The nurse is caring for a client who is due for a laparoscopic fundoplication. On reviewing the medical history, the nurse notes the client complains of dysphagia, substernal burning, and belching.

The endoscopy and barium test reports are yet to be received. Which condition can the nurse expect in the client?

Gastritis

Stomach cancer

Schatzki ring

Hiatal hernia

Answer and Explanation

The Correct Answer is D

Choice A rationale: Dysphagia, substernal burning, and belching are symptoms often associated with hiatal hernia.

Choice B rationale: While substernal burning can be a symptom of stomach-related issues, hiatal hernia is more directly linked to the symptoms described.

Choice C rationale: Schatzki ring might present with dysphagia, but it's less likely given the overall symptoms described.

Choice D rationale: Symptoms of dysphagia and substernal burning can be indicative of a hiatal hernia, especially when considered together.

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Correct Answer is B

Explanation

Choice A rationale: Metformin does not significantly affect insulin release from the pancreas or glucagon secretion but reduces glucose production by the liver and enhances insulin sensitivity in tissues.

Choice B rationale: Metformin primarily works by reducing glucose production in the liver and improving the body's response to insulin, thereby lowering blood sugar levels.

Choice C rationale: Metformin does not notably slow carbohydrate absorption in the small intestine.

Choice D rationale: Metformin does not directly increase insulin production from the pancreas.

A. Fracture/immobilized the extremity B. Contracture / obtain a prescription for acetaminophen C. Sprain/ raise the leg D. Dislocation/apply heat to the area

Correct Answer is A

Explanation

Choice A rationale: Considering the mechanism of injury, pain severity, tenderness, swelling, and ecchymosis, there is a high suspicion of a fracture. Immobilization is essential to prevent further injury and reduce pain.

Choice B rationale: Contracture is less likely in this acute injury scenario. Acetaminophen might manage pain, but it doesn't address the risk factor.

Choice C rationale: A sprain is less likely given the severity of pain and the mechanism of injury. Raising the leg doesn't address the risk of a suspected fracture.

Choice D rationale: Dislocation doesn't align with the reported symptoms. Applying heat could potentially worsen inflammation.

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Naxlex Comprehensive Predictor Exams

The newly diagnosed patient with type 2 diabetes has been prescribed metformin (Glucophage). What should the nurse tell the patient to best explain how this medication works?

Correct Answer is B

Explanation

A 16-year-old male presents to the emergency department with right knee pain. Exhibits Complete the statement below: The client is at risk for and the nurse should ?

Correct Answer is A

Explanation

A 49-year-old man who has type 2 diabetes, high blood pressure, hyperlipidemia, and gastroesophageal reflux tells the nurse that he has had recent difficulty in achieving an erection. Which of the following drugs from his current medications list may cause erectile dysfunction (ED)?

Polystyrene sulfonate (Kayexalate) is used in renal failure to:

The nurse is caring for a 67-year-old client in the medical-surgical unit following hemodialysis. The nurse reviews the nursing note, vital signs, assessment, and medical history Which clinical data is most concerning to the nurse? Select all that apply

A client arrives at the clinic with his daughter, reporting memory impairments: Exhibits Which of the following clinical feature are consistent with delirium? Select all that apply?

While reviewing the clinical history of a client with brain injury, the nurse finds that there is a periorbital ecchymosis, which is referred to as raccoon eyes. The client also has leakage of cerebrospinal fluid (CSF) from the nose. Which fracture should the nurse suspect in the client?

When a brain-injured patient responds to nail bed pressure with internal rotation, adduction, and flexion of the arms, how should the nurse report the response?

The nurse is most likely to report which finding to the primary care provider for a client who has an established colostomy?

The nurse is reviewing the record of a female client with Crohn's disease. Which stool characteristics should the nurse expect to note documented in the client's record?