has had a normal weight gain with her pregnancy. C. is of African-American ancestry. D. is 8 months pregnant.

Correct Answer is D

Explanation

D. Pregnancy is a known risk factor for gallstone formation and cholecystitis. Hormonal changes during pregnancy, particularly increased levels of estrogen, can lead to increased cholesterol saturation in bile, decreased gallbladder emptying, and increased risk of gallstone formation.
A. Fiber helps to regulate bowel movements and may decrease cholesterol levels in bile, thereby reducing the likelihood of gallstone formation.
B. Pregnancy itself can predispose individuals to gallstone formation due to hormonal changes that increase cholesterol saturation in bile. However, normal weight gain reduces the risk of cholecystitis.
C. Certain ethnicities, including individuals of Native American, Hispanic, and African-American ancestry, have a higher prevalence of gallstones compared to other populations. However, ethnicity alone may not be a direct cause of acute cholecystitis.

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Naxlex Comprehensive Predictor Exams

A client newly diagnosed with Crohn's disease asks the nurse what to expect in the future. The best response by the nurse would be:

Correct Answer is D

Explanation

The nurse is caring for a client admitted with a first episode of acute cholecystitis. Which of the following may have contributed to this event? She:

Correct Answer is D

Explanation

The nurse is recording data obtained from a client's admission assessment. Which notation is most consistent with the presence of a duodenal ulcer? The client states that:

The nurse is assessing a client who is receiving total parenteral nutrition (TPN) therapy via an Infusion pump. Which action would be appropriate?

A client with a new diagnosis of GERD is preparing for discharge from the hospital. Which foods will the nurse teach this client to avoid? (SELECT ALL THAT APPLY)

Which of the following is a common symptom of esophageal ulcers?

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The nurse is caring for a client receiving total parenteral nutrition (TPN). The nurse understands that the best explanation for utilizing TPN is to:

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