Solved 100%
The nurse assesses assigned clients after receiving handoff communication. For
which assessment finding for a client with gastroesophageal reflux disease
(GERD) should the nurse provide immediate intervention?
A.A client who complains of chest pain
B.A client who complains of a sore throat
C.A client who vomits gastric acid after an evening snack
D.A client who complains of increasing heartburn while lying down
A.A client who complains of chest pain
-It is not uncommon for a client with GERD to complain of chest pain. This assessment
finding, however, should not be ignored and would require the nurse to provide
immediate intervention. The other assessment findings are typical of GERD and do not
require immediate attention.
The nurse is providing care to a pediatric client hospitalized for the treatment of
severe gastroesophageal reflux disease (GERD). For which finding should the
nurse provide immediate intervention?
A.Hoarseness
B.Regurgitation of sour material into the mouth
C.Wheezing
D.Tooth erosion
C.Wheezing
-Pediatric clients diagnosed with GERD will exhibit different symptoms than do adult
clients. The clinical manifestation of wheezing indicates a respiratory issue that can
often occur in pediatric clients with GERD. This finding requires immediate intervention
by the nurse. The other clinical manifestations do not require immediate intervention
After reviewing a client's health history, the nurse decides to assess for
symptoms of gastroesophageal reflux disease (GERD). Which factor caused the
nurse to make this clinical decision? (Select all that apply.)
A.Smoking
B.Asthma
C.Heart disease
D.Obesity
E.Inguinal hernia
A,D
A. smoking
D. obesity
Obesity and smoking are risk factors for the development of GERD. Regurgitation from
GERD can cause atypical chest pain in adults and wheezing in children, but asthma and
heart disease are not causative factors. Hiatal hernias, not inguinal hernias, are risk
factors for the onset of GERD.
, The nurse is teaching the client with gastroesophageal reflux disease (GERD)
about following treatment and taking medications to prevent complications.
Which complication should the nurse emphasize can occur due to untreated
GERD?
A.Asthma
B.Hiatal hernia
C.Trisomy 21
D.Esophageal stricture
D.Esophageal stricture
Esophageal strictures can occur from repeated irritation and ulceration from GERD.
Asthma, trisomy 21, and hiatal hernias are risk factors, not complications.
The nurse is assessing a child for suspected gastroesophageal reflux disease
(GERD). Which symptom should the nurse consider consistent with this disease?
(Select all that apply.)
A.Asthma
B.Sore throat
C.Obesity
D.Weight gain
E.Recurrent pneumonia
A,B,E
A.Asthma
B.Sore throat
E.Recurrent pneumonia
-Children under the age of 12 years with GERD experience different symptoms than
adults. These include asthma, sore throat, and recurrent pneumonia due to reflux of
acidic gastric contents. Obesity is a risk factor, not a clinical manifestation. Weight loss,
not weight gain, is more common.
An older adult client with gastroesophageal reflux disease (GERD) is scheduled
for a Nissen fundoplication and asks the nurse to explain the procedure to family
members. Which information should the nurse provide?
A."Nissen fundoplication is surgery where the stomach is wrapped around the
lower esophagus and sewn together."
B."Nissen fundoplication is also recommended to reduce risks associated with
esophageal cancer."
C."Nissen fundoplication is suturing, burning spots on, and creating scarring of
the muscle surrounding the sphincter."
D."Nissen fundoplication is antireflux surgery that decreases pressure to the
upper esophagus inhibiting gastric content reflux."
A."Nissen fundoplication is surgery where the stomach is wrapped around the lower
esophagus and sewn together."
-Nissen fundoplication includes open surgery where the stomach is wrapped around the
lower esophagus and the edges are sutured. The other answers do not accurately
describe a Nissen fundoplication.