The nurse should be aware that Barrett's esophagus is a complication from what medical condition if left untreated?

Esophageal reflux

Eating hot and spicy food

Frequent episodes of vomiting

Esophageal polyps

Answer and Explanation

The Correct Answer is A

Choice A reason:

Esophageal reflux, or gastroesophageal reflux disease (GERD), can lead to Barrett's esophagus if left untreated. Chronic acid exposure from GERD causes changes in the esophageal lining, increasing the risk of developing Barrett's esophagus, a precancerous condition requiring monitoring and management.

Choice B reason:

Eating hot and spicy food may exacerbate symptoms of GERD but is not a direct cause of Barrett's esophagus. It can irritate the esophageal lining temporarily but does not lead to the cellular changes associated with Barrett's esophagus.

Choice C reason:

Frequent episodes of vomiting can damage the esophagus and lead to other complications but are not specifically linked to the development of Barrett's esophagus. The primary cause is chronic acid reflux rather than mechanical or chemical irritation from vomiting.

Choice D reason:

Esophageal polyps are growths that can occur in the esophagus but are not related to Barrett's esophagus. Barrett's esophagus results from prolonged acid exposure and cellular changes, whereas polyps are distinct growths that may require different monitoring and management strategies.

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Correct Answer is D

Explanation

Choice A reason: The Rinne test does not involve wearing earphones. This statement may indicate a misunderstanding or confusion with other hearing tests that use earphones to deliver sounds. The Rinne test specifically uses a tuning fork.

Choice B reason: The Rinne test does not involve inserting any probes into the ear. This statement is incorrect and indicates the client does not fully understand the procedure, which involves comparing air and bone conduction of sound.

Choice C reason: Small electrodes placed on the scalp are used in other diagnostic tests, such as EEGs (electroencephalograms), to measure electrical activity in the brain. This is not relevant to the Rinne test, which assesses hearing using a tuning fork.

Choice D reason: This is the correct answer. In the Rinne test, a tuning fork is struck and then placed on the mastoid process (behind the ear) and near the ear canal to compare bone and air conduction of sound. This statement indicates the client understands the test procedure.

A. This drug may be used in maintenance treatment for heart failure. B. This medication may take weeks to see effects. C. Limit use of the drug to 3 days to prevent rebound nasal congestion. D. Take this drug at bedtime because it may cause drowsiness.

Correct Answer is C

Explanation

Choice A reason:

Oxymetazoline is not used for maintenance treatment of heart failure. It is a topical decongestant used to relieve nasal congestion and is not indicated for cardiac conditions.

Choice B reason:

Oxymetazoline provides rapid relief of nasal congestion and does not take weeks to show effects. Its action is almost immediate, making it effective for short-term use.

Choice C reason:

Limiting the use of oxymetazoline to 3 days is crucial to prevent rebound nasal congestion, a condition where the nasal passages become more congested once the medication is stopped. Overuse can lead to dependency and worsening congestion.

Choice D reason:

Oxymetazoline does not typically cause drowsiness, so taking it at bedtime is not necessary. This statement does not apply to the pharmacological effects of this medication.

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The nurse should be aware that Barrett's esophagus is a complication from what medical condition if left untreated?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client about the Rinne test. Which of the following client statements indicates an understanding of the teaching?

Correct Answer is D

Explanation

The nurse is caring for a client currently taking oxymetazoline. Which of the following statements should the nurse include regarding oxymetazoline?

Correct Answer is C

Explanation

A nurse is preparing to administer morphine IV to a client. Which of the following medications should the nurse plan to have available?

A nurse is preparing to administer lorazepam 1 mg PO at bedtime. The amount available is lorazepam 2 mg tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is preparing to administer a medication to a client who states, "That looks different from the pill I usually take." Which is the best response by the nurse?

A nurse is assessing a client prior to the administration of morphine. The nurse should recognize which assessment is the priority?

A nurse is completing an 8-hour intake and output (I&O) record for a client who consumed 4 oz juice, 6 oz hot tea, 100 mL ice chips, an IV bolus of 150 mL, and 8 oz broth. The nurse should record how many mL of intake on the client's record?

The nurse is caring for an immunosuppressed pediatric client who reports soreness in his mouth and refuses to eat. Inspection of his mouth reveals a white, milky plaque that does not come off with rubbing. The nurse should anticipate which drug to be administered to this client?

The nurse closely monitors an older adult for signs of medication toxicity. Which physiological change is the reason for the nurse's concern?