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Exam (elaborations)

DIGESTION EXEMPLAR 4.A GASTROESOPHAGEAL REFLUX DISEASE EXAM QUESTIONS AND ANSWERS

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DIGESTION EXEMPLAR 4.A GASTROESOPHAGEAL REFLUX DISEASE EXAM QUESTIONS AND ANSWERS

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March 8, 2025
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DIGESTION EXEMPLAR 4.A
GASTROESOPHAGEAL REFLUX
DISEASE EXAM QUESTIONS AND
ANSWERS
The nurse has implemented a care plan for an adult client with gastroesophageal reflux
disorder (GERD). On the next clinic visit, which statement by the client indicates
adherence to the plan of care?
A) "I can wear snug spandex camisoles if I feel comfortable."
B) "I have switched from margaritas to wine."
C) "I've lost 6 pounds because I eat every 3 hours and never before bed."
D) "I take a Tums with the ranitidine to make it work better." - Answer-c

For a 9-month-old infant, which finding is inconsistent with GERD?
A) Weight gain
B) Vomiting
C) Irritability
D) Wheezing - Answer-a

In planning care for a 32-year-old pregnant client with worsening GERD in her second
trimester, which teaching would be inappropriate?
A) Eat smaller and more frequent meals.
B) Avoid foods that are known to be triggers for GERD.
C) Proton pump inhibitors (PPIs) are safe to use, with the exception of omeprazole.
D) The use of antacids containing sodium bicarbonate is recommended. - Answer-d
The nurse is explaining the alteration in normal function to a client recently diagnosed
with gastrointestinal reflux disease (GERD). Which etiology contributing to GERD will
the nurse include in the teaching session?
A) Transient constriction of the lower esophageal sphincter
B) Decreased pressure within the stomach
C) Incompetent lower esophageal sphincter
D) Prolonged constriction of the upper esophageal sphincter - Answer-c

The nurse is providing care to several clients in an outpatient clinic. Which client is at
high risk of developing gastroesophageal reflux disorder (GERD)?
A) A client who is 6 weeks pregnant
B) A client who is morbidly obese
C) A client who follows a strict vegetarian diet
D) A client who drinks one glass of wine monthly - Answer-b

A pediatric client is diagnosed with gastroesophageal reflux disorder (GERD). The
nurse is observing a return demonstration of the caregiver preparing and feeding the

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