The nurse is reviewing the assessment data.
For each assessment finding, click to indicate if it is a symptom of gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD), or gastritis. Each column must have at least one response option selected.
Odynophagia
Epigastric pain
Dyspepsia
Emesis
The Correct Answer is {"A":{"answers":"C"},"B":{"answers":"A,B,C"},"C":{"answers":"A,B,C"},"D":{"answers":"A,B"}}
- Odynophagia (painful swallowing) – GERD: Odynophagia is more commonly associated with GERD, where stomach acid reflux irritates the esophagus, causing pain with swallowing. Gastritis and PUD primarily affect the stomach lining and may cause epigastric discomfort but usually not pain specifically during swallowing.
- Epigastric pain – Gastritis, PUD, GERD: Epigastric pain is a common symptom for all three conditions. Gastritis involves inflammation of the stomach lining; PUD involves a mucosal defect in the stomach or duodenum; GERD can cause burning pain in the upper abdomen due to acid reflux. The timing and triggers (after meals, relief with antacids, or nocturnal pain) may help differentiate them clinically.
- Dyspepsia (indigestion, bloating, discomfort) – Gastritis, PUD, GERD: Dyspepsia is a generalized upper abdominal discomfort seen in all three conditions. It may present as bloating, nausea, or a feeling of fullness after meals.
- Emesis (vomiting) – Gastritis, PUD: Vomiting can occur in gastritis and PUD due to irritation of the gastric mucosa or obstruction from ulceration. While GERD may occasionally cause regurgitation, true emesis (forceful expulsion of stomach contents) is less typical in GERD.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D"]
Explanation
A. This is appropriate for delegation to the UAP. Assisting clients with using an incentive spirometer involves encouraging and guiding clients through deep-breathing exercises, which is within the UAP’s scope and does not require independent nursing judgment.
B. Removing a nasogastric tube is a nursing procedure that requires assessment of the client’s tolerance, understanding potential complications, and clinical judgment. This task must be performed by a licensed nurse (RN or PN), not a UAP.
C. Irrigating a urinary catheter involves assessment for patency, technique, and recognition of complications such as infection or trauma. This requires nursing knowledge and judgment and is outside the UAP’s scope.
D. Notifying the nurse of a client’s readiness for discharge is appropriate for a UAP. The UAP can observe, gather basic information, and report to the nurse, allowing the RN to complete the discharge process safely.
Correct Answer is D
Explanation
A. While prostate regrowth can occur over time due to dihydrotestosterone, this is a long-term process and unlikely to explain acute postoperative urinary and erectile difficulties immediately following TURP.
B. Excess testosterone does not “overwhelm the bladder” or directly reduce penile perfusion. This explanation is physiologically inaccurate and not supported by current evidence.
C. Androgen-sensitive tumors are associated with prostate cancer, not benign prostatic hyperplasia. The client underwent TURP for BPH, so tumor obstruction is not relevant in this context.
D. TURP involves resection near the prostatic urethra and surrounding nerve fibers (especially the cavernous nerves responsible for erectile function). Postoperative inflammation and temporary nerve irritation can cause weak urinary stream, urgency, and erectile dysfunction. These symptoms are typically transient but may require monitoring and supportive interventions.
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