The nurse is gathering information from a patient who has GERD. Which of the following observations is a symptom of GERD?

Absent bowel sounds

Elevated temperature

Decreased ammonia level

Pain relieved by taking antacids

Answer and Explanation

The Correct Answer is D

Choice A rationale
Absent bowel sounds are not a symptom of GERD. They may indicate a serious condition such as intestinal obstruction or ischemia.
Choice B rationale
An elevated temperature is not a symptom of GERD. It may indicate an infection or other medical condition.

Choice C rationale
A decreased ammonia level is not a symptom of GERD. It may be seen in conditions such as liver disease.
Choice D rationale
Pain relieved by taking antacids is a common symptom of GERD. Antacids work by neutralizing stomach acid, thereby relieving the burning sensation of heartburn.

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Correct Answer is C

Explanation

Choice A rationale
Carcinoembryonic Antigen (CEA) is a protein used as a tumor marker, particularly for cancers of the gastrointestinal tract. It is not directly related to volume depletion caused by gastrointestinal illnesses.
Choice B rationale
B12 level is important for nerve function and the formation of red blood cells. It is not directly related to volume depletion caused by gastrointestinal illnesses.
Choice C rationale
Electrolyte imbalance is the correct answer. Gastrointestinal illnesses often cause symptoms such as vomiting and diarrhea, which can lead to significant loss of fluids and electrolytes.
Monitoring electrolyte levels is crucial in these cases to prevent complications related to volume depletion.

Choice D rationale
Hemoglobin level is an indicator of the amount of oxygen-carrying protein in the blood. While it is an important lab value, it is not the most relevant in the context of volume depletion due to gastrointestinal illnesses.

A. AST B. Albumin C. Lipase D. ALT .

Correct Answer is C

Explanation

Choice A rationale
Aspartate aminotransferase (AST) is an enzyme that is found in various tissues, including the liver. Elevated levels of AST can indicate liver damage or disease.
Choice B rationale
Albumin is a protein that is made by the liver. It helps keep fluid in the bloodstream so it doesn’t leak into other tissues. Low levels of albumin can indicate liver disease.
Choice C rationale
Lipase is an enzyme that is produced by the pancreas and used in the digestion of fats. It is not a marker of liver function.
Choice D rationale

Alanine transaminase (ALT) is an enzyme found mostly in the cells of the liver and kidney. Much like AST, high levels of ALT can indicate liver damage or disease.

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The nurse is gathering information from a patient who has GERD. Which of the following observations is a symptom of GERD?

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Naxlex Comprehensive Predictor Exams

Gastrointestinal illnesses cause symptoms of anorexia, vomiting, and diarrhea. Which lab value should the nurse monitor related to volume depletion?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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